Syringe Coverage in an Australian Setting: Does a High Level of Syringe Coverage Moderate Syringe Sharing Behaviour?

Adult Male Acquired Immunodeficiency Syndrome Health Knowledge, Attitudes, Practice Insurance, Health Hepatitis C Insurance Coverage 3. Good health Needle-Exchange Programs 03 medical and health sciences Risk-Taking Prevalence Humans Female Needle Sharing New South Wales Substance Abuse, Intravenous 0305 other medical science
DOI: 10.1007/s10461-011-0010-3 Publication Date: 2011-08-02T11:44:36Z
ABSTRACT
We examined individual-level syringe coverage among 417 people who inject drugs who were recruited from pharmacies in New South Wales in 2009. There was a U-shaped distribution of syringe coverage with many people having very high (51%) or very low (23%) coverage. Overall, two-thirds of respondents (63%) reported adequate coverage (≥ 100%). Respondents who had not used a needle and syringe program in the previous month were more likely to report inadequate coverage (AOR 2.25, 95% CI 1.25-4.05) as were those who reported daily or more frequent injecting (AOR 3.69, 95% CI 2.00-6.81). Inadequate syringe coverage was not independently associated with receptive needle sharing. The level of syringe coverage was high among this sample, and met targets set out by UNAIDS and other organisations. We found that inadequate syringe coverage was not independently correlated with receptive needle sharing, possibly because coverage is sufficient to diminish the relationship between syringe availability and sharing behaviours.
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