Syringe disposal among people who inject drugs before and after the implementation of a syringe services program.
Adult
Drug Users
/ psychology
Female
Florida
Health Plan Implementation
/ statistics & numerical data
Humans
Male
Needle-Exchange Programs
/ statistics & numerical data
Poisson Distribution
Program Evaluation
Regression Analysis
Residence Characteristics
Substance Abuse, Intravenous
/ psychology
Surveys and Questionnaires
Syringes
/ statistics & numerical data
HIV
Opioids
PWID
Syringe disposal
Syringe services programs
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 09 2019
01 09 2019
Historique:
received:
22
02
2019
revised:
25
04
2019
accepted:
26
04
2019
pubmed:
8
7
2019
medline:
27
3
2020
entrez:
8
7
2019
Statut:
ppublish
Résumé
Due to the increase in people who use opioids in the US, there has been a steady increase in injection drug use. Without access to safe syringe disposal locations, people who inject drugs (PWID) have few options other than improper disposal, including in public places. In 2016, Florida's first legal Syringe Services Program (SSP) was established in Miami. This study aims to compare syringe disposal practices among PWID before and after the implementation of an SSP. Visual inspection walkthroughs of randomly selected census blocks in the neighborhoods in the top quartile of narcotics-related arrests were conducted to assess improperly discarded syringes. Syringe location was geocoded in ArcGIS. Adult PWID pre-SSP (n = 448) and post-SSP (n = 482) implementation were recruited for a survey using respondent-driven sampling in Miami. A Poisson regression model was used to determine the adjusted relative risk (aRR) of improper syringe disposal pre- and post-SSP. A total of 191 syringes/1000 blocks were found post-implementation versus 371/1000 blocks pre-implementation, representing a 49% decrease after SSP implementation. In the surveys, 70% reported any improper syringe disposal post-SSP implementation versus 97% pre-SSP implementation. PWID in the post-implementation survey had 39% lower adjusted relative risk (aRR = 0.613; 95% CI = 0.546, 0.689) of improper syringe disposal as compared to pre-implementation. There was a significant decrease in the number of improperly discarded syringes in public in Miami after the implementation of an SSP. Providing PWID with proper disposal venues such as an SSP could decrease public disposal in other communities.
Identifiants
pubmed: 31280002
pii: S0376-8716(19)30197-8
doi: 10.1016/j.drugalcdep.2019.04.025
pmc: PMC6854527
mid: NIHMS1058705
pii:
doi:
Types de publication
Evaluation Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
13-17Subventions
Organisme : NIDA NIH HHS
ID : UG1 DA013720
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
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