Historique
Périodique
Over a decade of syringe exchange: results from 1997 UK survey
(Après une décade d'échange de seringue : résultats de l'enquête de 1997 au Royaume-Uni.)
Auteur(s) :
PARSONS, J. ;
HICKMAN, M. ;
TURNBULL, P. J. ;
McSWEENEY, T. ;
STIMSON, G. V. ;
JUDD, A. ;
ROBERTS, K.
Année
2002
Page(s) :
845-850
Langue(s) :
Anglais
Refs biblio. :
26
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ECHANGE DE SERINGUES
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
ENQUETE
Thésaurus géographique
ECOSSE
;
ANGLETERRE
;
ROYAUME-UNI
Note générale :
Addiction, 2002, 97, (7), 845-850
Note de contenu :
fig. ; tabl.
Résumé :
FRANÇAIS :
Le nombre de seringues distribuées en avril 1997 est estimé à 1 707 000 et celui de l'année à 27 millions, à partir de 2000 lieux d'échange dans le Royaume-Uni. Le nombre de seringues distribuées en Ecosse est 3 à 4 fois plus bas que celui de l'Angleterre. Globalement, de 1991 à 1997, en Angleterre ce nombre a augmenté de 6,5 fois. La répartition inégale entre l'Ecosse et l'Angleterre de l'échange de seringues semble refléter la variation des taux de contamination VHC des usagers de drogues injectables (taux plus élevé en Ecosse qu'en Angleterre.)
ENGLISH :
Aims. To describe syringe exchange provision in the United Kingdom . Design. Two-phase cross-sectional survey: phase I, establishing a sampling frame of syringe exchange coordinators (n = 420); phase II, surveying the coordinators seeking data on the number of syringe exchange outlets, visits and syringes distributed during April 1997 (68% response rate). Setting. United Kingdom. Findings. In 1997, nearly all Health Authorities in the United Kingdom (96%) operated some form of syringe exchange service, except Northern Ireland. In April 1997, 1 707 000 syringes were reported as being distributed. Assuming that non-responders coordinated the median number of outlets and distributed the median number of syringes as responders, we estimate that 27 million syringes were distributed annually from over 2000 outlets in the United Kingdom. The number distributed in Scotland was 3-4 times less than in England when measured as a number per adult (15-44), drug user in treatment, or estimated injecting drug user. Conclusions. Overall, there has been a 6.5-fold increase in syringe distribution in England since 1991. The number of syringes distributed in the United Kingdom may be higher than the United States. However, there appears to be unequal distribution of syringes within the United Kingdom, which may be associated with higher levels of HCV among injectors in Scotland compared to England. (Author' s abstract)
Le nombre de seringues distribuées en avril 1997 est estimé à 1 707 000 et celui de l'année à 27 millions, à partir de 2000 lieux d'échange dans le Royaume-Uni. Le nombre de seringues distribuées en Ecosse est 3 à 4 fois plus bas que celui de l'Angleterre. Globalement, de 1991 à 1997, en Angleterre ce nombre a augmenté de 6,5 fois. La répartition inégale entre l'Ecosse et l'Angleterre de l'échange de seringues semble refléter la variation des taux de contamination VHC des usagers de drogues injectables (taux plus élevé en Ecosse qu'en Angleterre.)
ENGLISH :
Aims. To describe syringe exchange provision in the United Kingdom . Design. Two-phase cross-sectional survey: phase I, establishing a sampling frame of syringe exchange coordinators (n = 420); phase II, surveying the coordinators seeking data on the number of syringe exchange outlets, visits and syringes distributed during April 1997 (68% response rate). Setting. United Kingdom. Findings. In 1997, nearly all Health Authorities in the United Kingdom (96%) operated some form of syringe exchange service, except Northern Ireland. In April 1997, 1 707 000 syringes were reported as being distributed. Assuming that non-responders coordinated the median number of outlets and distributed the median number of syringes as responders, we estimate that 27 million syringes were distributed annually from over 2000 outlets in the United Kingdom. The number distributed in Scotland was 3-4 times less than in England when measured as a number per adult (15-44), drug user in treatment, or estimated injecting drug user. Conclusions. Overall, there has been a 6.5-fold increase in syringe distribution in England since 1991. The number of syringes distributed in the United Kingdom may be higher than the United States. However, there appears to be unequal distribution of syringes within the United Kingdom, which may be associated with higher levels of HCV among injectors in Scotland compared to England. (Author' s abstract)
Affiliation :
Ctre Res. Drugs Hlth Behaviour, Dept Soc. Sci. Med. Imperial College, Reynolds Bldg, St Dunstan's Rd, London
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.