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Intravenous drug users account for nearly one-third of the current
AIDS cases in the United States--second only to gay males--and are
responsible for 72 percent of female and 59 percent of pediatric
cases of AIDS. Thus the National Institute of Drug Abuse launched a
major effort in 1987 to locate hidden users and to see how they
function and to evaluate strategies and community-based programs in
50 cities and 60 nearby communities around the country in order to
lower risks to IV users and to reduce the dangers that they pose to
others in the population. Brown and Beschner present the very
latest findings and come to well-tested conclusions about how to
change behaviors positively. This handbook is written for use in
college, university, and professional libraries and for students,
teachers, policymakers, and practitioners in public health service
and in public policy at all governmental levels to study carefully.
Brown and Beschner open with an introduction showing how injection
drug users and their sexual partners are at risk for aids. Part I
describes the spread of AIDS in the United States and Puerto Rico.
Part II depicts patterns of injection drug and crack use and their
effect on sex partners. Part III deals with gender issues. Part IV
goes into demographic and background factors. Part V discusses key
issues in the use of drug abuse treatment. Part VI analyzes
outreach and behavior change strategies. And Part VI looks into how
risk can be reduced as a result of outreach and specific
intervention strategies. The final chapter comes to some
conclusions about the effectiveness of various interventions by the
National AIDS Demonstration Research Project. Background readings
also add to the importance of this major reference.
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