Evidence map›Paper›PMID 20650523›Full record

ArticleLancet (London, England)2010

HIV and risk environment for injecting drug users: the past, present, and future.

Steffanie A Strathdee, Timothy B Hallett, Natalia Bobrova, Tim Rhodes, Robert Booth, Reychad Abdool, Catherine A Hankins

Abstract read
In one paragraph

Article in Lancet (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 317 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
317citing papers in PubMed, 8 pooled it
26.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

317 citing papers in PubMed, 8 syntheses or guidelines pooled it, 558 citations in OpenAlex.

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257 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Steffanie A StrathdeeUniversity of California, San Diego, Division of Global Public Health, Department of Medicine, CA 92093-0507, USA. sstrathdee@ucsd.edu
Timothy B Hallett
Natalia Bobrova
Tim Rhodes
Robert Booth
Reychad Abdool
Catherine A Hankins
Imperial College London · GBJoint United Nations Programme on HIV/AIDS · CHUniversity College London · GBUniversity of California, San Diego · USUniversity of Colorado Denver · USUniversity of London · GB

Funding

Proyecto Parejas: HIV/STI Risks among FSWs and their Non-Commercial PartnersR01DA027772 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2009 to 2013
$3.1M
Interventions with HIV+ and HIV- IDUs in UkraineR01DA017620 · NIDA · UNIVERSITY OF COLORADO DENVER · PI BOOTH, ROBERT EDWIN · 2003 to 2007
$1.8M
NIDA NIH HHS DA027772-S1NIDA NIH HHS R01 DA017620NIDA NIH HHS R01 DA027772NIDA NIH HHS R01DA17620Wellcome Trust
6 · The paper itself

Abstract

We systematically reviewed reports about determinants of HIV infection in injecting drug users from 2000 to 2009, classifying findings by type of environmental influence. We then modelled changes in risk environments in regions with severe HIV epidemics associated with injecting drug use. Of 94 studies identified, 25 intentionally examined risk environments. Modelling of HIV epidemics showed substantial heterogeneity in the number of HIV infections that are attributed to injecting drug use and unprotected sex. We estimate that, during 2010-15, HIV prevalence could be reduced by 41% in Odessa (Ukraine), 43% in Karachi (Pakistan), and 30% in Nairobi (Kenya) through a 60% reduction of the unmet need of programmes for opioid substitution, needle exchange, and antiretroviral therapy. Mitigation of patient transition to injecting drugs from non-injecting forms could avert a 98% increase in HIV infections in Karachi; whereas elimination of laws prohibiting opioid substitution with concomitant scale-up could prevent 14% of HIV infections in Nairobi. Optimisation of effectiveness and coverage of interventions is crucial for regions with rapidly growing epidemics. Delineation of environmental risk factors provides a crucial insight into HIV prevention. Evidence-informed, rights-based, combination interventions protecting IDUs' access to HIV prevention and treatment could substantially curtail HIV epidemics.

Indexed as

Harm ReductionHealth Services Needs and DemandFemaleHIV InfectionsHumansKenyaMaleModels, TheoreticalPakistanRisk FactorsSocioeconomic FactorsSubstance Abuse, IntravenousUkraine

Identifiers

PMID20650523
PMCPMC6464374
OpenAlexW2118743377

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.