Mino Milton, Deren Sherry, Colón Hector M
1Communities Putting Prevention to Work, Bureau of Chronic Disease Prevention & Control, NYC Department of Health and Mental Hygiene, New York, NY, USA.
J Int Assoc Physicians AIDS Care (Chic). 2011 Jul-Aug;10(4):248-59. doi: 10.1177/1545109710397768. Epub 2011 Mar 25.
This paper presents findings from the Alliance for Research in El Barrio and Bayamón (ARIBBA) research study, which compared HIV-related risk behaviors, HIV infection rates, and mortality rates of 800 Puerto Rican injection drug users and crack smokers in East Harlem, New York, with 399 of their counterparts in Bayamón, Puerto Rico. The study was conducted from 1996 to 2004 and is among the most comprehensive ever undertaken on HIV risk behaviors of drug users in Puerto Rico. This paper presents the main findings, many of which have been published in scientific journals. The study found that drug users in Puerto Rico became infected with HIV at a rate almost 4 times higher than Puerto Rican drug users in New York, and they died at a rate that was more than 3 times as high. The findings indicate that drug users in Puerto Rico are more likely than Puerto Rican drug users in New York to engage in injection drug use and sexual behaviors that put them at risk of becoming infected with HIV. In addition, they have fewer prevention resources available to them. HIV prevention programs are scarce in Puerto Rico and the availability of drug treatment programs in Puerto Rico declined by over one third during the period examined. Additionally, significantly fewer HIV-positive drug users in Puerto Rico were taking HIV-related medications than in New York. The paper concludes with recommendations and lessons learned from the study.
本文介绍了东哈莱姆区和巴亚蒙市研究联盟(ARIBBA)的研究结果。该研究比较了纽约市东哈莱姆区800名波多黎各注射吸毒者和吸食强效纯可卡因者与波多黎各巴亚蒙市399名同类人员的艾滋病毒相关风险行为、艾滋病毒感染率和死亡率。该研究于1996年至2004年进行,是针对波多黎各吸毒者艾滋病毒风险行为开展的最全面研究之一。本文介绍了主要研究结果,其中许多已发表在科学期刊上。研究发现,波多黎各吸毒者感染艾滋病毒的比率几乎是纽约市波多黎各吸毒者的4倍,他们的死亡率则是纽约市波多黎各吸毒者的3倍多。研究结果表明,与纽约市的波多黎各吸毒者相比,波多黎各吸毒者更有可能从事注射吸毒及性行为,从而使他们面临感染艾滋病毒的风险。此外,他们可获得的预防资源较少。波多黎各的艾滋病毒预防项目稀缺,在所研究期间,波多黎各戒毒治疗项目的可获得性下降了三分之一以上。此外,与纽约相比,波多黎各服用艾滋病毒相关药物的艾滋病毒呈阳性吸毒者要少得多。本文最后给出了研究的建议和经验教训。