Examining risk behavior and syringe coverage among people who inject drugs accessing a syringe services program: A latent class analysis.

The International Journal on Drug Policy
Tyler S BartholomewDaniel J Feaster

Abstract

Injection drug use (IDU) remains a significant public health problem. IDU has been associated closely with the opioid crisis; driving overdose, HIV, and Hepatitis C (HCV) infection nationwide. Syringe services programs (SSPs) remain pivotal evidence-based interventions to reduce harm and engage subgroups of people who inject drugs (PWID). This study aims to provide policy considerations from the IDEA SSP, the first legal SSP in the state of Florida. We performed a latent class analysis on patterns of substance use among participants (N = 982) newly enrolled in a syringe services program (SSP). Associations between classes of substance use and sociodemographic variables, risky injection and sex behaviors, HIV/HCV status and syringe coverage were analyzed using the R3STEP and BCH 3-step procedures in latent class regression. We found a three-class solution: Heroin-Dominant class (73.9%), Methamphetamine-Dominant class (9.5%) and Heroin/Cocaine class (16.6%). Compared to Heroin-Dominant class, the Heroin/Cocaine class were more likely to report homelessness, sharing works, unprotected sex, public injection, and to be HCV positive. Compared to both Heroin-Dominant and Heroin/Cocaine classes, the Methamphetamine-Dominant class were ...Continue Reading

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Citations

Sep 11, 2020·Aging Clinical and Experimental Research·Kaeshaelya ThiruchelvamTherese Kairuz
Sep 5, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David P SerotaHansel E Tookes
Jan 16, 2021·AIDS and Behavior·Cecile M DenisDwight L Evans
Jul 31, 2020·The International Journal on Drug Policy·Tyler S BartholomewDaniel J Feaster
Jan 30, 2021·Epidemiologic Reviews·Christopher M JonesG Caleb Alexander
Apr 23, 2021·AIDS and Behavior·Sean T AllenSusan G Sherman
Jun 27, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Hansel TookesHenri Ford
Jun 18, 2021·Journal of Substance Abuse Treatment·Tyler S BartholomewHansel E Tookes

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