Safe Syringe Disposal is Related to Safe Syringe Access among HIV-positive Injection Drug Users
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We evaluated the effect of syringe acquisition on syringe disposal among HIV-positive injection drug users (IDUs) in Baltimore, New York City, and San Francisco (N = 680; mean age 42 years, 62% male, 59% African-American, 21% Hispanic, 12% White). Independent predictors of safe disposal were acquiring syringes through a safe source and ever visiting a syringe exchange program. Weaker predictors included living in San Francisco, living in the area longer, less frequent binge drinking, injecting with an HIV+ partner, peer norms supporting safe injection, and self-empowerment. Independent predictors of safe “handling”—both acquiring and disposing of syringes safely—also included being from New York and being older. HIV-positive IDUs who obtain syringes from a safe source are more likely to safely dispose; peer norms contribute to both acquisition and disposal. Interventions to improve disposal should include expanding sites of safe syringe acquisition while enhancing disposal messages, alternatives, and convenience.
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- Safe Syringe Disposal is Related to Safe Syringe Access among HIV-positive Injection Drug Users
AIDS and Behavior
Volume 11, Issue 5 , pp 652-662
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Injection drug user
- Hepatitis C
- Syringe exchange
- Syringe disposal
- Author Affiliations
- 1. Center for Urban Epidemiologic Studies, New York Academy of Medicine, 1216 Fifth Ave, New York, NY, 10029, USA
- 2. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
- 3. National Center for HIV, STD, TB Prevention, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
- 4. Department of Epidemiology and Public Health, Comprehensive Drug Research Center, University of Miami School of Medicine, Miami, FL, USA
- 5. Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA
- 6. Division of General Internal Medicine, Department of Medicine, New York University School of Medicine, New York, NY, USA