Obstacles to needle exchange participation in Rhode Island

Josiah D. Rich, Larkin Strong, Christopher W. Towe, Michelle McKenzie

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Objective: This study explores obstacles to participation in needle exchange programs (NEPs) among injection drug users (IDUs) in the state of Rhode Island, U.S.A. Methods: A written questionnaire was administered at two Rhode Island drug detoxification sites in 1998. Results: 488 self- administered surveys were completed, 226 (46.3%) respondents had injected drugs in the past 6 months. 62.1% reported sharing syringes in the past 6 months, and each syringe was used a mean of 10.7 times. Major obstacles to NEP participation were a lack of awareness of the program (25.6%), inconvenient location or hours (15.9%), and fear of identification and/or police harassment (12.2%). Nonwhite race was a significant predictor of being unaware of the NEP (p = .01) and not participating in the NEP (p = .03). 13.1% of IDUs who used the NEP were referred to the detoxification program by the NEP. Among all IDUs surveyed, 51.0% had participated in a NEP. Conclusions: NEPs are important in reducing the spread of bloodborne pathogens among IDUs and are effective referral sources for drug treatment. Surveys of IDUs at sites other than NEPs, such as detoxification facilities, can identify obstacles to the use of NEPs.

Original languageEnglish (US)
Pages (from-to)396-400
Number of pages5
JournalJournal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Volume21
Issue number5
DOIs
StatePublished - Aug 15 1999

Fingerprint

Needle-Exchange Programs
Needles
Drug Users
Injections
Blood-Borne Pathogens
Needle Sharing
Pharmaceutical Preparations
Syringes
Police
Fear
Referral and Consultation

Keywords

  • Adult
  • Consultation
  • HIV infection prevention and control
  • HIV transmission
  • Intravenous substance abuse
  • Needle exchange programs
  • Needle sharing
  • Questionnaires
  • Referrals
  • Syringes

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Virology

Cite this

Obstacles to needle exchange participation in Rhode Island. / Rich, Josiah D.; Strong, Larkin; Towe, Christopher W.; McKenzie, Michelle.

In: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, Vol. 21, No. 5, 15.08.1999, p. 396-400.

Research output: Contribution to journalArticle

Rich, Josiah D. ; Strong, Larkin ; Towe, Christopher W. ; McKenzie, Michelle. / Obstacles to needle exchange participation in Rhode Island. In: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1999 ; Vol. 21, No. 5. pp. 396-400.
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