2011
Chronic pain, Addiction severity, and misuse of opioids in Cumberland County, Maine
Heimer R, Dasgupta N, Irwin KS, Kinzly M, Harvey AP, Givens A, Grau LE. Chronic pain, Addiction severity, and misuse of opioids in Cumberland County, Maine. Addictive Behaviors 2011, 37: 346-349. PMID: 22138379, DOI: 10.1016/j.addbeh.2011.11.017.Peer-Reviewed Original ResearchConceptsAddiction Severity IndexBrief Pain InventoryChronic painOpioid abuseBPI scoresMisuse of opioidsCommon co-occurring conditionsSubstance abuse treatment programsCommunity-based sampleCo-occurring conditionsSubstance abuse treatmentStreet-recruited sampleOrder of onsetRespondent-driven samplingPain InventoryPain managementIllicit opioidsOpioid misuseRegular physicianOpioid abusersDaily livingPainDrug misusePrior monthTreatment program
2010
HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation
Grau LE, White E, Niccolai LM, Toussova OV, Verevochkin SV, Kozlov AP, Heimer R. HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation. AIDS And Behavior 2010, 15: 45-57. PMID: 20700645, PMCID: PMC3023022, DOI: 10.1007/s10461-010-9775-z.Peer-Reviewed Original ResearchPrevalence and predictors of transitions to and away from syringe exchange use over time in 3 US cities with varied syringe dispensing policies
Green TC, Bluthenthal RN, Singer M, Beletsky L, Grau LE, Marshall P, Heimer R. Prevalence and predictors of transitions to and away from syringe exchange use over time in 3 US cities with varied syringe dispensing policies. Drug And Alcohol Dependence 2010, 111: 74-81. PMID: 20537814, PMCID: PMC3087197, DOI: 10.1016/j.drugalcdep.2010.03.022.Peer-Reviewed Original ResearchConceptsSyringe exchange programsSEP usersSEP useThree-City cohort studyPolicy change analysisSyringe exchange usePredictors of transitionSecondary syringe exchangePolice contactCohort studyFemale sexHIV riskSyringe availabilityExchange useSyringe exchangeDrug usersDrug paraphernaliaHealth interventionsUS citiesLatino ethnicityIDUsPolicyContextual factorsMultinomial regressionTypology
2009
Hepatitis C virus infection among drug injectors in St Petersburg, Russia: social and molecular epidemiology of an endemic infection
Paintsil E, Verevochkin SV, Dukhovlinova E, Niccolai L, Barbour R, White E, Toussova OV, Alexander L, Kozlov AP, Heimer R. Hepatitis C virus infection among drug injectors in St Petersburg, Russia: social and molecular epidemiology of an endemic infection. Addiction 2009, 104: 1881-1890. PMID: 19712125, PMCID: PMC2763027, DOI: 10.1111/j.1360-0443.2009.02687.x.Peer-Reviewed Original ResearchConceptsInjection drug usersHepatitis C virusRespondent-driven samplingPrevalent infectionMajority of IDUsHepatitis C virus infectionSustained virological responseC virus infectionRespondent-driven sampleAssociation of genotypesIDU communityVirological responseHCV infectionAntiviral therapyC virusGenotype 3aDrug injectionVirus infectionDrug injectorsBlood samplesHCV sequencesDrug usersEndemic infectionInfectionMolecular epidemiology
2008
High HIV Prevalence, Suboptimal HIV Testing, and Low Knowledge of HIV-Positive Serostatus Among Injection Drug Users in St. Petersburg, Russia
Niccolai LM, Toussova OV, Verevochkin SV, Barbour R, Heimer R, Kozlov AP. High HIV Prevalence, Suboptimal HIV Testing, and Low Knowledge of HIV-Positive Serostatus Among Injection Drug Users in St. Petersburg, Russia. AIDS And Behavior 2008, 14: 932-941. PMID: 18843531, PMCID: PMC3116648, DOI: 10.1007/s10461-008-9469-y.Peer-Reviewed Original ResearchConceptsInjection drug usersHIV-positive serostatusHIV prevalenceHIV testingDrug usersHuman immunodeficiency virus (HIV) prevalenceRecent doctor visitHigh HIV prevalenceUnsafe injectionsPositive serostatusDoctor visitsSerostatusHIVPrevalencePoor knowledgeVirus prevalenceLow knowledgeTesting patternsHistory/Adequate coverageCorrelatesInfectionVisitsMonthsSpatial distribution of HIV prevalence and incidence among injection drugs users in St Petersburg: implications for HIV transmission
Heimer R, Barbour R, Shaboltas AV, Hoffman IF, Kozlov AP. Spatial distribution of HIV prevalence and incidence among injection drugs users in St Petersburg: implications for HIV transmission. AIDS 2008, 22: 123-130. PMID: 18090400, PMCID: PMC2778790, DOI: 10.1097/qad.0b013e3282f244ef.Peer-Reviewed Original ResearchConceptsInjection drug usersDrug usersReceptive syringe sharingRisk behavior dataHIV/AIDS epidemicRisky injection behaviorsSeronegative cohortsSeronegative individualsHeroin injectionHIV prevalenceHIV transmissionIncident casesSyringe sharingHIV epidemicVaccine studiesStudy populationDrug useResidential addressesStudy participantsEpidemiological analysisHIVPrevalenceAIDS epidemicDisease prevalenceCohort
1993
Needle exchange decreases the prevalence of HIV-1 proviral DNA in returned syringes in New Haven, Connecticut
Heimer R, Kaplan E, Khoshnood K, Jariwala B, Cadman E. Needle exchange decreases the prevalence of HIV-1 proviral DNA in returned syringes in New Haven, Connecticut. The American Journal Of Medicine 1993, 95: 214-220. PMID: 8356986, DOI: 10.1016/0002-9343(93)90263-o.Peer-Reviewed Original ResearchConceptsHIV-1 proviral DNANeedle exchange programsProviral DNANew Haven's needle exchange programNeedle exchangeHIV-1 prevalenceIntravenous drug usersNeedle exchange clientsDrug treatment programsPercentage of syringesDrug use habitsSyringe trackingDNA prevalenceNew HavenPolymerase chain reactionDrug treatmentDrug usersTreatment programPrevalenceChain reactionExchange programsSyringesMonthsProgram participantsFunded evaluation
1992
Prevalence of HIV-Infected Syringes during a Syringe-Exchange Program
Heimer R, Kaplan E, Cadman E. Prevalence of HIV-Infected Syringes during a Syringe-Exchange Program. New England Journal Of Medicine 1992, 327: 1883-1884. PMID: 1448131, DOI: 10.1056/nejm199212243272613.Peer-Reviewed Original ResearchA model-based estimate of HIV infectivity via needle sharing.
Kaplan E, Heimer R. A model-based estimate of HIV infectivity via needle sharing. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1992, 5: 1116-8. PMID: 1403641.Peer-Reviewed Original ResearchHIV prevalence among intravenous drug users: model-based estimates from New Haven's legal needle exchange.
Kaplan E, Heimer R. HIV prevalence among intravenous drug users: model-based estimates from New Haven's legal needle exchange. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1992, 5: 163-9. PMID: 1732509.Peer-Reviewed Original Research