Occupational Safety in the Age of the Opioid Crisis: Needle Stick Injury among Baltimore Police

Abstract

At a time of resurgence in injection drug use and injection-attributable infections, needle stick injury (NSI) risk and its correlates among police remain understudied. In the context of occupational safety training, a convenience sample of 771 Baltimore city police officers responded to a self-administered survey. Domains included NSI experience, protective behaviors, and attitudes towards syringe exchange programs. Sixty officers (8%) reported lifetime NSI. Officers identifying as Latino or other race were almost three times more likely (aOR 2.58, 95% CI 1.12–5.96) to have experienced NSI compared to whites, after adjusting for potential confounders. Findings highlight disparate burdens of NSIs among officers of color, elevating risk of hepatitis, HIV, and trauma. Training, equipment, and other measures to improve occupational safety are critical to attracting and safeguarding police, especially minority officers.

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References

  1. 1.

    Lorentz J, Hill L, Samimi B. Occupational needlestick injuries in a metropolitan police force. Am J Prev Med. 2000; 18(2): 146–50.

    CAS  Article  PubMed  Google Scholar 

  2. 2.

    Dunleavy K, Taylor A, Gow J, Cullen B, Roy K. Police officer anxiety after occupational blood and body fluid exposure. Occup Med (Lond). 2012; 62(5): 382–4.

    CAS  Article  Google Scholar 

  3. 3.

    Beletsky L, Macalino GE, Burris S. Attitudes of police officers towards syringe access, occupational needle-sticks, and drug use: a qualitative study of one city police department in the United States. Int J Drug Policy. 2005; 16(4): 267–74.

    Article  Google Scholar 

  4. 4.

    Beletsky L, Agrawal A, Moreau B, Kumar P, Weiss-Laxer N, Heimer R. Police training to align law enforcement and HIV prevention: preliminary evidence from the field. Am J Public Health. 2011; 101(11): 2012–5.

    Article  PubMed  PubMed Central  Google Scholar 

  5. 5.

    Davis CS, Johnston J, de Saxe Zerden L, Clark K, Castillo T, Childs R. Attitudes of North Carolina law enforcement officers toward syringe decriminalization. Drug Alcohol Depend. 2014; 144: 265–9.

    Article  PubMed  PubMed Central  Google Scholar 

  6. 6.

    Bureau of Labor Statistics. Nonfatal Occupational Injuries and Illnesses Requiring Days away from Work, 2014. Washington, DC: U.S. Department of Labor; 2015.

  7. 7.

    Davis CS, Beletsky L. Bundling occupational safety with harm reduction information as a feasible method for improving police receptiveness to syringe access programs: evidence from three U.S. cities. Harm Reduction J. 2009; 6: 16.

    Article  Google Scholar 

  8. 8.

    Gershon RR, Lin S, Li X. Work stress in aging police officers. J Occup Environ Med. 2002; 44(2): 160–7.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors gratefully acknowledge the contribution of the following: Baltimore City Health Department Needle Exchange Program (NEP) staff and volunteers; Baltimore City Department of Health Risk Reduction Services; Baltimore Police Department, and all participants in the study.

Authors’ Contributions

J.A.C and L.B led the conceptualization of the analysis and drafting of the manuscript. A.S, M.S, N.R, and J.H implemented the research and processed the data. J.A.C conducted all statistical analyses with input from L.B and S.S. All authors contributed to the writing of the article and approved the final version. J.A.C is accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Funding

Funding was provided by the Open Society Foundations Criminal Justice Fund and the Campaign for the New Drug Policy. J. A. Cepeda is supported by the National Institute on Drug Abuse (T32DA023356, PI: Strathdee) and Fogarty International Center (R25TW009343, PI: Cohen, Strathdee). L. Beletsky is also supported in part by National Institute of Drug Abuse awards number R01DA039073 (MPIs: Beletsky, Strathdee) and R37DA019829 (PI: Strathdee).

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Correspondence to Javier A. Cepeda.

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Participants self-administered a 13-item pre-training survey under ethical approval from Johns Hopkins University.

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Cepeda, J.A., Beletsky, L., Sawyer, A. et al. Occupational Safety in the Age of the Opioid Crisis: Needle Stick Injury among Baltimore Police. J Urban Health 94, 100–103 (2017). https://doi.org/10.1007/s11524-016-0115-0

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Keywords

  • Needle stick injury
  • Police
  • People who inject drugs