Yale University

A decline in HIV-infected needles returned to New Haven's needle exchange program: client shift or needle exchange?

TitleA decline in HIV-infected needles returned to New Haven's needle exchange program: client shift or needle exchange?
Publication TypeJournal Article
Year of Publication1994
AuthorsKaplan, E. H., K. Khoshnood, and R. Heimer
JournalAmerican journal of public health
Volume84
Issue12
Pagination1991-4
Date Published1994 Dec
ISSN0090-0036
KeywordsConnecticut, DNA, Viral, HIV Infections, HIV-1, Humans, Needle-Exchange Programs, Needles, Polymerase Chain Reaction
AbstractThe New Haven needle exchange program experienced a significant decline in the fraction of returned needles containing human immunodeficiency virus 1 (HIV-1) proviral DNA. Is this decline due to the operations of the needle exchange or to a shift in clients? Analysis of demographic and behavioral data revealed that only one variable, the race of participating clients, changed significantly over time. However, HIV-1 prevalences in needles given to Whites and to non-Whites were not statistically different. Thus, client shift cannot be responsible for the decline in the observed HIV prevalence in needles. Instead, needle circulation times were a significant predictor of HIV prevalence.
DOI10.1111/j.1360-0443.2010.03149.x
Alternate JournalAm J Public Health

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