Abstract
To assess the feasibility of advice to injection drug users (IDUs) to use a sterile syringe for each injection, we examined sources of syringes, syringe use and reuse, and barriers to and facilitators of compliance with the one-time use of syringes by active IDUs in seven U.S. metropolitan areas. Brief, interviewer-administered surveys were completed by 593 active IDUs, defined as injection reported within the past 90 days, in seven U.S. metropolitan areas characterized by various restrictions on syringe acquisition and possession. Most of the IDUs interviewed were male (69%) and African American (74%). Overall, only 23% obtained the most recently used syringe from a reliable source of sterile syringes (i.e., pharmacy or syringe exchange program [SEP]). The median number of injections per most recently used syringe was 3 (mean=5.2); 21% used the syringe only once. IDUs were more likely to have used a reliable source for obtaining their most recent syringe in cities with a SEP (odds ratio [OR]=5.3; 95% confidence interval [CI] 3.3-8.5) or without restrictive paraphernalia laws (OR=0.1; 95% CI 0.1-0.3). To facilitate one-time use of sterile syringes, IDUs recommended the provision of free syringes (50.3%), access to a SEP (38.1%)...Continue Reading
Citations
Sep 8, 2000·Journal of Urban Health : Bulletin of the New York Academy of Medicine·P Coffin
Mar 1, 2006·Harm Reduction Journal·Jennifer McNeelyMarc N Gourevitch
Jul 1, 2006·American Journal of Public Health·Ryan J DeibertHanne Thiede
Jul 1, 2006·Substance Use & Misuse·Alex Wodak, Annie Cooney
Dec 20, 2002·Journal of the American Pharmaceutical Association : APhA·Robert W MarksRobert W Wood
Dec 20, 2002·Journal of the American Pharmaceutical Association : APhA·Stephen K KoesterBeth A Lewis
Mar 12, 2010·Addiction·Norah PalmateerDavid Goldberg
Jul 4, 2006·Journal of Substance Abuse Treatment·Jennifer McNeelyMarc N Gourevitch
Aug 27, 2013·The International Journal on Drug Policy·Georgina J MacArthurSharon J Hutchinson
Sep 28, 2006·Substance Use & Misuse·Kate Ksobiech
Dec 18, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·UNKNOWN Centers for Disease Control and PreventionUNKNOWN HIV Prevention in Clinical Care Working Group
May 2, 2008·AIDS Care·Wynne E NortonJeffrey D Fisher
Jun 19, 2001·Journal of Acquired Immune Deficiency Syndromes : JAIDS·N U Cotten-OldenburgG Novotny
Aug 24, 1999·Journal of Acquired Immune Deficiency Syndromes : JAIDS·J D RichM McKenzie
Sep 8, 2000·The American Journal of Drug and Alcohol Abuse·J D RichC M Salas
Jun 23, 2001·Substance Use & Misuse·J D RichS Burris
Aug 23, 2016·AIDS Research and Human Retroviruses·Nadia AbdalaRobert Heimer
Jan 20, 2006·Substance Use & Misuse·Elizabeth T GolubSteffanie A Strathdee