Syringe Sharing and HIV Incidence Among Injection Drug Users and Increased Access to Sterile Syringes
Dados Bibliográficos
Objectives. We assessed the effects of syringe exchange program (SEP) policy on rates of HIV risk behavior and HIV incidence among injection drug users. Methods. Using a multivariate generalized estimating equation and Cox regression methods, we examined syringe borrowing, syringe lending, and HIV incidence among a prospective cohort of 1228 injection drug users in Vancouver, British Columbia. Results. We observed substantial declines in rates of syringe borrowing (from 20.1% in 1998 to 9.2% in 2003) and syringe lending (from 19.1% in 1998 to 6.8% in 2003) following SEP policy change. These declines coincided with a statistically significant increase in the proportion of participants accessing sterile syringes from nontraditional SEP sources (P Conclusions. Widespread syringe distribution appears to be a more effective SEP policy than do more restrictive SEP policies that limit syringe access. Efforts should be made to ensure that SEP policies and program design serve to maximize rather than hinder syringe access
Confidence interval · Hazard ratio · Human immunodeficiency virus (HIV) · Incidence (geometry) · Odds ratio · Prospective cohort study · Syringe · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Immunology · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Surgery
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| Intervalo de citações | 2010 - 2025 (16) |
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| Tipos de citação | Neutras: 44 |