Aids Statistics and the Risk for Minorities

Bakeman, Roger; Lumb, Judith Rae; Smith, Donald W.

doi:10.1089/aid.1.1986.2.249

Cited by 35 publications

(10 citation statements)

References 1 publication

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“…7,8 These findings have been consistent, both in comparisons of PWID residing in Puerto Rico and in other US locations, 9-11 and in comparisons of PRPWID in the mainland United States with other PWID in the same communities. 12 …”

Section: Hiv Among Puerto Rican People Who Inject Drugssupporting

confidence: 56%

Addressing the HIV/AIDS Epidemic Among Puerto Rican People Who Inject Drugs: The Need for a Multiregion Approach

Deren¹,

Gelpí-Acosta

Albizu-García

et al. 2014

Am J Public Health

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High levels of HIV risk behaviors and prevalence have been reported among Puerto Rican people who inject drugs (PRPWID) since early in the HIV epidemic. Advances in HIV prevention and treatment have reduced HIV among people who inject drugs (PWID) in the United States. We examined HIV-related data for PRPWID in Puerto Rico and the US Northeast to assess whether disparities continue. Injection drug use as a risk for HIV is still overrepresented among Puerto Ricans. Lower availability of syringe exchanges, drug abuse treatment, and antiretroviral treatment for PWID in Puerto Rico contribute to higher HIV risk and incidence. These disparities should be addressed by the development of a federally supported Northeast–Puerto Rico collaboration to facilitate and coordinate efforts throughout both regions.

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Section: Hiv Among Puerto Rican People Who Inject Drugssupporting

confidence: 56%

Addressing the HIV/AIDS Epidemic Among Puerto Rican People Who Inject Drugs: The Need for a Multiregion Approach

Deren¹,

Gelpí-Acosta

Albizu-García

et al. 2014

Am J Public Health

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“…Black and Hispanic adults account for a disproportionately large number of those infected. [1][2][3][4][5] The overrepresentation of minorities among those with HIV infection and AIDS is thought to be largely a consequence of intravenous (IV) drug use. It is estimated that IV drug use alone or IV drug use associated with homosexual or bisexual practices is responsible for 48% of the cumulative number of AIDS cases (K. Taylor, CDC, personal communication).…”

Section: Introductionmentioning

confidence: 99%

Utilization of health services in a cohort of intravenous drug users with known HIV-1 serostatus.

Solomon¹,

Frank

Vlahov³

et al. 1991

Am J Public Health

109

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BACKGROUND. Intravenous drug users (IVDUs) with human immunodeficiency virus (HIV) infection and AIDS often have no health insurance or rely on public programs to finance their health care. We examined the independent contributions of HIV serostatus, clinical symptoms, CD4 cell counts, and health insurance to utilization of health services among 1881 intravenous drug users in Baltimore, Maryland. METHODS. Participants in an ongoing natural history study of HIV were informed of HIV serostatus and seropositives were informed of CD4 cell counts; 6 months later, participants were administered a questionnaire concerning self-reported use of health services, insurance coverage, and HIV-related symptoms. RESULTS. Of 1881 participants, 67% had health insurance (including Medicaid), 48% had at least one outpatient visit, and 12% had at least one inpatient visit within the prior 6 months. The proportion of the study population that was HIV-1 seropositive was 32%. In multivariate analysis, the single most important predictor of health care utilization was the presence of two or more HIV-related clinical symptoms. HIV positive serostatus alone or known low CD4 counts were not significantly associated with use of health care services. CONCLUSIONS. These data suggest that HIV seropositive IVDUs are not receiving recommended preventive care. Additional efforts will be needed to ensure that HIV-seropositive drug users participate in currently recommended protocols for early treatment of asymptomatic HIV-1 infection.

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“…As of January 1989, the percentage of AIDS cases among IV drug users in the United States was in excess of 23 percent. Approximately, 75 percent of women with AIDS were from minority populations (Bakeman, Lumb, and Smith, 1986) and an estimated 78 percent of pediatric AIDS cases were minority people (U.S. Department of Health and Human Services, 1990b).…”

Section: Drug Abuse and Related Problemsmentioning

confidence: 99%

Drug use, drug prohibition and minority communities

Clifford

1992

J Primary Prevent

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Drug problems, including alcohol and tobacco abuse, present major public health concerns for the American people. Drug abuse and its related difficulties have been associated with both increased morbidity and premature mortality. In the United States, ethnic minorities have experienced the overall negative impact of drug abuse much more severely than the general population. The impact of drug prohibition in the United States has not been to eliminate or minimize the use of illicit drugs. Indeed, in recent times, the use of some illegal substances (e.g., cocaine) has increased among certain segments of our population; while the use of licit substances (e.g., alcohol) has decreased among specific groups. Unfortunately, drug prohibition and related policies have contributed to the differential impact of the negative consequences of drug abuse on ethnic and racial minorities. The passage and enforcement of repressive drug laws, to curb what is essentially a public health problem, has not been demonstrated to be a productive mechanism for the amelioration of drug related problems within our minority communities.

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Aids Statistics and the Risk for Minorities

Cited by 35 publications

References 1 publication

Addressing the HIV/AIDS Epidemic Among Puerto Rican People Who Inject Drugs: The Need for a Multiregion Approach

Addressing the HIV/AIDS Epidemic Among Puerto Rican People Who Inject Drugs: The Need for a Multiregion Approach

Utilization of health services in a cohort of intravenous drug users with known HIV-1 serostatus.

Drug use, drug prohibition and minority communities

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