The syringe gap: an assessment of sterile syringe need and acquisition among syringe exchange program participants in New York City.

作者: Daliah I Heller , Denise Paone , Anne Siegler , Adam Karpati

DOI: 10.1186/1477-7517-6-1

关键词: Medical emergencySyringe-Exchange ProgramsSyringeSyringe sharingNursingConvenience sampleMedicine

摘要: Programmatic data from New York City syringe exchange programs suggest that many clients visit the infrequently and take few syringes per transaction, while separate survey individuals using these indicate frequent injecting – at least daily is common. Together, a possible "syringe gap" between number of injections performed by users they are receiving for those injections. We surveyed convenience sample 478 drug in to determine whether program coverage was adequate support safer practices this group. Respondents reported median 60 times month, visiting 4 obtaining 10 transaction; more than one four reusing syringes. Fifty-four percent participants fewer their month. Receiving an inadequate frequently younger homeless injectors, who public past To improve reduce sharing, should target users, adopt non-restrictive uptake policies, establish better relationships with law enforcement services. The potential safe facilities be explored, address prevalence resolve 'syringe gap' users.

参考文章(47)
Evan Wood, Mark W Tyndall, Calvin Lai, Julio SG Montaner, Thomas Kerr, Impact of a medically supervised safer injecting facility on drug dealing and other drug-related crime Substance Abuse Treatment Prevention and Policy. ,vol. 1, pp. 13- 13 ,(2006) , 10.1186/1747-597X-1-13
Tim Rhodes, Jo Kimber, Will Small, John Fitzgerald, Thomas Kerr, Matthew Hickman, Greg Holloway, Public injecting and the need for ‘safer environment interventions’ in the reduction of drug‐related harm Addiction. ,vol. 101, pp. 1384- 1393 ,(2006) , 10.1111/J.1360-0443.2006.01556.X
Holly Hagan, Hanne Thiede, Don C. Des Jarlais, Hepatitis C virus infection among injection drug users: survival analysis of time to seroconversion. Epidemiology. ,vol. 15, pp. 543- 549 ,(2004) , 10.1097/01.EDE.0000135170.54913.9D
Carl Latkin, Wallace Mandell, David Vlahov, Maria Oziemkowska, David Celentano, People and places: behavioral settings and personal network characteristics as correlates of needle sharing. Journal of Acquired Immune Deficiency Syndromes. ,vol. 13, pp. 273- 280 ,(1996) , 10.1097/00042560-199611010-00010
Josiah D. Rich, Larkin Strong, Christopher W. Towe, Michelle McKenzie, Obstacles to needle exchange participation in Rhode Island Journal of Acquired Immune Deficiency Syndromes. ,vol. 21, pp. 396- 400 ,(1999) , 10.1097/00042560-199908150-00006
Will Small, Tim Rhodes, Evan Wood, Thomas Kerr, Public injection settings in Vancouver: Physical environment, social context and risk International Journal of Drug Policy. ,vol. 18, pp. 27- 36 ,(2007) , 10.1016/J.DRUGPO.2006.11.019
Alexis N. Martinez, Ricky N. Bluthenthal, Jennifer Lorvick, Rachel Anderson, Neil Flynn, Alex H. Kral, The impact of legalizing syringe exchange programs on arrests among injection drug users in California. Journal of Urban Health-bulletin of The New York Academy of Medicine. ,vol. 84, pp. 423- 435 ,(2007) , 10.1007/S11524-006-9139-1
Elizabeth T Golub, Steffanie A Strathdee, Susan L Bailey, Holly Hagan, Mary H Latka, Sharon M Hudson, Richard S Garfein, DUIT Study Team, Distributive syringe sharing among young adult injection drug users in five U.S. cities Drug and Alcohol Dependence. ,vol. 91, ,(2007) , 10.1016/J.DRUGALCDEP.2007.02.013
Don C. Des Jarlais, Naomi Braine, Patricia Friedmann, Unstable Housing as a Factor for Increased Injection Risk Behavior at US Syringe Exchange Programs AIDS and Behavior. ,vol. 11, pp. 78- 84 ,(2007) , 10.1007/S10461-007-9227-6