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Science, Ideology, and Needle Exchange Programs

Bibliographic Data

ID9749057
AuthorsMartin T Schechter (0000-0001-6063-2155, corresponding author)
Year2002
Volume582
Issue1
Pages94-101
Publication date2002-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Annals of the American Academy of Political and Social Science (JOURNAL)
Journal identifiersISSN: 0002-7162 • E-ISSN: 1552-3349
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0002716202582001007
OpenAlexW4253269367
LanguageEN
Citations received5
References cited10

Needle exchange programs (NEPs) to prevent HIV transmission among injection drug users are accepted in many countries but remain at the center of heated debate in the United States. In 1997, the author published a study of injection drug users in Vancouver showing an explosive outbreak of HIV. An incidental finding was higher HIV rates among frequent attendees of the local NEP. While this was expected because NEPs attract users at highest risk, opponents of needle exchange applied an unsupportable causal interpretation to this finding. If frequent NEP attendees had higher HIV rates, so the interpretation went, NEPs must be responsible for promoting the spread of HIV. Despite the author's admonitions against this misinterpretation of the data, it was used as part of a successful campaign to oppose U.S. federal funding of needle exchange. Regrettably, biased or even misleading interpretations often occur in the volatile interface of imperfect science and ideological debate

Engineering ethics · Human immunodeficiency virus (HIV · Ideology · Interpretation (philosophy · Mathematics education · Political science · Politics · Sociology · Computer Science · Dental Education, Practice, Research · Engineering · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Opioid Use Disorder Treatment · Psychology · Virology

  • The implicit rules of evidence-based drug policy

    Open Access•Robert J Maccoun, Robert Maccoun et al.•International Journal of Drug…•2008

  • Clean Needles and Bad Blood

    E Bowen, Elizabeth A Bowen•The Journal of Sociology & Social…•2012

  • Federal funding for syringe exchange in the US

    Open Access•David Showalter•International Journal of Drug…•2018

  • PREFACE The Varieties of Drug Control at the Dawn of the Twenty-First Century

    Open Access•Robert J Maccoun, Robert Maccoun et al.•The Annals of the American…•2002

  • Knowledge, Values, and Needle Exchange Programs in Sweden

    Open Access•Lena Eriksson, Johan Edman•Contemporary Drug Problems•2017

  • Effectiveness of needle-exchange programmes for prevention of HIV infection

    Open Access•Susan F Hurley, Damien John Jolley et al.•The Lancet•1997

  • Needle exchange is not enough

    Steffanie A Strathdee, 晴義 山田 et al.•AIDS•1997

  • A decline in HIV-infected needles returned to New Haven's needle exchange program

    Edward H Kaplan, Kaveh Khoshnood et al.•American Journal of Public Health•1994

  • Injecting risk behavior among drug users in Amsterdam, 1986 to 1992, and its relationship to Aids prevention programs

    E J van Ameijden, A R van den Hoek et al.•American Journal of Public Health•1994

  • Reduced risk of hepatitis B and hepatitis C among injection drug users in the Tacoma syringe exchange program

    Holly Hagan, D C Jarlais et al.•American Journal of Public Health•1995

  • Aids and injecting drug use in the United Kingdom, 1987–1993

    Open Access•Gerry V Stimson•Social Science & Medicine•1995

Unique citing works5
Citations per year0,21
Citation span2002 - 2018 (17)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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