Examining risk behavior and syringe coverage among people who inject drugs accessing a syringe services program: A latent class analysis

被引:43
作者
Bartholomew, Tyler S. [1 ]
Tookes, Hansel E. [2 ]
Bullock, Corinne [1 ]
Onugha, Jason [1 ]
Forrest, David W. [3 ]
Feaster, Daniel J. [1 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Publ Hlth Sci, Miami, FL 33136 USA
[2] Univ Miami, Miller Sch Med, Div Infect Dis, Miami, FL 33136 USA
[3] Univ Miami, Coll Arts & Sci, Dept Anthropol, Miami, FL USA
关键词
Substance use; Syringe Services Program; HIV prevention; HCV; Drug Policy; HEPATITIS-C VIRUS; HIV RISK; POLYSUBSTANCE USE; WEST-VIRGINIA; INFECTION; OVERDOSE; USERS; HEROIN; BALTIMORE; INCREASES;
D O I
10.1016/j.drugpo.2020.102716
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction: Injection drug use (IDU) remains a significant public health problem. IDU has been associated closely with the opioid crisis; driving overdose, HIV, and Hepatitis C (HCV) infection nationwide. Syringe services programs (SSPs) remain pivotal evidence-based interventions to reduce harm and engage subgroups of people who inject drugs (PWID). This study aims to provide policy considerations from the IDEA SSP, the first legal SSP in the state of Florida. Methods: We performed a latent class analysis on patterns of substance use among participants (N = 982) newly enrolled in a syringe services program (SSP). Associations between classes of substance use and sociodemographic variables, risky injection and sex behaviors, HIV/HCV status and syringe coverage were analyzed using the R3STEP and BCH 3-step procedures in latent class regression. Results: We found a three-class solution: Heroin-Dominant class (73.9%), Methamphetamine-Dominant class (9.5%) and Heroin/Cocaine class (16.6%). Compared to Heroin-Dominant class, the Heroin/Cocaine class were more likely to report homelessness, sharing works, unprotected sex, public injection, and to be HCV positive. Compared to both Heroin-Dominant and Heroin/Cocaine classes, the Methamphetamine-Dominant class were more likely to be male, Hispanic, gay or bisexual orientation, HIV positive, to report unprotected sex and sex with PWID. In addition, the lowest and highest syringe coverage were among those in the Heroin/Cocaine and Methamphetamine-Dominant classes, respectively. Conclusion: Existing interventions among this population to mitigate infectious disease risk, such as SSPs, can be a used to engage differing PWID populations. However, multi-component, targeted preventive interventions and need-based syringe distribution policies are required to further reduce HIV and HCV risk among various PWID populations.
引用
收藏
页数:8
相关论文
共 51 条
[1]  
Alpren C., 2020, AM J PUBLIC HEALTH, pe1
[2]  
[Anonymous], 2012, MPLUS WEB NOTES
[3]  
[Anonymous], 2019, HIV SURV REP 2018
[4]  
Asparouhov Tihomir, 2014, MPLUS WEB NOTES, V21, P1, DOI DOI 10.1080/10705511.2014.915181
[5]   Enhancing Benefits or Increasing Harms: Community Responses for HIV Among Men Who Have Sex With Men, Transgender Women, Female Sex Workers, and People Who Inject Drugs [J].
Baral, Stefan ;
Holland, Claire E. ;
Shannon, Kate ;
Logie, Carmen ;
Semugoma, Paul ;
Sithole, Bhekie ;
Papworth, Erin ;
Drame, Fatou ;
Beyrer, Chris .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2014, 66 :S319-S328
[6]   High uptake of naloxone-based overdose prevention training among previously incarcerated syringe-exchange program participants [J].
Barocas, Joshua A. ;
Baker, Lisa ;
Hull, Shawnika J. ;
Stokes, Scott ;
Westergaard, Ryan P. .
DRUG AND ALCOHOL DEPENDENCE, 2015, 154 :283-286
[7]   Higher syringe coverage is associated with lower odds of HIV risk and does not increase unsafe syringe disposal among syringe exchange program clients [J].
Bluthenthal, Ricky N. ;
Anderson, Rachel ;
Flynn, Neil M. ;
Kral, Alex H. .
DRUG AND ALCOHOL DEPENDENCE, 2007, 89 (2-3) :214-222
[8]   Factors associated with readiness to change drug use among needle-exchange users [J].
Bluthenthal, RN ;
Gogineni, A ;
Longshore, D ;
Stein, M .
DRUG AND ALCOHOL DEPENDENCE, 2001, 62 (03) :225-230
[9]   An entropy criterion for assessing the number of clusters in a mixture model [J].
Celeux, G ;
Soromenho, G .
JOURNAL OF CLASSIFICATION, 1996, 13 (02) :195-212
[10]   HIV Diagnoses Among Persons Who Inject Drugs - Northeastern Massachusetts, 2015-2018 [J].
Cranston, Kevin ;
Alpren, Charles ;
John, Betsey ;
Dawson, Erica ;
Roosevelt, Kathleen ;
Burrage, Amanda ;
Bryant, Janice ;
Switzer, William M. ;
Breen, Courtney ;
Peters, Philip J. ;
Stiles, Tracy ;
Murray, Ashley ;
Fukuda, H. Dawn ;
Adih, William ;
Goldman, Linda ;
Panneer, Nivedha ;
Callis, Barry ;
Campbell, Ellsworth M. ;
Randall, Liisa ;
France, Anne Marie ;
Klevens, R. Monina ;
Lyss, Sheryl ;
Onofrey, Shauna ;
Agnew-Brune, Christine ;
Goulart, Michael ;
Jia, Hongwei ;
Turnpney, Matthew ;
McClung, Paul ;
Dasgupta, Sharoda ;
Bixler, Danae ;
Hampton, Kischa ;
Board, Amy ;
Jaeger, Jenifer Leaf ;
Buchacz, Kate ;
Demaria, Alfred, Jr. .
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2019, 68 (10) :253-254