Evidence map›Paper›PMID 21045597›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2010

Drug treatment as HIV prevention: a research update.

David S Metzger, George E Woody, Charles P O'Brien

Abstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

75 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. COVID-19 and People Who Use Drugs - A Commentary.Health behavior and policy review · 2020
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  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

David S MetzgerHIV/AIDS Prevention Research Division, University of Pennsylvania, Philadelphia, PA 19104, USA. dsm@mail.med.upenn.edu
George E Woody
Charles P O'Brien

Funding

TREATMENT STRATEGIES FOR METHODONE NONRESPONDERSP60DA005186 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI O'BRIEN, CHARLES P · 1997 to 2012
$28.1M
Delaware Valley Node of the Clinical Trials NetworkU10DA013043 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI WOODY, GEORGE EDWARD · 1999 to 2015
$25.8M
HIV PREVENTION TRIAL UNITU01AI048014 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI METZGER, DAVID S · 2000 to 2006
$20.9M
Efficacy of Drug-HIV counseling among IDU at Methadone clinics in JakartaR01DA026344 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI METZGER, DAVID S · 2009 to 2012
$1.3M
NIAID NIH HHS U01 AI048014NIAID NIH HHS U01-AI-048014NIDA NIH HHS P60 DA005186NIDA NIH HHS P60-DA-005186-22NIDA NIH HHS R01 DA026344NIDA NIH HHS R01-DA-026344-01A1NIDA NIH HHS U10 DA013043NIDA NIH HHS U10-DA013043-07
6 · The paper itself

Abstract

Drug use continues to be a major factor fueling the global epidemic of HIV infection. This article reviews the current literature on the ability of drug treatment programs to reduce HIV transmission among injection and noninjection drug users. Most data come from research on the treatment of opiate dependence and provide strong evidence on the effectiveness of medication-assisted treatment for reducing the frequency of drug use, risk behaviors, and HIV infections. This has been a consistent finding since the epidemic began among diverse populations and cultural settings. Use of medications other than methadone (such as buprenorphine/naloxone and naltrexone) has increased in recent years with promising data on their effectiveness as HIV prevention and as new treatment options for communities heavily affected by opiate use and HIV infection. However, few treatment interventions for stimulant abuse and dependence have shown efficacy in reducing HIV risk. The cumulative literature provides strong support of drug treatment programs for improving access and adherence to antiretroviral treatment. Drug users in substance abuse treatment are significantly more likely to achieve sustained viral suppression, making viral transmission less likely. Although there are challenges to implementing drug treatment programs for maximum impact, the scientific literature leaves no doubt about the effectiveness of drug treatment as an HIV prevention strategy.

Indexed as

Anti-HIV AgentsBuprenorphineGuideline AdherenceHIV InfectionsHumansNaltrexoneRisk Reduction BehaviorSexual BehaviorAnti-HIV AgentsBuprenorphineNaltrexone

Identifiers

PMID21045597
PMCPMC3155766

What OpenQuestion holds

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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.