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báo cáo khoa học: " Lessons learned from a peri-urban needle exchange Research"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lessons learned from a peri-urban needle exchange Research | Knittel et al. Harm Reduction Journal 2010 7 8 http www.harmreductionjournal.eom content 7 1 8 HARM REDUCTION JOURNAL RESEARCH Open Access Lessons learned from a peri-urban needle exchange Andrea K Knittel 1 Patricia A Wren2 and Lemont Gore3 Abstract Background Injection drug users continue to be at high risk of HIV and HCV. Research has shown that needle exchange programs NEP decrease injection frequency reduce syringe reuse and reduce needle sharing though some results have been mixed. Methods This evaluation of a small peri-urban legal NEP near Ypsilanti Michigan describes the operation of the NEP and its clients. It uses interviews conducted with NEP participants between 2003 and 2006 describing the population served by the program and draws on limited comparisons between matched baseline and follow-up measures as well as aggregate baseline and follow-up comparisons. Results The HIV AIDS Resource Center HARC Harm Reduction NEP serves a diverse population from a wide geographical area. NEP participants at follow-up reused their syringes significantly fewer times before getting new ones were significantly less likely to report giving another IDU a previously used syringe and were more likely to clean their skin with alcohol either before or after injecting than the baseline comparison group. Conclusions The limited data presented here suggest that a NEP can be an effective method of harm reduction even in low-volume non-urban settings and are an important venue for intervention in peri-urban areas. Background As of 2001 in the United States approximately one-third of AIDS cases and one-half of new hepatitis C cases were associated with injection drug use IDU 1 . In 2006 injection drug use was a risk factor in approximately 16 of new HIV cases. Although new infections among IDUs declined in the past decade IDUs remain a high risk population. IDUs and their sex partners represent approximately one-third of persons infected in the HIV epidemic and continue to be at