Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users

Phillip O. Coffin, Mary H. Latka, Carl A Latkin, Yingfeng Wu, David W. Purcell, Lisa Metsch, Cynthia Gomez, Marc N. Gourevitch, Amy Ruth Knowlton, Karin E Tobin, Eduardo Valverde, James Wilkinson, Martina DeVarona, Mary Latka, Dave Vlahov, Phillip Coffin, Marc Gourevitch, Julia Arnsten, Robert Gern, Kelly Knight & 10 others Carol Dawson Rose, Starley Shade, Sonja Mackenzie, David Purcell, Yuko Mizuno, Scott Santibanez, Richard Garfein, Lois Eldred, Lois Eldred, Kathleen Handley

Research output: Contribution to journalArticle

Abstract

We evaluated the effect of syringe acquisition on syringe disposal among HIV-positive injection drug users (IDUs) in Baltimore, New York City, and San Francisco (N = 680; mean age 42 years, 62% male, 59% African-American, 21% Hispanic, 12% White). Independent predictors of safe disposal were acquiring syringes through a safe source and ever visiting a syringe exchange program. Weaker predictors included living in San Francisco, living in the area longer, less frequent binge drinking, injecting with an HIV+ partner, peer norms supporting safe injection, and self-empowerment. Independent predictors of safe "handling"-both acquiring and disposing of syringes safely-also included being from New York and being older. HIV-positive IDUs who obtain syringes from a safe source are more likely to safely dispose; peer norms contribute to both acquisition and disposal. Interventions to improve disposal should include expanding sites of safe syringe acquisition while enhancing disposal messages, alternatives, and convenience.

Original languageEnglish (US)
Pages (from-to)652-662
Number of pages11
JournalAIDS and Behavior
Volume11
Issue number5
DOIs
StatePublished - Sep 2007

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Syringes
Drug Users
HIV
Injections
San Francisco
Needle-Exchange Programs
Binge Drinking
Baltimore
Hispanic Americans
African Americans

Keywords

  • Hepatitis C
  • HIV
  • Injection drug user
  • Syringe disposal
  • Syringe exchange

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users. / Coffin, Phillip O.; Latka, Mary H.; Latkin, Carl A; Wu, Yingfeng; Purcell, David W.; Metsch, Lisa; Gomez, Cynthia; Gourevitch, Marc N.; Knowlton, Amy Ruth; Tobin, Karin E; Valverde, Eduardo; Wilkinson, James; DeVarona, Martina; Latka, Mary; Vlahov, Dave; Coffin, Phillip; Gourevitch, Marc; Arnsten, Julia; Gern, Robert; Knight, Kelly; Rose, Carol Dawson; Shade, Starley; Mackenzie, Sonja; Purcell, David; Mizuno, Yuko; Santibanez, Scott; Garfein, Richard; Eldred, Lois; Eldred, Lois; Handley, Kathleen.

In: AIDS and Behavior, Vol. 11, No. 5, 09.2007, p. 652-662.

Research output: Contribution to journalArticle

Coffin, PO, Latka, MH, Latkin, CA, Wu, Y, Purcell, DW, Metsch, L, Gomez, C, Gourevitch, MN, Knowlton, AR, Tobin, KE, Valverde, E, Wilkinson, J, DeVarona, M, Latka, M, Vlahov, D, Coffin, P, Gourevitch, M, Arnsten, J, Gern, R, Knight, K, Rose, CD, Shade, S, Mackenzie, S, Purcell, D, Mizuno, Y, Santibanez, S, Garfein, R, Eldred, L, Eldred, L & Handley, K 2007, 'Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users', AIDS and Behavior, vol. 11, no. 5, pp. 652-662. https://doi.org/10.1007/s10461-006-9171-x
Coffin, Phillip O. ; Latka, Mary H. ; Latkin, Carl A ; Wu, Yingfeng ; Purcell, David W. ; Metsch, Lisa ; Gomez, Cynthia ; Gourevitch, Marc N. ; Knowlton, Amy Ruth ; Tobin, Karin E ; Valverde, Eduardo ; Wilkinson, James ; DeVarona, Martina ; Latka, Mary ; Vlahov, Dave ; Coffin, Phillip ; Gourevitch, Marc ; Arnsten, Julia ; Gern, Robert ; Knight, Kelly ; Rose, Carol Dawson ; Shade, Starley ; Mackenzie, Sonja ; Purcell, David ; Mizuno, Yuko ; Santibanez, Scott ; Garfein, Richard ; Eldred, Lois ; Eldred, Lois ; Handley, Kathleen. / Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users. In: AIDS and Behavior. 2007 ; Vol. 11, No. 5. pp. 652-662.
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