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NATIONAL INSTITUTE ON DRUG ABUSE EPIDEMIOLOGIC ...

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extent of HIV infection among IDUs. In studies of<br />

IDUs cited in previous CEWG reports, HIV prevalence<br />

ranged from 18 to 25 percent at baseline, with<br />

reported incidence rates of 1 to 2 percent per personyear.<br />

Recent studies of young IDUs indicate high<br />

levels of HIV risk behaviors but very low levels of<br />

HIV infection, particularly among those who reside<br />

in the suburbs. It should be noted, however, that the<br />

studies are not directly comparable, because each had<br />

unique sampling and recruitment strategies. More<br />

information on HIV and HCV seroprevalence among<br />

participants in a 1997–1999 study of 700 young IDUs<br />

in Chicago is available in the June 2003 Chicago<br />

CEWG report. Analysis of the NIHU Study (n=581)<br />

found an HIV and HCV seroprevalence of 4 and 2<br />

percent, respectively. During the 12-month followup<br />

period, no HIV seroconversions and three HCV seroconversions<br />

were observed.<br />

As reported in the June 2003 report, findings suggest<br />

that HIV prevalence and the rate of new HIV infections<br />

have declined among IDUs in Chicago since<br />

peaking in the late 1980s.<br />

ACKNOWLEDGEMENTS<br />

The authors wish to thank the field staff of the Community<br />

Outreach Intervention Projects, School of Public<br />

Health, University of Illinois at Chicago, for their<br />

contributions to this report. We particularly thank site<br />

supervisors Raquel Rondon, Ed Snulligan, Mary<br />

Bonilla, Otillo Green, and Otis McCoy, and outreach<br />

workers James Crues, Hermenegildo ‘Armando’ Lira,<br />

and Robert Banks for assisting with preparing the report.<br />

The authors also wish to thank staff at the agencies<br />

and organizations that contributed data used in this<br />

report.<br />

REFERENCES<br />

Bailey, S.L.; Huo, D.; Garfein R.S.; and Ouellet, L.J.<br />

2003. Needle exchange as a harm reduction strategy<br />

for young injection drug users. Journal of Acquired<br />

Immune Deficiency Syndromes 34(1):67–<br />

70.<br />

Johnston, L.D.; O’Malley, P.M.; and Bachman, J.G.<br />

2001. Monitoring the Future: National Survey Results<br />

on Drug Use, 1975–2000. Volume I. (NIH<br />

<strong>EPIDEMIOLOGIC</strong> TRENDS IN <strong>DRUG</strong> <strong>ABUSE</strong>—Chicago<br />

Publication No. 01-4924.) Rockville, MD: National<br />

Institute on Drug Abuse.<br />

Kane-Willis, K.; Schmitz-Bechteler S. 2004. A Multiple<br />

Indicator Analysis of Heroin Use in the Chicago<br />

Metropolitan Area: 1995 to 2002. Institute<br />

for Metropolitan Affairs, Roosevelt University.<br />

National Drug Intelligence Center, Department of Justice.<br />

2003. Illicit drug prices: July 2003-December<br />

2003. Narcotics Digest Weekly (Special Issue)<br />

2(50):1-36, December 16.<br />

Ouellet, L.J.; Thorpe, L.E.; Huo, D.; Bailey, S.L.;<br />

Jimenez, A.D.; Johnson, W.A.; Rahimian, A.; and<br />

Monterroso, E. 2000. Prevalence and incidence of<br />

human immunodeficiency virus infection among a<br />

cohort of injecting drug users: Chicago, 1994–<br />

1996. Journal of Acquired Immune Deficiency<br />

Syndromes 25(5):443–450.<br />

Thorpe, L.E.; Ouellet, L.J.; Hershow, R.; Bailey, S.L.;<br />

Williams, I.T.; Williamson, J.; Monterroso, E.;<br />

and Garfein, R. 2002. Risk of hepatitis C virus infection<br />

among young adult injection drug users<br />

who share injection equipment. American Journal<br />

of Epidemiology 155(7):645–653.<br />

Thorpe, L.E.; Bailey, S.L.; Huo, D.; Monterroso,<br />

E.R.; and Ouellet, L.J. 2001. Injection-related<br />

risk behaviors in young urban and suburban injection<br />

drug users in Chicago (1997–1999).<br />

Journal of Acquired Immune Deficiency Syndromes<br />

27(1):71–8.<br />

Thorpe, L.E.; Ouellet, L.J.; Levy, J.R.; Williams,<br />

I.T.; and Monterroso, E. 2000. Hepatitis C virus<br />

infection: prevalence and prevention opportunities<br />

among young injection drug users in Chicago,<br />

1997–1999. Journal of Infectious Diseases<br />

182(6):1588–1594.<br />

Wiebel, W.W.; Jimenez, A.D.; Johnson, W.A.;<br />

Ouellet, L.J.; Jovanovic, B.; Lampinen, T.;<br />

Murray, J.; and O’Brien, M.U. 1996. Risk behavior<br />

and HIV seroincidence among out-of-treatment<br />

injection drug users: a four-year prospective<br />

study. Journal of Acquired Immune Deficiency<br />

Syndromes 12: 282–289.<br />

For inquiries concerning this report, please contact Lawrence Ouellet, Ph.D., Director, Community Outreach Intervention Projects, Epidemiology<br />

and Biostatistics (MC923), School of Public Health, University of Illinois at Chicago, 1603 West Taylor Street, Chicago, Illinois 60612-<br />

4394, Phone: (312) 996-5523, Fax: (312) 996-1450, E-mail: .<br />

Proceedings of the Community Epidemiology Work Group, Vol. II, January 2005 61

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