Document Detail


Secondary syringe exchange among injection drug users.
MedLine Citation:
PMID:  12791808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Syringe-exchange programs (SEPs) have proven to prevent the spread of bloodborne pathogens, primarily human immunodeficiency virus (HIV), among injection drug users (IDUs). In the United States, only about 7% of IDUs have access to and use SEPs. Some IDUs engage in secondary syringe exchange (SSE), meaning that one IDU (a "provider") obtains syringes at an SEP to distribute to other IDUs ("recipients"). This formative qualitative research was conducted to understand why and how IDUs engage in SSE to aid in the development of a large-scale peer HIV prevention intervention. Interviews with 47 IDUs in Oakland and Richmond, California, indicated that SSE was embedded in existing social networks, which provided natural opportunities for peer education. SSE providers reported a desire to help other IDUs as their primary motivation, while recipients reported convenience as their primary reason for using SSE. Building SSE into SEP structures can facilitate an effective provision of risk reduction supplies and information to IDUs who do not access SEPs directly.
Authors:
Judith Snead; Moher Downing; Jennifer Lorvick; Barbara Garcia; Robert Thawley; Susan Kegeles; Brian R Edlin
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  80     ISSN:  1099-3460     ISO Abbreviation:  J Urban Health     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-06     Completed Date:  2003-08-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  330-48     Citation Subset:  IM    
Affiliation:
Departments of Family and Community Medicine, University of California, San Francisco, CA 94110, USA.
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MeSH Terms
Descriptor/Qualifier:
Attitude to Health* / ethnology
California
Female
HIV Infections / ethnology,  prevention & control*,  transmission
Humans
Interviews as Topic
Male
Middle Aged
Needle Sharing / adverse effects
Needle-Exchange Programs / organization & administration*,  utilization
Peer Group
Social Support
Substance Abuse, Intravenous / ethnology,  virology*
Grant Support
ID/Acronym/Agency:
R01-DA09532/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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