Document 0524 DOCN M9440524 TI Critical issues regarding AIDS among injecting drug users. DT 9404 AU Des Jarlais DC; Friedman SR; Beth Israel Medical Center, New York, N.Y. SO Bull Narc. 1993;45(1):61-75. Unique Identifier : AIDSLINE MED/94138317 AB The paper identifies and reviews some critical issues in the field of human immunodeficiency virus (HIV) transmission among intravenous drug users. First, it discusses political denial and compartmentalization of the problem, giving an example from the United States that illustrates the lack of a coherent national strategy. It then reviews the role that stereotypes play in policy-making and points out that behaviour change can be considerable, giving details of successful safer injection programmes. The conditions that foster injection as a mode of ingesting drugs are reviewed, as in the role of drug trans-shipment patterns, particularly as a possible conduit of HIV. Finally, the role of prisons as places for the spread of HIV, and therefore for its prevention, is discussed. DE Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*ETIOLOGY/ *PREVENTION & CONTROL/TRANSMISSION Denial (Psychology) Health Behavior *Health Policy Human Politics Primary Prevention/*METHODS Prisons Risk Factors Stereotyping Substance Abuse, Intravenous/*COMPLICATIONS/EPIDEMIOLOGY/ *PREVENTION & CONTROL/PSYCHOLOGY United States/EPIDEMIOLOGY JOURNAL ARTICLE REVIEW REVIEW LITERATURE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).