Longitudinal Studies Of Hiv Infection In Intravenous Drug Users

Drug Injecting and HIV Infection is a comparative international study of drug injecting behaviour and HIV infection based on the World Health Organization's study of 13 cities as disparate as Athens, Bangkok, Glasgow and Rio de Janeiro. Using a standardized methodology for the collection of data, as well as central data management and analysis, this study represents the largest international project of its kind. It presents a comprehensive overview of what is currently known about drug injecting, HIV infection, epidemic dynamics and possibilities for prevention. Stressing the importance of linking research to intervention and policy, the contributors emphasize the need to place HIV and policy issues on the international agenda. Written by experts in the field, this global study offers an in-depth and definitive analysis of the subject.

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.