Reduction in Needle Sharing Among Seattle-Area Injection Drug Users Across 4 Surveys, 1994–2013
Bibliographic Data
| ID | 11023957 |
|---|---|
| Authors | Richard D Burt (0000-0001-8397-393X, The authors are with the HIV/STD Program, Public Health–Seattle & King County, Seattle, WA.), Hanne Thiede (The authors are with the HIV/STD Program, Public Health–Seattle & King County, Seattle, WA.) |
| Year | 2016 |
| Volume | 106 |
| Issue | 2 |
| Pages | 301-307 |
| Publication date | 2016-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.2015.302959 |
| PMID | 26691117 |
| OpenAlex | W2208635260 |
| Language | EN |
| Citations received | 3 |
| References cited | 36 |
Objectives. We evaluated time trends in sharing needles and other injection equipment from 1994 to 2013 among injection drug users in the Seattle, Washington area. Methods. We combined data from 4 sources: the Risk Activity Variables, Epidemiology, and Network (RAVEN) study, recruited from institutional settings; the Kiwi study, recruited from jails; National HIV Behavioral Surveillance system (NHBS) surveys, which used respondent-driven sampling; and surveys at needle-exchange sites. Results. Levels of needle sharing were higher in the earlier studies: RAVEN, 1994 to 1997 (43%) and Kiwi, 1998 to 2002 (61%). In the NHBS surveys, the initial level of 44% in 2005 declined to 31% in the period 2009 to 2012. Across needle-exchange surveys (2009–2013) the level was 21%. There was a parallel reduction in sharing other injection equipment. These trends persisted after control for sociodemographic and risk-associated variables. There was a contemporaneous increase in the number of needles distributed by local needle exchanges and a decline in the number of reported HIV cases among injection drug users. Conclusions. The apparent long-term reduction in sharing injection equipment suggests substantial success in public health efforts to reduce the sharing of injection equipment
Drug injection · Environmental health · Family medicine · Harm reduction · Human immunodeficiency virus (HIV) · Injection drug use · Needle sharing · Public health · Respondent · Demography · Epidemiology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Opioid Use Disorder Treatment · Gerontology
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Respondent-Driven Sampling II
Respondent-Driven Sampling
| Citations per year | 0.38 |
|---|---|
| Citation span | 2018 - 2025 (8) |
| Highly cited | No |