PMID- 11937622
OWN - NLM
STAT- MEDLINE
DCOM- 20020524
LR  - 20181130
IS  - 1099-3460 (Print)
IS  - 1468-2869 (Electronic)
IS  - 1099-3460 (Linking)
VI  - 79
IP  - 1
DP  - 2002 Mar
TI  - Trends in the AIDS epidemic among New York City's injection drug users: localized 
      or citywide?
PG  - 136-46
AB  - The New York City injection drug user acquired immunodeficiency syndrome (IDU 
      AIDS) epidemic accounts for almost one quarter of AIDS cases in IDUs in the 
      United States. Recent studies have reported declines in seroprevalence and risk 
      behaviors among IDUs in New York City during the 1990s. These trends, however, 
      are based on studies primarily conducted in the city's central borough of 
      Manhattan. This article analyzes data from all five boroughs of New York City to 
      examine trends over phases of the epidemic and to determine the level of 
      prevention services available; an exploratory qualitative study was also 
      conducted to assess access to prevention services and injection practices in 
      areas in the "outer boroughs." Findings indicated that (1) borough differences in 
      services and behaviors existed from early in the epidemic; (2) services have been 
      concentrated in Manhattan; and (3) declines in seroprevalence were greatest among 
      Manhattan-recruited IDUs. Enhancing access to services for IDUs in the boroughs 
      outside Manhattan may be needed to continue the positive trends in all areas of 
      New York City.
FAU - Rockwell, Russell
AU  - Rockwell R
AD  - National Development and Research Institutes, Inc., New York, New York, USA. 
      rr79@nyu.edu
FAU - Deren, Sherry
AU  - Deren S
FAU - Goldstein, Marjorie F
AU  - Goldstein MF
FAU - Friedman, Samuel R
AU  - Friedman SR
FAU - Des Jarlais, Don C
AU  - Des Jarlais DC
LA  - eng
GR  - P30DA11041/DA/NIDA NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Urban Health
JT  - Journal of urban health : bulletin of the New York Academy of Medicine
JID - 9809909
SB  - IM
MH  - Acquired Immunodeficiency Syndrome/complications/*epidemiology/prevention & 
      control
MH  - Disease Outbreaks
MH  - Female
MH  - HIV Seroprevalence/*trends
MH  - Health Services Accessibility
MH  - Humans
MH  - Male
MH  - New York City/epidemiology
MH  - Preventive Health Services/statistics & numerical data
MH  - Retrospective Studies
MH  - Substance Abuse, Intravenous/*complications
MH  - Urban Health
PMC - PMC3456374
EDAT- 2002/04/09 10:00
MHDA- 2002/05/25 10:01
PMCR- 2003/03/01
CRDT- 2002/04/09 10:00
PHST- 2002/04/09 10:00 [pubmed]
PHST- 2002/05/25 10:01 [medline]
PHST- 2002/04/09 10:00 [entrez]
PHST- 2003/03/01 00:00 [pmc-release]
AID - 85 [pii]
AID - 10.1093/jurban/79.1.136 [doi]
PST - ppublish
SO  - J Urban Health. 2002 Mar;79(1):136-46. doi: 10.1093/jurban/79.1.136.