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1996-03-09
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Document 0499
DOCN M9650499
TI The role of needle exchanges in modifying sharing behaviour: cross-study
comparisons 1989-1993.
DT 9605
AU Klee H; Morris J; Manchester Metropolitan University, Department of
Psychology, UK.
SO Addiction. 1995 Dec;90(12):1635-45. Unique Identifier : AIDSLINE
MED/96127657
AB In this paper the relationship between sharing behaviour and
needle-exchange attendance is examined. Data from three studies of drug
misuse carried out consecutively from 1989 to 1993 in the north-west of
England are compared. Samples differed in their drug preferences.
Analyses of sharing injecting equipment comparing exchange attenders and
non-attenders revealed different patterns in each of the studies. Among
opiate injectors no differences were observed in the proportions using
others' injecting equipment, but attenders not in treatment were more
likely to pass on their used equipment. This was attributed to uneven
patterns of availability in the early days of exchange provision.
Primary amphetamine users attending a needle exchange shared less than
non-attenders, although overall levels of sharing were higher. Frequency
of sharing was lowest in the third study of polydrug users but
proportions sharing were similar to the opiate users. There was no
effect of exchange attendance on sharing. Multiple logistic regressions
identified other important predictors in these studies, e.g. treatment
status, an injecting partner and injecting friends. Interpretations of
the relationship between exchanges and sharing should take account of
local availability of sterile equipment and the characteristics of
exchange clientele.
DE Adult Amphetamine Comparative Study England/EPIDEMIOLOGY Female
Heroin Dependence/EPIDEMIOLOGY/REHABILITATION Human HIV
Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL Knowledge, Attitudes,
Practice Male Needle Sharing/ADVERSE EFFECTS/*STATISTICS & NUMER DATA
Needle-Exchange Programs/*STATISTICS & NUMER DATA Program Evaluation
Risk Factors Substance Abuse, Intravenous/*EPIDEMIOLOGY/REHABILITATION
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).