Is point of access to needles and syringes related to needle sharing? Comparing data collected from pharmacies and needle and syringe programs in south-east Sydney
Is point of access to needles and syringes related to needle sharing? Comparing data collected from pharmacies and needle and syringe programs in south-east Sydney
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DOI：
10.1111/j.1465-3362.2009.00154.x
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发表时间：
2010-07-01
影响因子：
3.8
通讯作者：
Maher, Lisa
中科院分区：
文献类型：
--
作者：
Bryant, Joanne;Topp, Libby;Maher, Lisa
介绍和目标。新南威尔士州的针头和注射器综合分配系统部分是基于这样一个前提，即获得注射设备的不同地点可能吸引不同的注射毒品使用者群体。本文探讨了在悉尼东南部使用药店和针头和注射器计划（NSP）的注射吸毒者之间的设备购置和血源性病毒传播的风险模式。设计和方法。2006年，从四个国家卫生计划（n = 147）和八个药房（n = 227）获得注射设备的客户自愿填写了一份自填问卷。受访者根据他们的针头和注射器的获取模式分为三类：专门使用NSP，专门使用药店和两者兼而有之。结果虽然受访者报告同时使用药店和国家卫生计划获得针头和注射器的情况很普遍（57%），但也有一部分人报告只使用药店（17%）和国家卫生计划（14%）。独家药房用户更有可能从未接受过药物使用治疗，并且最近进行丙型肝炎检测的可能性最小。与专门使用NSP的受访者相比，专门使用药店的受访者更有可能报告接受共享注射设备（调整后的比值比5.9，95%置信区间2.02-17.14），以及使用两种来源的受访者（调整后的比值比5.8，95%置信区间2.35-14.40）。讨论和结论。药房客户之间普遍接受共用设备，这表明需要改善获得针头和注射器及辅助设备的机会，可能的办法是在现有的预先包装的药房产品中免费提供辅助设备。[Bryant J，Topp L，霍普伍德M，Iversen J，Treloar C，Maher L.获得针头和注射器的地点是否与共用针头有关？比较悉尼东南部药房和针头和注射器项目收集的数据。Drug Alcohol Rev 2010]。
Introduction and Aims. The comprehensive needle and syringe distribution system in New South Wales is partly based on the premise that different points of access to injecting equipment may attract different groups of injecting drug users. This paper examines patterns of equipment acquisition and risk for blood-borne virus transmission among injecting drug users who use pharmacies and needle and syringe programs (NSP) in south-east Sydney. Design and Methods. Clients obtaining injecting equipment from four NSP (n = 147) and eight pharmacies (n = 227) in 2006 voluntarily completed a self-administered questionnaire. Respondents were grouped into three categories based on their needle and syringe acquisition patterns: exclusive use of NSP, exclusive use of pharmacies and use of both. Results. Although it was common for respondents to report using both pharmacies and NSP to obtain needles and syringes (57%), a proportion reported exclusive use of pharmacies (17%) and NSP (14%). Exclusive pharmacy users were more likely to have never received treatment for their drug use and the least likely to have had a recent test for hepatitis C. Compared with respondents who exclusively used NSP, respondents who exclusively used pharmacies were more likely to report receptive sharing of injecting equipment (adjusted odds ratio 5.9, 95% confidence interval 2.02-17.14), as were respondents who reported using both sources (adjusted odds ratio 5.8, 95% confidence interval 2.35-14.40). Discussion and Conclusions. The high prevalence of receptive equipment sharing among pharmacy clients indicates a need to improve access to needles and syringes and ancillary equipment, possibly by including ancillary equipment at no cost in existing pre-packaged pharmacy products. [Bryant J, Topp L, Hopwood M, Iversen J, Treloar C, Maher L. Is point of access to needles and syringes related to needle sharing? Comparing data collected from pharmacies and needle and syringe programs in south-east Sydney. Drug Alcohol Rev 2010].