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A longitudinal study of syringe acquisition by puerto rican injection drug users in New York and Puerto Rico: Implications for syringe exchange and distribution programs
(Etude longitudinale de l'acquisition de seringues par des usagers de drogue par voie injectable d'origine portoricaine à New-York et à Puerto Rico : implications pour les programmes d'échange et de distribution de seringues)
Auteur(s) :
FINLINSON, H. A. ;
OLIVER-VELEZ, D. ;
DEREN, S. ;
CANT J. G. H. ;
COLON, H. M. ;
ROBLES, R. R. ;
KANG, S. Y. ;
ANDIA, J. F.
Année
2006
Page(s) :
1313-1336
Langue(s) :
Anglais
Refs biblio. :
43
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
INJECTION
;
VIH
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
PROGRAMME
;
ECHANGE DE SERINGUES
Thésaurus géographique
ETATS-UNIS
;
PORTO RICO
Note générale :
Substance Use and Misuse, 2006, 41, (9), 1313-1336
Note de contenu :
ill. ; tabl.
Résumé :
ENGLISH :
Increasing access to sterile syringes and new drug preparation materials is an effective means of reducing HIV transmission among injection drug users (IDUs), and a funndamental component of harm reduction ideology. The purpose of this study is to examine changes during a three-year period in syringe acquisition by street-recruited Puerto Rican IDUs characterized by frequent drug injection and high HIV seroprevalence. At baseline (1998-1999) and 36-month follow-up, 103 IDUs recruited in East Harlem, New York (NY), and 135 from Bayamon, Puerto Rico (PR) were surveyed about syringe sources and HIV risk behaviors in the prior 30 days. A majority of participants in both sites were male (NY 78.6%, PR 84.4%), were born in Puerto Rico (NY 59.2%, PR 87.4%), and had not completed high school (NY 56.3%, PR 51.9%). Compared to PRIDUs at follow-up, NY IDUs injected less (3.4 vs. 7.0 times/day, p < .001), and re-used syringes less (3.1 vs. 8.0 times, p < .001). Between baseline arid follow-up, in NY the proportion of syringes, from syringe exchange programs (SEPs) increased from 54.2% to 72.9% (p = .001); syringes from pharmacies did not increase significantly (0.2% to 2.5%, p = .095). In PR, the proportions of syringes from major sources did not change signiftcantly: private sellers (50.9% to 50.9%, p = .996); pharmacies (18.6% to 19.0%, p = .867); SEP (12.8% to 14.4%, p = .585). The study indicates that NY SEPs became more dominant, while NY pharmacies remained a minor source even though a law enacted in 2001 legalized syringe purchases without prescription. Private sellers in PR remained the dominant and most expensive source. The only source of free syringes, the SEP, permitted more syringes to be exchanged but the increase was not statistically significant. Implications for syringe exchange and distribution programs are discussed. (Editor's abstract.)
Affiliation :
Center for Addiction Studies, School of Medicine, Universidad Central del Caribe, Call Box 60-327, Bayamon, Puerto Rico 00960-6032. E-mail : afinlinattglobal.net
Porto Rico. Puerto Rico.
Porto Rico. Puerto Rico.