Drug injecting and HIV infection : global dimensions and local responses / / edited by Gerry V. Stimson, Don C. Des Jarlais, and Andrew L. Ball |
Pubbl/distr/stampa | London ; ; Bristol, Pa. : , : UCL Press, , 1998 |
Descrizione fisica | 1 online resource (313 p.) |
Disciplina | 616.97/9205 |
Altri autori (Persone) |
StimsonGerry V (Gerry Vivian)
Des JarlaisDon <1945-> BallAndrew L |
Collana | Social aspects of AIDS |
Soggetto topico |
AIDS (Disease) - Prevention
Intravenous drug abuse |
ISBN |
1-135-35953-9
1-135-35954-7 1-280-02025-3 1-85728-824-6 9786610020256 0-203-21401-3 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
""Preliminaries""; ""Contents""; ""List of Figures""; ""List of Tables""; ""Foreword""; ""Series Editor�s Preface""; ""Acknowledgments""; ""Chapter 1 Global Perspectives on Drug Injecting""; ""Chapter 2 The Social Context of Injectors Risk Behaviour""; ""Chapter 3 Health and Social Consequences of Injecting Drug Use""; ""Chapter 4 Drug Injecting and HIV 1 Infection Major Findings from the Multi City Study""; ""Chapter 5 New Injectors and HIV 1 Risk""; ""Chapter 6 The Structure of Stable Seroprevalence HIV 1 Epidemics among Injecting Drug Users""
""Chapter 7 Mobility and the Diffusion of Drug Injecting and HIV Infection""""Chapter 8 Modelling the HIV 1 and AIDS Epidemic among Drug Injectors""; ""Chapter 9 Drug Injecting and Sexual Safety""; ""Chapter 10 Cities Responding to HIV 1 Epidemics among Injecting Drug Users""; ""Chapter 11 Prison and HIV 1 Infection among Drug Injectors""; ""Chapter 12 Preventing Epidemics of HIV 1 among Injecting Drug Users""; ""Chapter 13 Overview""; ""Appendices""; ""Contributors""; ""Index"" |
Record Nr. | UNISA-996202100003316 |
London ; ; Bristol, Pa. : , : UCL Press, , 1998 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. di Salerno | ||
|
Drug injecting and HIV infection : global dimensions and local responses / / edited by Gerry V. Stimson, Don C. Des Jarlais, and Andrew L. Ball |
Pubbl/distr/stampa | London ; ; Bristol, Pa. : , : UCL Press, , 1998 |
Descrizione fisica | 1 online resource (313 p.) |
Disciplina | 616.97/9205 |
Altri autori (Persone) |
StimsonGerry V (Gerry Vivian)
Des JarlaisDon <1945-> BallAndrew L |
Collana | Social aspects of AIDS |
Soggetto topico |
AIDS (Disease) - Prevention
Intravenous drug abuse |
ISBN |
1-135-35953-9
1-135-35954-7 1-280-02025-3 1-85728-824-6 9786610020256 0-203-21401-3 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
""Preliminaries""; ""Contents""; ""List of Figures""; ""List of Tables""; ""Foreword""; ""Series Editor�s Preface""; ""Acknowledgments""; ""Chapter 1 Global Perspectives on Drug Injecting""; ""Chapter 2 The Social Context of Injectors Risk Behaviour""; ""Chapter 3 Health and Social Consequences of Injecting Drug Use""; ""Chapter 4 Drug Injecting and HIV 1 Infection Major Findings from the Multi City Study""; ""Chapter 5 New Injectors and HIV 1 Risk""; ""Chapter 6 The Structure of Stable Seroprevalence HIV 1 Epidemics among Injecting Drug Users""
""Chapter 7 Mobility and the Diffusion of Drug Injecting and HIV Infection""""Chapter 8 Modelling the HIV 1 and AIDS Epidemic among Drug Injectors""; ""Chapter 9 Drug Injecting and Sexual Safety""; ""Chapter 10 Cities Responding to HIV 1 Epidemics among Injecting Drug Users""; ""Chapter 11 Prison and HIV 1 Infection among Drug Injectors""; ""Chapter 12 Preventing Epidemics of HIV 1 among Injecting Drug Users""; ""Chapter 13 Overview""; ""Appendices""; ""Contributors""; ""Index"" |
Record Nr. | UNINA-9910170968103321 |
London ; ; Bristol, Pa. : , : UCL Press, , 1998 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
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Preventing HIV transmission [[electronic resource] ] : the role of sterile needles and bleach / / Jacques Normand, David Vlahov, and Lincoln E. Moses, editors |
Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1995 |
Descrizione fisica | xviii, 334 p. : ill., maps |
Disciplina | 616.97/9205 |
Altri autori (Persone) |
NormandJacques <1954->
VlahovDavid MosesLincoln E |
Soggetto topico |
Needle exchange programs - United States
Chlorine and derivatives as disinfectants AIDS (Disease) - United States - Prevention |
Soggetto genere / forma | Electronic books. |
ISBN |
1-280-19300-X
9786610193004 0-309-58821-9 0-585-02248-8 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Record Nr. | UNINA-9910456102003321 |
Washington, D.C., : National Academy Press, 1995 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
Preventing HIV transmission [[electronic resource] ] : the role of sterile needles and bleach / / Jacques Normand, David Vlahov, and Lincoln E. Moses, editors |
Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1995 |
Descrizione fisica | xviii, 334 p. : ill., maps |
Disciplina | 616.97/9205 |
Altri autori (Persone) |
NormandJacques <1954->
VlahovDavid MosesLincoln E |
Soggetto topico |
Needle exchange programs - United States
Chlorine and derivatives as disinfectants AIDS (Disease) - United States - Prevention |
ISBN |
0-309-17621-2
1-280-19300-X 9786610193004 0-309-58821-9 0-585-02248-8 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Record Nr. | UNINA-9910778662703321 |
Washington, D.C., : National Academy Press, 1995 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
Preventing HIV transmission : the role of sterile needles and bleach / / Jacques Normand, David Vlahov, and Lincoln E. Moses, editors |
Edizione | [1st ed.] |
Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1995 |
Descrizione fisica | xviii, 334 p. : ill., maps |
Disciplina | 616.97/9205 |
Altri autori (Persone) |
NormandJacques <1954->
VlahovDavid MosesLincoln E |
Soggetto topico |
Needle exchange programs - United States
Chlorine and derivatives as disinfectants AIDS (Disease) - United States - Prevention |
ISBN |
0-309-17621-2
1-280-19300-X 9786610193004 0-309-58821-9 0-585-02248-8 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
Preventing HIV Transmission -- Copyright -- Contents -- Preface -- Acknowledgments -- Executive Summary -- THE PROBLEM -- THE PANEL'S CHARGE -- SCIENTIFIC ASSESSMENT OF PROGRAM EFFECTIVENESS -- Needle Exchange -- Bleach Distribution -- COMMUNITY AND LEGAL FACTORS -- RECOMMENDED COURSE OF ACTION -- NOTE -- Introduction -- DIMENSIONS OF THE PROBLEM -- RESPONSES TO THE EPIDEMIC -- THE CHARGE TO THE PANEL -- THE PANEL'S REPORT -- Information Sources -- Approach -- Organization -- NOTES -- REFERENCES -- Part 1 Dimensions of the Problem -- 1 The Epidemiology of HIV and AIDS -- BIOLOGICAL MECHANISMS OF TRANSMISSION -- Injection Drug Use Transmission -- Direct Needle Sharing -- Indirect Needle Sharing -- Risk Behaviors and Interventions -- Sexual Transmission -- Perinatal Transmission -- Conclusion -- EPIDEMIOLOGIC DATA -- HIV and AIDS Surveillance -- Mode of Acquisition of Infection -- HIV AND AIDS AMONG INJECTION DRUG USERS -- Surveillance -- Sexual Transmission Among Injection Drug Users -- Perinatal Transmission from Injection Drug Users -- SUMMARY -- Conclusions -- Recommendations -- NOTES -- REFERENCES -- 2 The Epidemiology of Injection Drug Use -- ESTIMATES OF INJECTION DRUG USERS -- Geographic Variations -- National Surveys of Drug Abuse -- National Household Survey on Drug Abuse -- Washington DC Metropolitan Area Drug Study -- Surveys of Youth -- Conclusion -- CHARACTERISTICS OF INJECTION DRUG USERS -- A National Profile -- Local Drug Use Trends and Patterns -- SUMMARY -- Recommendation -- NOTES -- REFERENCES -- 3 Needle Exchange and Bleach Distribution Programs in the United States -- INTRODUCTION -- NEEDLE EXCHANGE PROGRAMS -- Legal Issues -- Program Operations -- Sites -- Staffing -- Policies -- Hours of Operation -- On-Site Services Offered -- Items Distributed -- Characteristics of Program Participants -- Cost and Cost-Effectiveness.
Organization Characteristics -- Three Simple Case Studies -- Two Complex Case Studies -- Comparisons Across Programs -- BLEACH DISTRIBUTION PROGRAMS -- Characteristics of Program Participants -- Outreach Strategies -- CONCLUSIONS -- REFERENCES -- 4 Community Views -- MORAL/ETHICAL ARGUMENTS -- PUBLIC OPINION POLLS -- AFRICAN AMERICAN VIEWS -- LATINO/HISPANIC VIEWS -- LAW ENFORCEMENT VIEWS -- HEALTH PROFESSIONAL VIEWS -- Pharmacists -- Treatment Service Providers -- Funding -- Treatment Efficacy -- Federal Regulations -- Condoning Drug Use -- SUMMARY -- CONCLUSIONS -- NOTE -- REFERENCES -- 5 The Legal Environment -- U.S. DRUG CONTROL POLICY -- Legislative/Statutory Environment -- State and Local Litigation -- DO PARAPHERNALIA AND PRESCRIPTION LAWS CONTRIBUTE TO HIV TRANSMISSION -- Needle Scarcity and Sharing -- Changes in the Laws in Connecticut -- Needle Sales -- Injection Drug Users' Behaviors -- SHOULD THE LAWS BE CHANGED -- Changing the Laws -- Consequences -- CONCLUSIONS -- RECOMMENDATIONS -- NOTE -- REFERENCES -- Part 2 The Impact of Needle Exchange and Bleach Distribution Programs -- 6 The Effectiveness of Bleach as a Disinfectant of Injection Drug Equipment -- TRANSMISSION OF HIV AMONG INJECTION DRUG USERS -- BLEACH AS A DISINFECTANT -- Definition of Terms -- The Role of Cleaning in Disinfection -- Susceptibility of HIV to Disinfection -- Laboratory Studies -- CDC Recommendations -- BLEACH DISTRIBUTION PROGRAMS -- Program Evaluation -- The Chicago Experience -- Limitations of Bleach Disinfection -- Impact of Bleach Disinfection on HIV Transmission -- SUMMARY -- Conclusions -- Recommendations -- NOTES -- REFERENCES -- 7 The Effects of Needle Exchange Programs -- POTENTIAL OUTCOMES -- Possible Positive Outcomes -- Possible Negative Outcomes -- THE PANEL'S APPROACH TO THE EVIDENCE. The Traditional Approach: Considering the Preponderance of the Evidence -- An Alternative Approach: Looking at the Patterns of Evidence -- Rationale -- Ruling In Plausibility -- The Panel's Synthesis -- U.S. GENERAL ACCOUNTING OFFICE REVIEW -- Procedure -- Results -- UNIVERSITY OF CALIFORNIA REPORT -- Procedure -- Results -- Possible Positive Outcomes -- Reduction in High-Risk Behavior -- Increased Referrals to Drug Treatment -- Reduction in HIV Infection Rates -- Possible Negative Outcomes -- Increase in Program Participant Drug Use -- Increase in New Initiates to Injection Drug Use -- Increased Drug Use in the Community -- Increase in Number of Contaminated Needles Unsafely Discarded -- Summary -- EVIDENCE FROM RECENT STUDIES -- Possible Positive Outcomes -- Reduction in Risk Behavior -- Reduction in HIV Infection Rates -- Possible Negative Outcomes -- Program Participant Drug Use -- New Initiates to Injection Drug Use -- Discarded Needles and Syringes -- THE NEW HAVEN STUDIES -- Program Implementation -- Estimated Effects on HIV Incidence -- Assessment of the Models -- New Initiates to Injection Drug Use -- Enrollment in Drug Treatment -- Alternative Explanations -- Summary -- THE TACOMA STUDIES -- The Program -- HIV Seroprevalence Studies -- Hepatitis Surveillance and Case Reporting -- Hepatitis B and C Case-Control Study -- Interview Studies with Injection Drug Users -- Potential Alternative Explanations -- Program Effects on New Initiates to Drug Use or Abuse -- SUMMARY -- Conclusions -- Recommendations -- NOTES -- REFERENCES -- 8 Directions for Future Research -- RESEARCH ON PROGRAM EFFECTIVENESS -- Needle Exchange Evaluation -- Categorization of Exposure to Intervention Condition -- Measurement of Alternative Sources of Sterile Syringes -- Community-Based Studies -- Appropriate Selection of Respondents. Temporal Association of Participation in Programs and HIV Seroconversion -- Accounting for Alternative Risk Behaviors -- Consolidation and Coordination of Program Effects -- Program Characteristics -- RESEARCH ON BLEACH EFFICACY IN DISINFECTION -- EPIDEMIOLOGIC RESEARCH -- RESEARCH ON COMMUNITY ISSUES -- OTHER FUTURE RESEARCH ISSUES -- Deregulation of Syringe Sale and Possession -- Incarcerated Populations -- Randomized Trial of Needle Exchange Programs -- BROADER ISSUES -- CONCLUSION -- REFERENCES -- Appendixes -- APPENDIX A Description and Review of Research Projects in Three Cities -- SAN FRANCISCO -- Review -- MONTREAL -- Needle Exchange Evaluation Project -- Seroincidence -- Data from Correctional Institutions -- Review -- Epidemiologic Study -- Seroprevalence -- Seroincidence -- Review -- CHICAGO -- Demand for Free Needles and Their Effect on Injecting Frequency and Needle Use -- Review -- Effects of Exchange Use on HIV Risk Behavior and Incidence -- Review -- CONCLUSION -- REFERENCES -- APPENDIX B Professional Association Positions on Needle Exchange and Bleach Distribution Programs -- APPENDIX C Biographical Sketches -- Index. |
Record Nr. | UNINA-9910828404803321 |
Washington, D.C., : National Academy Press, 1995 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
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