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Titolo:
Multiple access to sterile syringes for injection drug users: Vending machines, needle exchange programs and legal pharmacy sales in Marseille, France
Autore:
Moatti, JP; Vlahov, D; Feroni, I; Perrin, V; Obadia, Y;
Indirizzi:
Inst J Paoli I Calmettes, INSERM, Res Unit 379, F-13009 Marseille, France Inst J Paoli I Calmettes Marseille France F-13009 3009 Marseille, France Univ Aix Marseille 2, Dept Econ, F-13284 Marseille 07, France Univ Aix Marseille 2 Marseille France 07 n, F-13284 Marseille 07, France Johns Hopkins Univ, Sch Hyg & Publ Hlth, Baltimore, MD USA Johns Hopkins Univ Baltimore MD USA h Hyg & Publ Hlth, Baltimore, MD USA New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA New York Acad Med New York NY USA an Epidemiol Studies, New York, NY USA Univ Nice, Dept Sociol, Nice, France Univ Nice Nice FranceUniv Nice, Dept Sociol, Nice, France PACA, ORS, Reg Ctr Dis Control SE France, Marseille, France PACA Marseille France Reg Ctr Dis Control SE France, Marseille, France
Titolo Testata:
EUROPEAN ADDICTION RESEARCH
fascicolo: 1, volume: 7, anno: 2001,
pagine: 40 - 45
SICI:
1022-6877(200103)7:1<40:MATSSF>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY; HIV-INFECTION; BUPRENORPHINE; PREVENTION; MONTREAL;
Keywords:
human immunodeficiency virus; substance abuse; intravenous; prevention; needle exchange programs; syringe vending machines;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Obadia, Y Observ Reg Sante, 23 Rue Stanislas Torrents, F-13006 Marseille, France Observ Reg Sante 23 Rue Stanislas Torrents Marseille France F-13006
Citazione:
J.P. Moatti et al., "Multiple access to sterile syringes for injection drug users: Vending machines, needle exchange programs and legal pharmacy sales in Marseille, France", EUR ADDIC R, 7(1), 2001, pp. 40-45

Abstract

Objective: In Marseille, southeastern France, HIV prevention programs for injection drug users (IDUs) simultaneously include access to sterile syringes through needle exchange programs (NEPs), legal pharmacy sales and, since1996, vending machines that mechanically exchange new syringes for used ones. The purpose of this study was to compare the characteristics of IDUs according to the site where they last obtained new syringes. Methods: During 3 days in September 1997, all IDUs who obtained syringes from 32 pharmacies, four NEPs and three vending machines were offered the opportunity to complete a self-administered questionnaire on demographics, drug use characteristics and program utilization. Results: Of 485 individuals approached, the number who completed the questionnaire was 141 in pharmacies, 114 in NEPs and 88 at vending machines (response rate = 70.7%). Compared to NEP users, vending machine users were younger and less likely to be enrolled in a methadone program or to report being HIV infected, but more likely to misuse buprenorphine. They also had lower financial resources and were less likely tobe heroin injectors than both pharmacy and NEP users, Conclusions: Our results suggest that vending machines attract a very different group of IDUs than NEPs, and that both programs are useful adjuncts to legal pharmacy sales for covering the needs of IDUs for sterile syringes in a single city. Assessment of the effectiveness and cost-effectiveness of combining such programs for the prevention of HIV and other infectious diseases among IDUs requires further comparative research. Copyright (C) 2001 S. Karger AG, Basel.

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Documento generato il 18/01/20 alle ore 07:51:00