PMID: 15385739Sep 24, 2004Paper

Injection risk behaviors among clients of syringe exchange programs with different syringe dispensation policies

Journal of Acquired Immune Deficiency Syndromes : JAIDS
A H KralR N Bluthenthal

Abstract

While there have been numerous papers published in the medical, social, and epidemiologic literature about the effectiveness of syringe exchange programs (SEPs), few papers identify operational characteristics of the SEPs they study or assess which of those characteristics are associated with optimal HIV risk reduction among clients. The objective of this study was to examine whether different syringe dispensation policies were associated with client-level injection-related HIV risk. Injection drug users (IDUs) were recruited at 23 SEPs in California in 2001 (n = 531). SEPs were classified by their executive directors as to whether they provided a strict one-for-one syringe exchange, gave a few extra syringes above the one-for-one exchange, or distributed the amount of syringes based upon need as opposed to how many syringes were turned in by the clients. Injection-related risk was compared by SEP program type. In multivariate logistic regression analysis, clients of distribution-based programs had lower odds of reusing syringes (adjusted odds ratio = 0.43; 95% CI = 0.27, 0.71) when adjusting for confounding variables. There were no statistical differences with regards to distributive or receptive syringe sharing by dispensatio...Continue Reading

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Citations

Apr 21, 2010·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Valerie J RoseWilli McFarland
May 16, 2012·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Hannah CooperSamuel R Friedman
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Jun 18, 2021·Journal of Substance Abuse Treatment·Tyler S BartholomewHansel E Tookes

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