Syringe Coverage Among People Who Inject Drugs in West Virginia, USA

Sean T. Allen, Rebecca Hamilton White, Allison O’Rourke, Kristin E. Schneider, Brian W. Weir, Gregory M. Lucas, Michael E. Kilkenny, Susan G. Sherman

Research output: Contribution to journalArticlepeer-review


Ensuring people who inject drugs (PWID) have ≥ 100% sterile syringe coverage (i.e., persons have access to a sterile syringe for all injections) is optimal for HIV prevention. Existing syringe coverage literature is informative, yet little work has examined syringe coverage among PWID in rural communities. Using data from a 2018 PWID population estimation study conducted in a rural county in West Virginia, we used logistic regression to identify correlates of adequate sterile syringe coverage (at least 100%). A minority (37%) of PWID reported having adequate syringe coverage. Factors inversely associated with adequate syringe coverage included having recently (past 6 months): engaged in transactional sex work, shared syringes, and injected fentanyl. Having exclusively acquired syringes from a syringe services program was associated with increased odds of adequate syringe coverage. Rural PWID may benefit from tailored interventions designed to increase sterile syringe access.

Original languageEnglish (US)
JournalAIDS and behavior
StateAccepted/In press - 2021
Externally publishedYes


  • HIV
  • People who inject drugs
  • Rural health
  • Syringe services program

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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