Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users.

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Abstract Text:

Ricky N Bluthenthal,Greg Ridgeway,Terry Schell,Rachel Anderson,Neil M Flynn,Alex H Kral,

AIM: To determine whether syringe exchange programs' (SEPs) dispensation policy is associated with syringe coverage among SEP clients. DESIGN: Cross-sectional samples of SEPs and their clients. SETTING: SEPs in California, USA. PARTICIPANTS: Twenty-four SEPs and their injection drug using (IDU) clients (n = 1576). MEASUREMENTS: Clients were classified as having adequate syringe coverage if they received at least as many syringes from the SEP as their self-reported injections in the last 30 days. SEPs were classified based on their syringe dispensation policy. Dispensation schemes ranging from least restrictive to most are: unlimited needs-based distribution; unlimited one-for-one exchange plus a few additional syringes; per visit limited one-for-one plus a few additional syringes; unlimited one-for-one exchange; and per visit limited one-for-one exchange. FINDINGS: Adequate syringe coverage among SEP clients by dispensation policy is as follows: unlimited needs-based distribution = 61%; unlimited one-for-one plus = 50%; limited one-for-one plus = 41%; unlimited one-for-one = 42%; and limited one-for-one = 26%. In multivariate analysis, adequate syringe coverage was significantly higher for all dispensation policies compared to per visit limited one-for-one exchange. Using propensity scoring methods, we compared syringe coverage by dispensation policies while controlling for client-level differences. Providing additional syringes above one-for-one exchange (50% versus 38%, P = 0.009) and unlimited exchange (42% versus 27%, P = 0.05) generally resulted in more clients having adequate syringe coverage compared to one-for-one exchange and per visit limits. CONCLUSION: Providing less restrictive syringe dispensation is associated with increased prevalence of adequate syringe coverage among clients. SEPs should adopt syringe dispensation policies that provide IDUs sufficient syringes to attain adequate syringe coverage.

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Publishing Authors By Initials

RN Bluthenthal,G Ridgeway,T Schell,R Anderson,NM Flynn,AH Kral,

For similar equipment and supplies: syringes research abstracts see: equipment and supplies: syringes research

PUBMED ID PMID:

MEDLINE DATE:

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Addiction (Abingdon, England)

VOLUME: 102

Page Numbers: 638-46

Journal Abbreviation: Addiction

ISSN: 0965-2140

DAY: 6

MONTH: 02

YEAR: 2007

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9304118

Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Keywords Mesh Terms:

KEYWORDS: Syringes

MESH TERMS: supply & distribution

Chemical & Substance for Abstract: Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users.

AFFILIATION: Health Program and Drug Policy Research Center, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, USA. rickyb@rand.org

Country: England

AGENCY: United States PHS

GRANT: R06/CCR 918667

ACRONYM: DA

MEDLINETA: Addiction

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Examination of the association between syringe exchange program SEP dispensation policy and SEP client-level syringe coverage among injection drug users Related Publications

• Accumulation of IgG and complement factor C3 in human arterial endothelium and atherosclerotic lesions.
• Approval of syringe exchange programs in California: results from a local approach to HIV prevention.
• Azygos vein injury in blunt chest trauma.
• Chemically tunable nanoscale propellers of liquids.
• Closing volume and gas exchange in obese patients before and after intestinal bypass operation. (A preliminary report).
• Community characteristics associated with HIV risk among injection drug users in the San Francisco Bay Area: a multilevel analysis.
• Evolution of multiple sex chromosomes in the spider genus Malthonica (Araneae: Agelenidae) indicates unique structure of the spider sex chromosome systems.
• Examination of the association between syringe exchange program (SEP) dispensation policy and SEP client-level syringe coverage among injection drug users.
• Higher syringe coverage is associated with lower odds of HIV risk and does not increase unsafe syringe disposal among syringe exchange program clients.
• Optical sensing of sulfate by polymethinium salt receptors: colorimetric sensor for heparin.
• Outcome of pregnancies after biliopancreatic diversion.
• Physiological models of body composition and human obesity.
• Porphyrin-bile acid conjugates: from saccharide recognition in the solution to the selective cancer cell fluorescence detection.
• Porphyrins and porphyrinogens--clinical importance and polarographic behaviour.
• Potentiometric response and mechanism of anionic recognition of heterocalixarene-based ion selective electrodes.
• Prevalence and correlates of opiate overdose among young injection drug users in a large U.S. city.
• Psychosocial problems of the aged: a shared medical responsibility.
• Repolarization pattern of body surface potential maps (BSPM) in coronary artery disease.
• Super-size me: Portion size effects on young children's eating.
• The delayed effect of ACTH administration on the plasma corticoid level of normal elderly persons and patients with chronic brain syndrome.
• The electroencephalogram in advanced senile dementia.
• The making of a resource center for homeless people in San Francisco's Mission District: a community collaboration.
• The psychological differentiation of organic brain lesions and their localization by means of the Rorschach test.
• Types of memory dysfunction in senescence.
• Unimodal and cross-modal plasticity in the 'deaf' auditory cortex.
• [Not Available.]
• [Not Available.]
• [Prevention of mastitis in dairy cows]
• [Stapled hemorrhoidopexy (Long method)--procedure for prolapsing hemorrhoids (PPH)--eight-year experience with the method]
• p38 MAPK plays an essential role in apoptosis induced by photoactivation of a novel ethylene glycol porphyrin derivative.