Reducing the Risk of AIDS Through Methadone Maintenance Treatment

Jc, Ball; Wr, Lange; Cp, Myers; Friedman,

doi:10.2307/2137033

Cited by 374 publications

(124 citation statements)

References 20 publications

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“…83 Homeless individuals have been shown to have a high frequency of substance use 84 and risky drug use behaviors in terms of frequency, injection in riskier locations, and poorer needle hygiene. 85 Furthermore, while individuals in drug treatment are at lower risk for HIV than are out-of-treatment users, [86][87][88][89][90][91] former inmates' access to drug treatment services is generally limited by their lack of financial resources. In all of these ways, incarceration may affect HIV risk.…”

Section: Resultsmentioning

confidence: 99%

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Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

Singer¹

1994

Social Science & Medicine

449

303

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Abstract-The social identity of HIV/AIDS in the U.S. has been shaped, for the most part, by two factors, the prevailing configuration of social relations across class, racial, gender, and sexual orientation, on the one hand, and the prevailing array of public health, especially epidemiological, categories of disease transmission, on the other. Focusing on the AIDS epidemic among inner city people of color, this paper challenges the distortions wrought in our understanding from both of these factors and instead develops an alternative perspective for AIDS research among medical anthropologists and health social scientists generally.

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Section: Resultsmentioning

confidence: 99%

“…However, there are reasons to be cautious in adopting a subcultural model for understanding IDUs [90]. First, it is far from clear that they possess a long-standing, homogeneous, or well articulated subculture that is particularly distinct from broader cultural practices.…”

Section: Although Contributorsmentioning

confidence: 99%

Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

Singer¹

1994

Social Science & Medicine

449

303

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“…*,#t lower socioeconomic status are least likely to enter drug abuse treatment programs, and may only do so after exhausting informal resources.21 Outpatient programs which offer child care are needed; methadone maintenance programs can be very effective, but may need to adopt a more lenient approach in order to keep clients in treatment. 22 Our study has implications both for the conduct of AIDS prevention programs and for research. AIDS prevention programs need to target sub-populations of needle users with the most risky behaviors, particularly those not currently in treatment.ttt Incarcerated needle users are an important and very problematic group for prevention programs.…”

Section: Discussionmentioning

confidence: 95%

Demographic characteristics, risk behaviors, and HIV seroprevalence among intravenous drug users by site of contact: results from a community-wide HIV surveillance project.

McCusker

Koblin²,

Lewis³

et al. 1990

Am J Public Health

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We investigated differences in behaviors important for human immunodeficiency virus (HIV) transmission and HIV antibody status among 927 recent needle users enrolled in a multi-site HIV surveillance project in Worcester, Massachusetts. Subjects were enrolled at drug abuse treatment centers, other clinical sites, and a men's jail. Subjects at drug treatment centers reported less risky injection practices unexplained by demographic variables.

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“…In addition, AIDS risk reduction education can be provided within the context of treatment programming. [2][3][4][5][6][7][8][9] Here we examine the drug abuse treatment experiences and HIV risk behaviors of 2001 active injection drug users who participated in the National Institute on Drug Abuse's National AIDS Demonstration Research projects in the four largest metropolitan areas (populated by about 5 million people) in Ohio: Cleveland, Columbus, Dayton, and Cincinnati. At the time of the study, the estimated HIV seroprevalence rate among injection drug users in Ohio ranged from 1.5% to 6 …”

Section: Introducidonmentioning

confidence: 99%

Drug abuse treatment experience and HIV risk behaviors among active drug injectors in Ohio.

Siegal¹,

Carlson²,

Falck³

et al. 1995

Am J Public Health

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This study compares the sociodemographic characteristics and human immunodeficiency virus (HIV) risk behaviors of injection drug users who had received drug abuse treatment in the previous 5 years and those who had not received treatment. The National AIDS Demonstration Research Program database provided 2001 structured interviews, representing Cleveland, Columbus, Cincinnati, and Dayton, Ohio. About 43% of the subjects reported having received treatment in the previous 5 years. Length of involvement with drugs, more frequent injection, more legal problems, and higher levels of HIV risk behaviors were associated with a history of treatment. Incorporating HIV risk reduction education in drug abuse treatment is an urgent priority.

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Reducing the Risk of AIDS Through Methadone Maintenance Treatment

Cited by 374 publications

References 20 publications

Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

Demographic characteristics, risk behaviors, and HIV seroprevalence among intravenous drug users by site of contact: results from a community-wide HIV surveillance project.

Drug abuse treatment experience and HIV risk behaviors among active drug injectors in Ohio.

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