scholarly journals The Cost of Inaction on HIV Transmission among Injection Drug Users and the Potential for Effective Interventions

2004 ◽  
Vol 81 (4) ◽  
pp. 655-660 ◽  
Author(s):  
L. M. Kuyper
2017 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Francois Cholette ◽  
John Ho ◽  
Hillary McCoubrey ◽  
Kiana Kadivar ◽  
Laura Thompson ◽  
...  

Author(s):  
Rab Nawaz Samo ◽  
Arshad Altaf ◽  
Sharaf Ali Shah

Background: Knowledge of risk factors for HIV transmission in high-risk population plays a critical role in averting the risk of HIV transmission. In Pakistan, injection drug users (IDUs) constitute the core risk group of HIV prevalence, where the epidemic has transitioned to a “concentrated level.” Still nothing is known about the role of knowledge in HIV transmission and HIV sero-conversion among IDUs in Pakistan. Methods: From 2009 to 2011, a nested case–control study was conducted in a cohort of 636 IDUs receiving harm reduction services in the mega city of Karachi. Results: In multivariable regression analysis, 3 factors, namely HIV does not spread through unprotected sex (adjusted odds ratio [AOR]: 3.1, 95% confidence interval [CI] 1.39-6.90, P value .01), HIV does not transmit by sharing syringes (AOR: 3.5, 95% CI 1.97-6.40, P value <.00), and the risk of HIV cannot be minimized by using new syringe every time (AOR: 2.0, 95% CI 1.16-3.60, P value .01), were significantly associated with the incident cases of HIV. Conclusion: The study findings suggest the association between knowledge of HIV transmission and HIV sero-incident cases.


2003 ◽  
Vol 35 (2) ◽  
pp. 227-236 ◽  
Author(s):  
Daniel Fernando ◽  
Robert F. Schilling ◽  
Jorge Fontdevila ◽  
Nabila El-Bassel

Addiction ◽  
2010 ◽  
Vol 106 (3) ◽  
pp. 583-589 ◽  
Author(s):  
Vu Minh Quan ◽  
Nguyen Le Minh ◽  
Tran Viet Ha ◽  
Nguyen Phuong Ngoc ◽  
Pham The Vu ◽  
...  

2002 ◽  
Vol 30 (4) ◽  
pp. 548-559 ◽  
Author(s):  
Kim M. Blankenship ◽  
Stephen Koester

In public health and the social sciences, there is growing recognition of the role that social context plays in determining health. Frequently, social relations of inequality are among the most important features of social context identified in this work, and emphasis is placed on identifying and addressing these inequalities in order to improve health. Within the field of HIV/AIDS prevention as well, researchers have begun to look beyond individuals for an understanding of the structural causes of HIV-related risk. This research demands that greater attention be paid to the social mechanisms and contextual factors that lead to HIV risk. Among these factors are law and social policy, which form a part of the context in which risk-taking occurs and which can promote both HIV transmission and prevention. On the one hand, laws limiting access to sterile injection equipment have contributed to HIV-related risk behavioxs among injection drug users (IDUS).


Addiction ◽  
1994 ◽  
Vol 89 (10) ◽  
pp. 1309-1317 ◽  
Author(s):  
DAVID D. CELENTANO ◽  
ALVARO MUNOZ ◽  
SYLVIA CORN ◽  
KENRAD E. NELSON ◽  
DAVID VLAHOV

2011 ◽  
Vol 17 (3) ◽  
pp. 879-888 ◽  
Author(s):  
A. Uusküla ◽  
J. M. McMahon ◽  
M. Kals ◽  
A. Talu ◽  
K. Abel-Ollo ◽  
...  

2021 ◽  
Vol 22 (2) ◽  
Author(s):  
Shima Bordbar ◽  
Hassan Joulaei ◽  
Abdosaleh Jafari ◽  
Mehrdad Askarian ◽  
Charles John Palenik ◽  
...  

Background: Acquired immunodeficiency syndrome is a behavioral disorder that can be detected via two methods, including active and passive screening. Objectives: This study aimed to evaluate the cost-effectiveness of screening strategies of HIV/AIDS among injection drug users (IDUs) referring to the voluntary counseling and testing (VCT) center and drop-in center (DIC) of Shiraz University of Medical Sciences. Methods: This was a cross-sectional cost-effectiveness analysis to compare the cost-effectiveness of the two active and passive screening methods in 2015. The decision tree model, along with the TreeAge11 software, was used to analyze the data. Results: The averages of cost and effectiveness were $989 and 987 subjects in the active screening method while they were $1,767 and 209 subjects in the passive screening method, respectively. The incremental cost-effectiveness ratio (ICER) to early-diagnosed and averted cases was $855/39 for the active screening method and $1528/90 for the passive screening method. According to the findings of the study, the active screening method is more cost-effective than its passive counterpart. Conclusions: According to the findings of the study, the active screening method is more cost-effective than its passive counterpart, and it is recommended to be used in these cases.


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