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HIV incidence among injection drug users in New York City, 1990 to 2002: Use of serologic test algorithm to assess expansion of HIV prevention services

Author

Listed:
  • Des Jarlais, D.C.
  • Perlis, T.
  • Arasteh, K.
  • Torian, L.V.
  • Beatrice, S.
  • Milliken, J.
  • Mildvan, D.
  • Yancovitz, S.
  • Friedman, S.R.

Abstract

Objectives. We sought to estimate HIV incidence among injection drug users (IDUs) in New York City from 1990 to 2002 to assess the impact of an expansion of syringe exchange services. Syringe exchange increased greatly during this period, from 250 000 to 300 0000 syringes exchanged annually. Methods. Serum samples were obtained from serial cross-sectional surveys of 3651 IDUs. HIV-positive samples were tested with the Serologic Test Algorithm for Recent HIV Seroconversion (STARHS) assay to identify recent HIV infections and to estimate HIV incidence. Consistency with other incidence studies was used to assess strengths and limitations of STARHS. Results. HIV incidence declined from 3.55/100 person-years at risk (PYAR) from 1990-1992, to 2.63/100 PYAR from 1993-1995, to 1.05/100 PYAR from 1996-1998, and to 0.77/100 PYAR from 1999-2002 (P

Suggested Citation

  • Des Jarlais, D.C. & Perlis, T. & Arasteh, K. & Torian, L.V. & Beatrice, S. & Milliken, J. & Mildvan, D. & Yancovitz, S. & Friedman, S.R., 2005. "HIV incidence among injection drug users in New York City, 1990 to 2002: Use of serologic test algorithm to assess expansion of HIV prevention services," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1439-1444.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.036517_4
    DOI: 10.2105/AJPH.2003.036517
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    Cited by:

    1. Rhodes, Tim & Zikic´, Bojan & Prodanovic´, Ana & Kuneski, Elena & Bernays, Sarah, 2008. "Hygiene and uncertainty in qualitative accounts of hepatitis C transmission among drug injectors in Serbia," Social Science & Medicine, Elsevier, vol. 66(6), pages 1437-1447, March.

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