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AJPH First Look, published online ahead of print Apr 16, 2009
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99/6/1049    most recent
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June 2009, Vol 99, No. 6 | American Journal of Public Health 1049-1052
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.141846


RESEARCH AND PRACTICE

Associations Between Availability and Coverage of HIV-Prevention Measures and Subsequent Incidence of Diagnosed HIV Infection Among Injection Drug Users

Lucas Wiessing, MSc, Giedrius Likatavicius, MD, Danica Klempová, MA, Dagmar Hedrich, MSc, Anthony Nardone, PhD and Paul Griffiths, MSc

At the time of the study, Lucas Wiessing, Danica Klempová, Dagmar Hedrich, and Paul Griffiths were with the European Monitoring Centre for Drugs and Drug Addiction, Lisbon, Portugal. Giedrius Likatavicius and Anthony Nardone were with EuroHIV, Department of Infectious Diseases, Institut de Veille Sanitaire, St Maurice, France.

Correspondence: Correspondence should be sent to Lucas Wiessing, European Monitoring Centre for Drugs and Drug Addiction, Rua da Cruz de Santa Apolónia 23-25, 1149-045 Lisbon, Portugal (e-mail: Lucas.Wiessing{at}emcdda.europa.eu).

HIV-prevention measures specific to injection drug users (IDUs), such as opioid substitution treatment and needle-and-syringe programs, are not provided in many countries where injection drug use is endemic. We describe the incidence of diagnosed HIV infection in IDUs and the availability and coverage of opioid substitution and needle-and-syringe programs in the European Union and 5 middle- and high-income countries. Countries with greater provision of both prevention measures in 2000 to 2004 had lower incidence of diagnosed HIV infection in 2005 and 2006.







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