Are there differences in individual-level needle and syringe coverage across Australian jurisdictions related to program policy? A preliminary analysis

Drug and Alcohol Review
Penelope HillPaul Dietze

Abstract

Services provided by needle and syringe programs (NSP) within Australia are easily accessible by international standards. However, important variation in NSP policy remains across Australian jurisdictions. The potential impacts of these variations on program operation for clients have not been systematically analysed in Australia. In this paper we conduct a preliminary examination to compare individual-level syringe coverage between and within Australian capital cities. Participants were 2498 people who inject drugs (PWID) recruited from all Australian capital cities as part of the annual Illicit Drug Reporting System PWID survey over the period 2014-2016. Insufficient coverage was defined when <100% of a participant's injecting episodes were 'covered' by sterile needles and syringes. We report the percentage of insufficient coverage for each capital city for each year, and present descriptive statistics for coverage parameters, and an alternative measure for insufficient coverage, as Supporting Information. Differences in behaviours that have the potential to impact syringe coverage were highly variable over time and place leading to variations in levels of insufficient coverage between and within all cities. Overall, insuffic...Continue Reading

References

Aug 20, 2004·Addiction·Ricky N BluthenthalUNKNOWN Diffusion of Benefit through Syringe Exchange Study Team
Sep 24, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Alex H KralRicky N Bluthenthal
Jul 1, 2006·Substance Use & Misuse·Dave Burrows
Aug 11, 2007·The International Journal on Drug Policy·Mukta SharmaRicky Bluthenthal
Mar 2, 2010·Lancet·Bradley M MathersUNKNOWN 2009 Reference Group to the UN on HIV and Injecting Drug Use
Nov 11, 2011·Drug and Alcohol Dependence·Jenny IversenLisa Maher
Dec 1, 2003·Health Information Management : Journal of the Health Information Management Association of Australia·Josephine Di Donato

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Citations

Sep 3, 2019·Bulletin of the World Health Organization·Daniel O'KeefePaul M Dietze

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