Syringe sharing and HIV incidence among injection drug users and increased access to sterile syringes

T. Kerr, W. Small, C. Buchner, R. Zhang, K. Li, J. Montaner and E. Wood

American Journal of Public Health, 2010, vol. 100, issue 8, 1449-1453

Abstract: Objectives. We assessed the effects of syringe exchange program (SEP) policy on rates of HIV risk behavior and HIV incidence among injection drug users. Methods. Using a multivariate generalized estimating equation and Cox regression methods, we examined syringe borrowing, syringe lending, and HIV incidence among a prospective cohort of 1228 injection drug users in Vancouver, British Columbia. Results. We observed substantial declines in rates of syringe borrowing (from 20.1% in 1998 to 9.2% in 2003) and syringe lending (from 19.1% in 1998 to 6.8% in 2003) following SEP policy change. These declines coincided with a statistically significant increase in the proportion of participants accessing sterile syringes from nontraditlonal SEP sources (P

Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2009.178467_9

DOI: 10.2105/AJPH.2009.178467

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