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Title

Racial and ethnic disparities and implications for the prevention of HIV among persons who inject drugs

Authors

DCD Jarlais, HLF Cooper, H. Bramson, et al.

Network Affiliation

Other

Organization

 

Journal Name

Current Opinion on HIV/AIDS

Publication Date

7/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/22498481

Link to full-text

 

PMID

 

Abstract

PURPOSE OF REVIEW:

There are now an estimated 16 million people who inject drugs (PWID) throughout the world, 3 million of whom are estimated to be infected with HIV. In many countries, substantial proportions of PWID belong to racial/ethnic/nationality minority groups, and are at increased likelihood of being infected with HIV. This article reviews current evidence on ethnic disparities in HIV infection among PWID and assesses the issues that would need to be addressed to reduce these disparities.

RECENT FINDINGS:

An ongoing systematic review of ethnic disparities has found that, in a pooled weighted odds ratio, ethnic minority PWID are twice as likely to be HIV seropositive than ethnic majority, PWID from the same geographic area. If implemented with sufficient quality and coverage, current HIV prevention programs probably have the capability of ending HIV transmission among both ethnic majority and minority PWID. Large-scale, evidence-based prevention programs need to be implemented in the contexts of patterns of injecting drug use that continue to evolve-with injecting practices spreading to new areas, changes in drugs injected, and some transitions from injecting to noninjecting drug use. Lack of financial resources and policies against evidence-based programming are increasingly important problems that are likely to have particularly adverse effects on ethnic minority PWID.

SUMMARY:

Racial/ethnic/nationality disparities in HIV infection are quite common among PWID. Addressing these disparities will be a fundamental challenge within a human rights approach to public health.

Keywords

 

Topic

Behavior; Intervention; Racial Disparities; Substance Abuse

Attachments

Created at 6/29/2012 10:39 AM by Davis, Gregory P
Last modified at 6/29/2012 10:39 AM by Davis, Gregory P