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Burden of HIV infection among aboriginal injection drug users in Vancouver, British Columbia.

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Title: Burden of HIV infection among aboriginal injection drug users in Vancouver, British Columbia.
Authors: Wood E (AUTHOR), Montaner JS (AUTHOR), Li K (AUTHOR), Zhang R (AUTHOR), Barney L (AUTHOR), Strathdee SA (AUTHOR), Tyndall MW (AUTHOR), Kerr T (AUTHOR)
Source: American Journal of Public Health. Mar2008, Vol. 98 Issue 3, p515-519. 5p.
Subjects: AIDS prevention, Indigenous peoples, Sexually transmitted diseases, Public health & society, Health of minorities, Health behavior research, HIV infections, Patients, Diseases
Geographic Terms: Canada
Abstract: OBJECTIVES: We sought to examine whether there were differential rates of HIV incidence among Aboriginal and non-Aboriginal injection drug users in a Canadian setting. METHODS: Data were derived from 2 prospective cohort studies of injection drug users in Vancouver, British Columbia. Using the Kaplan-Meier method and Cox proportional hazards regression, we compared HIV incidence among Aboriginal and non-Aboriginal participants. RESULTS: Overall, 2496 individuals were recruited between May 1996 and December 2005. Compared with that of non-Aboriginal persons, the baseline HIV prevalence was higher among Aboriginal persons (16.0% vs 25.1%; P<.001). Among participants who were HIV negative at baseline, the cumulative HIV incidence at 48 months was higher among Aboriginal persons (18.5% vs 9.5%; P<.001). In multivariate analyses, Aboriginal ethnicity was independently associated with elevated HIV incidence (relative hazard=1.59; 95% confidence interval=1.12, 2.26; P=.009). CONCLUSIONS: Aboriginal persons in Vancouver had a significantly elevated burden of HIV infection, which calls for a culturally sensitive and evidence-based response. Policymakers in other settings with at-risk Aboriginal populations should seek to avert similar public health emergencies by being proactive with evidence-based HIV-prevention programs. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Burden of HIV infection among aboriginal injection drug users in Vancouver, British Columbia.
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  Data: OBJECTIVES: We sought to examine whether there were differential rates of HIV incidence among Aboriginal and non-Aboriginal injection drug users in a Canadian setting. METHODS: Data were derived from 2 prospective cohort studies of injection drug users in Vancouver, British Columbia. Using the Kaplan-Meier method and Cox proportional hazards regression, we compared HIV incidence among Aboriginal and non-Aboriginal participants. RESULTS: Overall, 2496 individuals were recruited between May 1996 and December 2005. Compared with that of non-Aboriginal persons, the baseline HIV prevalence was higher among Aboriginal persons (16.0% vs 25.1%; P&lt;.001). Among participants who were HIV negative at baseline, the cumulative HIV incidence at 48 months was higher among Aboriginal persons (18.5% vs 9.5%; P&lt;.001). In multivariate analyses, Aboriginal ethnicity was independently associated with elevated HIV incidence (relative hazard=1.59; 95% confidence interval=1.12, 2.26; P=.009). CONCLUSIONS: Aboriginal persons in Vancouver had a significantly elevated burden of HIV infection, which calls for a culturally sensitive and evidence-based response. Policymakers in other settings with at-risk Aboriginal populations should seek to avert similar public health emergencies by being proactive with evidence-based HIV-prevention programs. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105879972
RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.2105/AJPH.2007.114595
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 5
        StartPage: 515
    Subjects:
      – SubjectFull: AIDS prevention
        Type: general
      – SubjectFull: Indigenous peoples
        Type: general
      – SubjectFull: Sexually transmitted diseases
        Type: general
      – SubjectFull: Public health & society
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      – SubjectFull: Health of minorities
        Type: general
      – SubjectFull: Health behavior research
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Patients
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      – SubjectFull: Diseases
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      – SubjectFull: Canada
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      – TitleFull: Burden of HIV infection among aboriginal injection drug users in Vancouver, British Columbia.
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              Text: Mar2008
              Type: published
              Y: 2008
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