Harm Reduction Journal | |
Return Rates for Needle Exchange Programs: A Common Criticism Answered | |
Kate Ksobiech1  | |
[1] Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 2071 N. Summit Avenue, Milwaukee, WI 53202, United States | |
关键词: public policy; return rates; Needle exchange programs; | |
Others : 1149823 DOI : 10.1186/1477-7517-1-2 |
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received in 2004-02-08, accepted in 2004-04-19, 发布年份 2004 | |
【 摘 要 】
This study searched the available needle exchange program (NEP) literature for return rate data. A total of 26 articles were found. The overall worldwide return rate was 90%, although this ranged from a low of 15% to a high of 112%. U.S. NEP return rates were gathered from only eight studies, indicating a clear need for more data, although U.S. return rates were comparable to those from NEPs outside of the U.S.
One underlying assumption made by opponents of NEPs is that IDUs will not return needles to the distribution site, thereby potentially increasing the risk of health problems to the surrounding community from exposure to contaminated needles. This study's results suggest that NEPs are relatively successful in taking in used needles, although it is generally unclear where the needles were originally acquired, and if IDUs return their own needles, or are returning needles for a social network. Ways for AIDS Service Organizations to capitalize on these brief encounters with IDUs, as well as public policy implications of the findings, are discussed.
【 授权许可】
2004 Ksobiech; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
【 预 览 】
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【 参考文献 】
- [1]Centers for Disease Control and Prevention: [http://www.cdc.gov/hiv/stats/hasr1302.htm] webciteHIV/AIDS Surveillance Report Department of Health and Human Services, Atlanta, GA. 2002., 13(1)
- [2]Macalino GE, Springer KW, Rahman ZS, Vlahov D, Jones TS: Community-based programs for safe disposal of used needles and syringes. Journal of Acquired Immune Deficiency Syndromes 1998, 18(Suppl 1):S111-S119.
- [3]Holtgrave DR, Pinkerton SD, Jones S, Lurie P, Vlahov D: Cost and cost-effectiveness of increasing access to sterile syringes and needles as an HIV prevention intervention in the United States. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology 1998, 18(Suppl 1):S133-S138.
- [4]Lurie P, Drucker E: An opportunity lost: HIV infections associated with lack of a national needle-exchange programme in the USA. The Lancet 1997, 349:604-608.
- [5]Doherty MC, Garfein RS, Vlahov D, Junge B, Rathouz PJ, Galai N, Anthony JC, Bellenson P: Discarded needles do not increase soon after the opening of a needle exchange program. American Journal of Epidemiology 1997, 145:740-747. Included in return rate analysis
- [6]Doherty MC, Junge B, Rathouz P, Garfein RS, Riley E, Vlahov D: The effect of a needle exchange program on numbers of discarded needles: A 2-year follow-up. American Journal of Public Health 2000, 90:936-939.
- [7]Des Jarlais DC: Harm reduction: A framework for incorporating science into drug policy. [http://ndsn.org/FEB95/GUEST.html] webciteNational Drug Strategy Network 1995.
- [8]Ksobiech K: The societal impact of needle exchange programs: A meta-analysis. Unpublished doctoral dissertation, University of Wisconsin-Milwaukee 2001.
- [9]Archibald CP, Ofner M, Strathdee SA, Patrick DM, Sutherland D, Rekart MT, O'Shaughnessy MV: Factors associated with frequent needle exchange program attendance in injection drug users in Vancouver, Canada. Journal of AIDS and Human Retrovirology 1998, 17:160-164.
- [10]Bruneau J, Lamothe F, Franco E, Lachance N, Desy M, Soto J, Vincelette J: High rates of HIV infection among injection drug users participating in needle exchange programs in Montreal: Results of a cohort study. American Journal of Epidemiology 1997, 146:994-1002.
- [11]Guydish J, Clark G: Evaluation of needle exchange using street-based survey methods. Journal of Drug Issues 1995, 25:33-41.
- [12]Schechter MT, Strathdee SA, Cornelisse PG, Currie S, Patrick DM, Rekart ML, O'Shaughnessy MV: Do needle exchange programmes increase the spread of HIV among injection drug users?An investigation of the Vancouver outbreak. AIDS 1999, 13:F45-51.
- [13]Ksobiech K: A meta-analysis of needle sharing, lending, and borrowing behaviors of needle exchange program attenders. AIDS Education and Prevention 2003, 15:257-268.
- [14]Kaplan EH, Heimer R: HIV prevalence among intravenous drug users: Model-based estimates from New Haven's legal needle exchange. Journal of Acquired Immune Deficiency Syndromes 1992, 5:163-169.
- [15]Kaplan E, Heimer R: HIV incidence among needle exchange participants: Estimates from syringe tracking and testing data. Journal of Acquired Immune Deficiency Syndromes 1994, 7:182-189.
- [16]Kaplan EH, Heimer R: A circulation theory of needle exchange. AIDS 1994, 8:567-574.
- [17]Abdala N, Stephens PC, Griffith BP, Heimer R: Survival of HIV-1 in syringes. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology 1999, 20:73-80.
- [18]Kaplan EH: Evaluating needle-exchange programs via syringe tracking and testing (STT). AIDS & Public Policy Journal 1991, 6:109-115.
- [19]Kaplan E: A method for evaluating needle exchange programs. Statistics in Medicine 1994, 13:2179-2187.
- [20]Kaplan EH: Economic analysis of needle exchange. AIDS 1995, 9:1113-1119.
- [21]Kaplan EH: Probability models of needle exchange. Operations Research 1996, 43:558-569.
- [22]Kaplan EH, Brookmeyer R: Snapshot estimators of recent HIV incidence rates. Operations Research 1999, 47:29-37.
- [23]Kaplan EH, Heimer R: A model-based estimate of HIV infectivity via needle sharing. Journal of Acquired Immune Deficiency Syndromes 1992, 5(11):1116-1118.
- [24]Guydish J, Clark G, Garcia D, Downing M, Case P, Sorensen J: Evaluating needle exchange: Do distributed needles come back? American Journal of Public Health 1991, 81:617-619. Included in return rate analysis
- [25]Robles RR, Colon HM, Matos TD, Finlinson HA, Munoz A, Marrero CA, Garcia M, Reyes JC: Syringe and needle exchange as HIV/AIDS prevention for injection drug users in Puerto Rico. Health Policy 1998, 45:209-220. Included in return rate analysis
- [26]Guydish J, Bucardo J, Clark G, Bernheim S: Evaluating needle exchange: A description on client characteristics, health status, program utilization, and HIV risk behavior. Substance Use and Misuse 1998, 33:1173-1196.
- [27]Vlahov D, Caitlin R, Solomon L, Cohn S: A pilot syringe exchange program in Washington, DC. American Journal of Public Health 1994, 84:303-304. Included in return rate analysis
- [28]Alcabes P, Beniowski M, Grund JC: Needle and syringe exchange in Poland and the former Soviet Union: A new approach to community-impact studies. Journal of Drug Issues 1999, 29:861-879. Included in return rate analysis
- [29]Kaplan EH, Khoshnood K, Heimer R: A decline in HIV-infected needles returned to New Haven's needle exchange program: Client shift or needle exchange? American Journal of Public Health 1994, 84:1991-1994. Included in return rate analysis
- [30]Nigro L, Casciaro A, Matalone M, Aoisio P, Bruno S: Feasibility in needle exchange programme: An evaluation of a pilot programme in Catania, Sicily. International Journal of Drug Policy 2000, 11:299-303. Included in return rate analysis
- [31]Gruer L, Cameron J, Elliott L: Building a city wide service for exchanging needles and syringes. British Medical Journal 1993, 306:1394-1397. Included in return rate analysis
- [32]Wolk J, Wodak A, Morlet A, Guinan JJ, Wilson E, Gold J, Cooper DA: Syringe HIV seroprevalence and behavioural and demographic characteristics of intravenous drug users in Sydney, Australia, 1987. AIDS 1988, 2:373-377. Included in return rate analysis
- [33]Oliver KJ: Behavioral and community impacts of the Portland needle exchange program. Unpublished doctoral dissertation from Portland State University. 1995. Included in return rate analysis
- [34]Sergeyev G, Oparina T, Rumyantseva TP, Volkanevskii VL, Broadhead RS, Heckathorn DD, Madray H: HIV prevention in Yarslavl, Russia: A peer-driven intervention and needle exchange. Journal of Drug Issues 1999, 29:777-803. Included in return rate analysis
- [35]Grob PJ: The needle park in Zurich: The story and the lessons to belearned. European Journal on Criminal Policy and Research 1993, 1–2:48-60. Included in return rate analysis
- [36]Heimer R, Kaplan E, O'Keefe E, Khoshnood K, Altice F: Three years of needle exchange in New Haven: What have we learned? AIDS & Public Policy Journal 1994, 9:59-74. Included in return rate analysis
- [37]Des Jarlais DC, McKnight C, Eigo K, Friedmann P: United States Syringe Exchange Program Survey 2002, AmFAR (American Foundation for AIDS Research) and NASEN (North American Syringe Exchange Network). [http://www.opiateaddictionrx.info/survey2000/index.html] webcite 2000.
- [38]Kelly JA, St Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, Kalichman SC, Smith JE, Andrew ME: HIV risk behavior reduction following intervention with key opinion leaders of a population: An experimental community level analysis. American Journal of Public Health 1991, 81:168-171.
- [39]Kelly JA, St Lawrence JS, Stevenson LY, Hauth AC, Kalichman SC, Diaz YE, Brasfield TL, Koob JJ, Morgan MG: Community AIDS/HIV risk reduction: The effects of endorsements by popular people in three cities. American Journal of Public Health 1992, 82:1483-1489.
- [40]Bardsley J, Turvey J, Blatherwick J: Vancouver's needle exchange program. Canadian Journal of Public Health 1990, 81:39-45. Included in return rate analysis
- [41]Donoghoe MC: Syringe exchange: Has it worked? Druglink 1991, 6:8-11. Included in return rate analysis
- [42]Grund JC, Blanken P, Adraans NFP, Kaplan CD, Barendregt C, Meeuwsen M: Reaching the unreached: Targeting hidden IDU populations with clean needles via known user groups. Journal of Psychoactive Drugs 1992, 24:41-47. Included in return rate analysis
- [43]Hart G, Carvell A, Woodward N, Johnson A, Williams P, Parry J: Evaluation of needle exchange in central London: Behaviour change and anti-HIV status over one year. AIDS 1989, 3:261-265. Included in return rate analysis
- [44]Hay G, McKeganey N: The attendance pattern of clients at a Scottishneedle exchange. Addiction 2001, 96:259-266. Included in return rate analysis
- [45]Honti J, Ban P: The first outreach needle exchange program in Hungary. International Journal of Drug Policy 1998, 9:97-100. Included in return rate analysis
- [46]Jacob J, Stover H: The transfer of harm-reduction strategies into prisons: Needle exchange programmes in two German prisons. International Journal of Drug Policy 2000, 11:325-35. Included in return rate analysis
- [47]Keene JM, Stimson GV: Professional ideologies and the development of syringe exchange: Wales as a case study. Medical Anthropology 1997, 18:85-105. Included in return rate analysis
- [48]Ljungberg B, Christenson B, Tunving K, Andersson B, Landvall B, Lundberg M, Zall-Friberg A: HIV prevention among injecting drug users: Three years of experience from a syringe exchange program in Sweden. Journal of Acquired Immune Deficiency Syndromes 1991, 4:890-895. Included in return rate analysis
- [49]O'Keefe E, Kaplan E, Khoshnood K: Preliminary report July 31, 1991, City of New Haven Needle Exchange Program, New Haven Health Department, New Haven, Conn. Included in return rate analysis
- [50]Paone D, Des Jarlais DC, Caloir S, Clark J, Jose B: Operational issues in syringe exchanges: The New York City tagging alternative study. Journal of Community Health 1995, 20:111-123. Included in return rate analysis
- [51]Quan VM, Chung A, Abdul-Quader AS: The feasibility of a syringe-needle-exchange program in Vietnam. Substance Use and Misuse 1998, 33:1055-67. Included in return rate analysis
- [52]Stimson GV, Alldritt L, Dolan K, Donoghoe M: Syringe exchange schemes for drug users in England and Scotland. British Medical Journal 1988, 296:1717-1719. Included in return rate analysis