Rockwell Russell, Deren Sherry, Goldstein Marjorie F, Friedman Samuel R, Des Jarlais Don C
National Development and Research Institutes, Inc., New York, New York, USA.
J Urban Health. 2002 Mar;79(1):136-46. doi: 10.1093/jurban/79.1.136.
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.
纽约市注射吸毒者获得性免疫缺陷综合征（IDU AIDS）疫情占美国注射吸毒者艾滋病病例的近四分之一。最近的研究报告称，20世纪90年代纽约市注射吸毒者的血清阳性率和危险行为有所下降。然而，这些趋势主要基于在该市曼哈顿中心行政区进行的研究。本文分析了纽约市所有五个行政区的数据，以研究疫情各阶段的趋势，并确定可获得的预防服务水平；还进行了一项探索性定性研究，以评估“外城区”地区预防服务的可及性和注射行为。研究结果表明：（1）从疫情早期开始，各行政区在服务和行为方面就存在差异；（2）服务集中在曼哈顿；（3）在招募自曼哈顿的注射吸毒者中，血清阳性率下降幅度最大。为了在纽约市所有地区延续积极趋势，可能需要增加曼哈顿以外行政区注射吸毒者获得服务的机会。
