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HIV incidence among injection drug users in New York City, 1992-1997: Evidence for a declining epidemic

Author

Listed:
  • Des Jarlais, D.C.
  • Marmor, M.
  • Friedmann, P.
  • Titus, S.
  • Aviles, E.
  • Deren, S.
  • Torian, L.
  • Glebatis, D.
  • Murrill, C.
  • Monterroso, E.
  • Friedman, S.R.

Abstract

Objectives. We assessed recent (1992-1997) HIV incidence in the large HIV epidemic among injection drug users in New York City. Methods. Data were compiled from 10 separate studies (N = 4979), including 6 cohort studies, 2 'repeat service user' studies, and 2 analyses of voluntary HIV testing and counseling services within drug treatment programs. Results. In the 10 studies, 52 seroconversions were found in 6344 person-year at risk. The observed incidence rates among the 10 studies were all within a narrow range, from 0 per 100 person-years at risk to 2.96 per 100 person-years at risk. In 9 of the 10 studies, the observed incidence rate was less than 2 per 100 person-years at risk. The weighted average incidence rate was 0.7 per 100 person-years at risk. Conclusions. The recent incidence rate in New York City is quite low for a high-seroprevalence population of injection drug users. The very large HIV epidemic among injection drugs users in New York City appears to have entered a 'declining phase,' characterized by low incidence and declining prevalence. The data suggest that very large high- seroprevalence HIV epidemics may be 'reversed'.

Suggested Citation

  • Des Jarlais, D.C. & Marmor, M. & Friedmann, P. & Titus, S. & Aviles, E. & Deren, S. & Torian, L. & Glebatis, D. & Murrill, C. & Monterroso, E. & Friedman, S.R., 2000. "HIV incidence among injection drug users in New York City, 1992-1997: Evidence for a declining epidemic," American Journal of Public Health, American Public Health Association, vol. 90(3), pages 352-359.
    • Handle: RePEc:aph:ajpbhl:2000:90:3:352-359_1
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    Cited by:

    1. Schilling, Robert F. & Fontdevila, Jorge & Fernando, Daniel & El-Bassel, Nabila & Monterroso, Edgar, 2004. "Proximity to needle exchange programs and HIV-related risk behavior among injection drug users in Harlem," Evaluation and Program Planning, Elsevier, vol. 27(1), pages 25-33, February.

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