Syringe Sharing and HIV Incidence Among Injection Drug Users and Increased Access to Sterile Syringes

UBC Community, Partners, and Alumni Publications

Syringe Sharing and HIV Incidence Among Injection Drug Users and Increased Access to Sterile Syringes Kerr, Thomas H.; Small, Will; Buchner, Chris; Zhang, Ruth; Li, Kathy; Montaner, Julio; Wood, Evan

Description

Objectives—We assessed the effects of syringe exchange program (SEP) policy on rates of HIV risk behavior and HIV incidence among injection drug users. Methods—Using a multivariate generalized estimating equation and Cox regression methods, we examined syringe borrowing, syringe lending, and HIV incidence among a prospective cohort of 1228 injection drug users in Vancouver, British Columbia. Results—We observed substantial declines in rates of syringe borrowing (from 20.1% in 1998 to 9.2% in 2003) and syringe lending (from 19.1% in 1998 to 6.8% in 2003) following SEP policy change. These declines coincided with a statistically significant increase in the proportion of participants accessing sterile syringes from nontraditional SEP sources (P

Item Metadata

Title	Syringe Sharing and HIV Incidence Among Injection Drug Users and Increased Access to Sterile Syringes
Creator	Kerr, Thomas H.; Small, Will; Buchner, Chris; Zhang, Ruth; Li, Kathy; Montaner, Julio; Wood, Evan
Contributor	British Columbia Centre for Excellence in HIV/AIDS
Date Issued	2010-08
Description	Objectives—We assessed the effects of syringe exchange program (SEP) policy on rates of HIV risk behavior and HIV incidence among injection drug users. Methods—Using a multivariate generalized estimating equation and Cox regression methods, we examined syringe borrowing, syringe lending, and HIV incidence among a prospective cohort of 1228 injection drug users in Vancouver, British Columbia. Results—We observed substantial declines in rates of syringe borrowing (from 20.1% in 1998 to 9.2% in 2003) and syringe lending (from 19.1% in 1998 to 6.8% in 2003) following SEP policy change. These declines coincided with a statistically significant increase in the proportion of participants accessing sterile syringes from nontraditional SEP sources (P
Geographic Location	Downtown-Eastside (Vancouver, B.C.)
Genre	Other
Type	Text
Language	eng
Date Available	2018-04-18
Provider	Vancouver : University of British Columbia Library
Rights	Attribution-NonCommercial-NoDerivatives 4.0 International
DOI	10.14288/1.0365798
URI	http://hdl.handle.net/2429/65496
Affiliation	Medicine, Faculty of; Other UBC; Non UBC; Medicine, Department of
Citation	Kerr, T., Small, W., Buchner, C., Zhang, R., Li, K., Montaner, J., & Wood, E. (2010). Syringe sharing and HIV incidence among injection drug users and increased access to sterile syringes. American Journal of Public Health, 100(8), 1449-1453. doi:10.2105/AJPH.2009.178467
Publisher DOI	10.2105/AJPH.2009.178467
Peer Review Status	Reviewed
Scholarly Level	Faculty; Researcher
Rights URI	http://creativecommons.org/licenses/by-nc-nd/4.0/
Aggregated Source Repository	DSpace

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