Titre : | Spatial access to syringe exchange programs and pharmacies selling over-the-counter syringes as predictors of drug injectors' use of sterile syringes (2011) |
Auteurs : | H. L. F. COOPER ; D. C. DES JARLAIS ; Z. ROSS ; B. TEMPALSKI ; B. BOSSAK ; S. R. FRIEDMAN |
Type de document : | Article : Périodique |
Dans : | American Journal of Public Health (Vol.101, n°6, June 2011) |
Article en page(s) : | 1118-1125 |
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés ECHANGE DE SERINGUES ; PHARMACIE ; SERINGUE ; VENTE ; FACTEUR PREDICTIF ; USAGER ; REDUCTION DES RISQUES ET DES DOMMAGES ; GEOGRAPHIE ; PROFIL SOCIO-DEMOGRAPHIQUE |
Résumé : |
OBJECTIVES: We examined relationships of spatial access to syringe exchange programs (SEPs) and pharmacies selling over-the-counter (OTC) syringes with New York City drug injectors' harm reduction practices.
METHODS: Each year from 1995 to 2006, we measured the percentage of 42 city health districts' surface area that was within 1 mile of an SEP or OTC pharmacy. We applied hierarchical generalized linear models to investigate relationships between these exposures and the odds that injectors (n = 4003) used a sterile syringe for at least 75% of injections in the past 6 months. RESULTS: A 1-unit increase in the natural log of the percentage of a district's surface area within a mile of an SEP in 1995 was associated with a 26% increase in the odds of injecting with a sterile syringe; a 1-unit increase in this exposure over time increased these odds 23%. A 1-unit increase in the natural log of OTC pharmacy access improved these odds 15%. CONCLUSIONS: Greater spatial access to SEPs and OTC pharmacies improved injectors' capacity to engage in harm reduction practices that reduce HIV and HCV transmission. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 66 |
Affiliation : | Dept of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, Atlanta, GA, USA |
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