The effect of on-site and outreach-based needle and syringe programs in people who inject drugs in Kermanshah, Iran

The International Journal on Drug Policy
Seyed Saeed Hashemi NazariAli Mirzazadeh

Abstract

Needle and syringe programs (NSPs) are widely used to reduce harms associated with drug injecting. This study assessed the effect of facility-based (on-site services at drop-in centre) and outreach models of NSP on injection risk behaviours. Self-reported data from 455 people who injected drugs (PWID) during 2014 in Kermanshah, Iran, were examined to measure demographic characteristics and risk behaviors. Self-reported and program data were also assessed to identify their main source of injection equipment. Participants were divided into three sub-groups: facility-based NSP users, outreach NSP users and non-users (comparison group). Coarsened exact matching was used to make the three groups statistically equivalent based on age, place of residence, education and income, and groups were compared regarding the proportion of borrowing or lending of syringes/cookers, reusing syringes and recent HIV testing. Overall, 76% of participants reported any NSP service use during the two months prior to interview. Only 23% (95%CI: 17-27) reported outreach NSP as their main source of syringes. Using facility-based NSP significantly decreased recent syringe borrowing (OR: 0.27, 95%CI: 0.10-0.70), recent syringe reuse (OR: 0.38, 95%CI: 0.23-0....Continue Reading

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Citations

Nov 28, 2017·International Journal of Health Policy and Management·Brayan V SeixasRob Baltussen
Nov 30, 2018·PloS One·Hamid SharifiAli Akbar Haghdoost
May 18, 2018·International Journal of Adolescent Medicine and Health·Mehdi NorooziHesam Ghiasvand
Jan 27, 2017·International Journal of Behavioral Medicine·Mehdi NorooziKatherine Waye
Jun 20, 2020·Journal of Addictive Diseases·Azadeh BayaniBahram Armoon
Oct 16, 2020·Substance Abuse Treatment, Prevention, and Policy·Mehdi NorooziMohammad Askari
May 25, 2021·Frontiers in Psychiatry·Seyed Ramin RadfarAlexander Mario Baldacchino

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