|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|
|Discipline :||PRE (Prévention - RdRD / Prevention - Harm reduction)|
Thésaurus TOXIBASEECHANGE DE SERINGUES ; PHARMACIE ; SERINGUE ; VENTE ; FACTEUR PREDICTIF ; USAGER ; REDUCTION DES RISQUES ET DES DOMMAGES ; GEOGRAPHIE ; PROFIL SOCIO-DEMOGRAPHIQUE
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|