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Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward

The Lancet (British edition), 2010-07, Vol.376 (9738), p.355-366 [Peer Reviewed Journal]

Elsevier Ltd ;2010 Elsevier Ltd ;2015 INIST-CNRS ;Copyright 2010 Elsevier Ltd. All rights reserved. ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(10)60832-X ;PMID: 20650513 ;CODEN: LANCAO

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Title:
Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward
Author: Wolfe, Daniel, MPH ; Carrieri, M Patrizia, PhD ; Shepard, Donald, PhD
Subjects: Addictive behaviors ; Adult and adolescent clinical studies ; Anti-HIV Agents - economics ; Anti-HIV Agents - therapeutic use ; Anti-Retroviral Agents - therapeutic use ; Biological and medical sciences ; Buprenorphine - therapeutic use ; China ; Cost-Benefit Analysis ; Developing Countries - economics ; Drug abuse ; Drug addiction ; Drug Costs ; General aspects ; Health Services Accessibility ; HIV Infections - drug therapy ; HIV Infections - economics ; HIV Infections - epidemiology ; HIV Infections - etiology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Income ; Infectious diseases ; Internal Medicine ; Malaysia ; Medical sciences ; Methadone - therapeutic use ; Narcotic Antagonists - economics ; Narcotic Antagonists - therapeutic use ; Narcotics - economics ; Narcotics - therapeutic use ; Narration ; Prisoners ; Prisons ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Russia ; Substance Abuse, Intravenous - complications ; Substance Abuse, Intravenous - drug therapy ; Substance Abuse, Intravenous - economics ; Substance Abuse, Intravenous - epidemiology ; Ukraine ; Vietnam ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids
Is Part Of: The Lancet (British edition), 2010-07, Vol.376 (9738), p.355-366
Description: Summary We review evidence for effectiveness, cost-effectiveness, and coverage of antiretroviral therapy (ART) for injecting drug users (IDUs) infected with HIV, with particular attention to low-income and middle-income countries. In these countries, nearly half (47%) of all IDUs infected with HIV are in five nations—China, Vietnam, Russia, Ukraine, and Malaysia. In all five countries, IDU access to ART is disproportionately low, and systemic and structural obstacles restrict treatment access. IDUs are 67% of cumulative HIV cases in these countries, but only 25% of those receiving ART. Integration of ART with opioid substitution and tuberculosis treatment, increased peer engagement in treatment delivery, and reform of harmful policies—including police use of drug-user registries, detention of drug users in centres offering no evidence-based treatment, and imprisonment for possession of drugs for personal use—are needed to improve ART coverage of IDUs.
Publisher: Kidlington: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(10)60832-X
PMID: 20650513
CODEN: LANCAO
Source: ProQuest One Psychology
MEDLINE
ProQuest Central

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Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward

Elsevier Ltd ;2010 Elsevier Ltd ;2015 INIST-CNRS ;Copyright 2010 Elsevier Ltd. All rights reserved. ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(10)60832-X ;PMID: 20650513 ;CODEN: LANCAO

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