The Impact of Syringe Deregulation on Sources of Syringes for Injection Drug Users: Preliminary Findings
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In 2001, New York State enacted legislation to allow the provision of syringes by pharmacies and healthcare providers without prescription (ESAP, the Expanded Syringe Access Demonstration Program). A longitudinal study of IDUs (n=130) found that pre-ESAP, about half used only the safest source (needle exchange programs [NEPs]). Post-ESAP implementation, ESAP sources were initiated by 14%. Frequency of injection was related to ESAP use and those who used unsafe (or possibly unsafe) sources were as likely to use ESAP as those who had previously used only NEPs. The findings indicate that providing multiple sources of safe syringes for IDUs is necessary.
KEY WORDS:Injection drug use syringe access pharmacy
This research was supported by grants# R01DA014219 (D. Vlahov, PI) and R01DA010425 (S. Deren, PI) from the National Institute on Drug Abuse.
- Center for Urban Epidemiologic Studies, New York Academy of Medicine, Beth Israel Medical Center, and National Development and Research Institutes, Inc. (2003). New York State Expanded Syringe Access Demonstration Program Evaluation. New York: New York Academy of Medicine.Google Scholar
- Deren, S., Oliver-Velez, D., Finlinson, A., Robles, R. R., Andia, J., Colón, H. M., et al. (2003). Integrating qualitative and quantitative methods: comparing HIV-related risk behaviors among Puerto Rican drug users in Puerto Rico and New York. Substance Use and Misuse, 38, 1–24.PubMedCrossRefGoogle Scholar
- Normand, J., Vlahov, D., and Moses, L. E. (eds.). (1995). Preventing HIV transmission: the role of sterile needles and bleach. Washington, DC: National Academy of Medicine.Google Scholar
- Pouget, E. R., Deren, S., Fuller, C., Blaney, S., McMahon, J., Kang, S. Y., et al. (2005). Receptive syringe sharing among injection drug users in Harlem and the Bronx during the New York State Expanded Syringe Access Demonstration Program. Journal of Acquired Immune Deficiency Syndromes, 39, 471–477.PubMedCrossRefGoogle Scholar