Abstract
Evaluations of syringe-exchange programme effectiveness that attempt to measure "coverage" by determining the percentage of the at-risk population reached by a programme are insufficient since programmes must provide syringes on a continual basis. Determining the relationship between the extent of programme coverage and its impact (i.e., reductions in disease risk or incidence) is complicated by the lack of controlled trials with cohorts of drug users and instead has to be estimated by imputation, mathematical modelling, or ecological data analysis. This report offers an approach to determine community-wide impact and discusses the limitations of that approach. Easily created programme tracking data were maintained by exchanges in New Haven, CT, USA and Chicago, IL, USA. Data compiled by month quantified the number of unique participants visiting syringe-exchange programmes and the number of syringes distributed. "Coverage", defined either as the percentage of individuals reached or percentage of community syringe need met, was estimated by incorporating measures of the size of the injector population or injection frequency. These measures of coverage are placed in the context of changing programme operations to estimate the ef...Continue Reading
References
Jun 1, 1992·The Journal of Infectious Diseases·P AndersonM E Pichichero
Oct 1, 1995·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·E H Kaplan, R Heimer
Oct 15, 1994·Statistics in Medicine·E H Kaplan
Dec 1, 1994·American Journal of Public Health·D Vlahov, R S Brookmeyer
May 1, 1994·AIDS·E H Kaplan, R Heimer
Sep 4, 1998·AIDS·J C HendriksG J van Griensven
Mar 17, 1999·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·P PezzottiJ Astemborski
Jul 16, 1999·Lancet·T RhodesA Renton
Sep 8, 2000·Journal of Urban Health : Bulletin of the New York Academy of Medicine·H BrahmbhattS A Strathdee
Dec 7, 2002·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Robert HeimerMerrill Singer
May 30, 2003·American Journal of Public Health·Richard H NeedleLouis H Marcelin
Jul 27, 2004·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Samuel R FriedmanPeter L Flom
Aug 20, 2004·Addiction·Ricky N BluthenthalUNKNOWN Diffusion of Benefit through Syringe Exchange Study Team
Aug 21, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lawrence OuelletSusan L Bailey
Sep 21, 2005·Drug and Alcohol Dependence·David BuchananMerrill Singer
Dec 29, 2005·American Journal of Public Health·Gerry V StimsonTim Rhodes
Apr 29, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Peter VickermanCharlotte Watts
Jul 1, 2006·Substance Use & Misuse·Alex Wodak, Annie Cooney
Jul 1, 2006·Substance Use & Misuse·Dave Burrows
Dec 2, 2006·American Journal of Public Health·Robert HeimerMerrill Singer
Feb 9, 2007·Addiction·Ricky N BluthenthalAlex H Kral
Aug 11, 2007·The International Journal on Drug Policy·Mukta SharmaRicky Bluthenthal
Citations
Mar 5, 2013·Current HIV/AIDS Reports·Sten H Vermund, Richard J Hayes
May 4, 2012·Cold Spring Harbor Perspectives in Medicine·Sten H Vermund, Andrew J Leigh-Brown
Oct 23, 2012·BMJ Open·Emma JolleyDavid Wilson
Jul 2, 2011·BMC Public Health·Anneli UuskülaIgor Sobolev
Aug 4, 2011·AIDS and Behavior·Joanne BryantHannah Wilson
Mar 7, 2012·Behavioural Brain Research·Alexandra G DiFeliceantonio, Kent C Berridge
Oct 20, 2010·The International Journal on Drug Policy·Carla TorreHenrique Barros
Jul 24, 2010·Lancet·Louisa DegenhardtMatt Hickman
Feb 12, 2008·The International Journal on Drug Policy·Mukta SharmaRicky N Bluthenthal
Apr 21, 2010·Addiction·Ricky Bluthenthal, Alex Kral
May 3, 2011·The International Journal on Drug Policy·Adnan A Khan, Ayesha Khan
May 24, 2011·The International Journal on Drug Policy·Sophie ArnaudFrançoise Dubois-Arber
Feb 25, 2015·PloS One·Yen T DuongBharat S Parekh
Jan 30, 2014·Ciência & saúde coletiva·Aline Inglez-DiasKimberly Page
Jul 7, 2009·AIDS·Mukta SharmaRenu Garg
Feb 10, 2018·Harm Reduction Journal·Carol Strike, Miroslav Miskovic
Oct 27, 2021·AIDS and Behavior·William W Darrow