Syringe Coverage Among People Who Inject Drugs in West Virginia, USA

被引：8

作者：

Allen, Sean T. ^{[1
]}

White, Rebecca Hamilton ^{[1
]}

O'Rourke, Allison ^{[2
]}

Schneider, Kristin E. ^{[3
]}

Weir, Brian W. ^{[1
]}

Lucas, Gregory M. ^{[4
]}

Kilkenny, Michael E. ^{[5
]}

Sherman, Susan G. ^{[1
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, 624 N Broadway, Baltimore, MD 21205 USA

[2] George Washington Univ, DC Ctr AIDS Res, Dept Psychol & Brain Sci, 2125 G St NW, Washington, DC 20052 USA

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, 624 N Broadway, Baltimore, MD 21205 USA

[4] Johns Hopkins Sch Med, Dept Med, 1830 E Monument St, Baltimore, MD 21205 USA

[5] Cabell Huntington Hlth Dept, 703 7th Ave, Huntington, WV 25701 USA

来源：

AIDS AND BEHAVIOR | 2021年 / 25卷 / 10期

基金：

美国国家卫生研究院;

关键词：

HIV; Syringe services program; Rural health; People who inject drugs; INDIVIDUAL-LEVEL NEEDLE; EXCHANGE PROGRAM; RISK BEHAVIORS; HEPATITIS-C; HIV RISK; SERVICES PROGRAM; UNITED-STATES; REDUCTION; ACCESS; USERS;

D O I：

10.1007/s10461-021-03247-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Ensuring people who inject drugs (PWID) have >= 100% sterile syringe coverage (i.e., persons have access to a sterile syringe for all injections) is optimal for HIV prevention. Existing syringe coverage literature is informative, yet little work has examined syringe coverage among PWID in rural communities. Using data from a 2018 PWID population estimation study conducted in a rural county in West Virginia, we used logistic regression to identify correlates of adequate sterile syringe coverage (at least 100%). A minority (37%) of PWID reported having adequate syringe coverage. Factors inversely associated with adequate syringe coverage included having recently (past 6 months): engaged in transactional sex work, shared syringes, and injected fentanyl. Having exclusively acquired syringes from a syringe services program was associated with increased odds of adequate syringe coverage. Rural PWID may benefit from tailored interventions designed to increase sterile syringe access.

引用

页码：3377 / 3385

页数：9

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