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Handbook On Risk Of Aids

Overview

Intravenous drug users account for nearly one-third of the current AIDS cases in the United States--second only to gay males--and are responsible for 72 percent of female and 59 percent of pediatric cases of AIDS. Thus the National Institute of Drug Abuse launched a major effort in 1987 to locate hidden users and to see how they function and to evaluate strategies and community-based programs in 50 cities and 60 nearby communities around the country in order to lower risks to IV users and to reduce the dangers ...

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Overview

Intravenous drug users account for nearly one-third of the current AIDS cases in the United States--second only to gay males--and are responsible for 72 percent of female and 59 percent of pediatric cases of AIDS. Thus the National Institute of Drug Abuse launched a major effort in 1987 to locate hidden users and to see how they function and to evaluate strategies and community-based programs in 50 cities and 60 nearby communities around the country in order to lower risks to IV users and to reduce the dangers that they pose to others in the population. Brown and Beschner present the very latest findings and come to well-tested conclusions about how to change behaviors positively. This handbook is written for use in college, university, and professional libraries and for students, teachers, policymakers, and practitioners in public health service and in public policy at all governmental levels to study carefully.

Brown and Beschner open with an introduction showing how injection drug users and their sexual partners are at risk for aids. Part I describes the spread of AIDS in the United States and Puerto Rico. Part II depicts patterns of injection drug and crack use and their effect on sex partners. Part III deals with gender issues. Part IV goes into demographic and background factors. Part V discusses key issues in the use of drug abuse treatment. Part VI analyzes outreach and behavior change strategies. And Part VI looks into how risk can be reduced as a result of outreach and specific intervention strategies. The final chapter comes to some conclusions about the effectiveness of various interventions by the National AIDS Demonstration Research Project. Background readings also add to the importance of this major reference.

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Editorial Reviews

Booknews
Based on data from the National AIDS Demonstration Research program (NADR), sponsored by the National Institute of Drug Abuse, this reference provides a survey of out-of-treatment injection drug users and their sexual partners. Written by participants in the program, the chapters describe the spread of AIDS, patterns of injection drug and crack use and their effects on sex partners, gender issues, demographic and background factors, issues in the use of drug abuse treatment, outreach and behavior change strategies, and a summary of the effectiveness of the NADR. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780313283741
  • Publisher: ABC-CLIO, Incorporated
  • Publication date: 10/11/1993
  • Pages: 612
  • Lexile: 1490L (what's this?)
  • Product dimensions: 6.14 (w) x 9.21 (h) x 1.31 (d)

Meet the Author

BARRY S. BROWN was Chief of the Community Research Branch of the National Institute of Drug Abuse of the Public Health Service until 1992.

GEORGE M. BESCHNER, a THI Senior Research Associate, is Principal Investigator of two drug abuse research projects: a national epidemiology study of drug abuse patterns and trends, and quick response studies to address policy issues.

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Table of Contents

Contributors
Figures and Tables
Abbreviations
Preface
Acknowledgments
Introduction: At Risk for AIDS - Injection Drug Users and Their Sexual Partners
1 Overview of the History of the HIV Epidemic Among Drug Injectors 3
2 The Prevalence of HIV Infection in a National Sample of Injection Drug Users 16
3 HIV Infection/Serostatus - Outside Epicenters Human Immunodeficiency Virus (HIV-1) Infection: A Comparison Among Injection Drug Users in High and Low Seroprevalence Areas 38
4 HIV Seroprevalence Among Injection Drug Users in Puerto Rico: A Comparative Perspective 72
5 Drug Use Patterns Among Injection Drug Users and Their Sex Partners 91
6 Needle Use Behavior 116
7 Needle Use Risks: Composite Measures and Comparisons 137
8 Epidemiology of Crack Use Among Injection Drug Users and Sex Partners of Injection Drug Users 155
9 Women and Men Injection Drug Users: An Updated Look at Gender Differences and Risk Factors 173
10 Characteristics of Female Sexual Partners 195
11 Sex for Money and Drugs 211
12 AIDS and Puerto Rican Injection Drug Users in the United States 227
13 Risk Factors and HIV Infection Among Three Different Cultural Groups of Injection Drug Users 256
14 African American Injection Drug Users 275
15 Drug Use, Sexual Behaviors, Risk of HIV Infection, and Age Differences Among Injection Drug Users Not in Treatment 297
16 Homelessness and Risk Behaviors Among Intravenous Drug Users in Chicago and New York City 313
17 Mobility as a Factor in the Spread of HIV Among Intravenous Drug Abusers 328
18 Injection Drug Users, Incarceration, and HIV: Some Legal and Social Service Delivery Issues 337
19 Injection Drug Users, Drug Treatment, and HIV Risk Behavior 355
20 Injection Drug Users and Self-Help Groups 374
21 Entry into Treatment of IDUs Based on the Association of Outreach Workers with Treatment Programs 386
22 A Comparison of AIDS Intervention Approaches for Injection Drug Users: Street Outreach Versus Drug Treatment Intake - Are They Hitting the Same or Different Targets? 396
23 Outreach to IDUs Not in Treatment 437
24 Outreach to Injection Drug-Using Women 445
25 Outreach to Sexual Partners 464
26 Problem-Solving Skills Training: Addressing High-Risk Behaviors in Newark and Jersey City 483
27 Changing the Culture of Risk 499
28 Comparative Effectiveness of NADR Interventions 519
Index 557
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