Year of Publication
Master of Public Health (M.P.H.)
Dr. April Young
Dr. Jennifer Havens
Dr. Rachel Vickers-Smith
Aim: To describe the prevalence of secondary syringe exchange (SSE) in a sample of syringe service program (SSP) clients in rural Appalachian Kentucky and to identify the correlates of SSE.
Methods: Participants (n=338) completed interviewer-administered questionnaires. Only those who reported having ever exchanged syringes at a SSP (n=140) were included in analysis. SSE was measured through self-report of obtaining syringes for someone else at a SSP in the past 6 months. Prevalence and correlates of SSE were examined using bivariate analysis and multiple logistic regression.
Results: Overall, 30% of participants reported SSE. Participants in the second [aOR= 3.83; 95% CI: 1.15-12.72] and third [aOR= 4.64; 95% CI: 1.33-16.26] tertiles of degree centrality had higher odds of SSE, controlling for gender, age, frequency of injection. Participants in the second [aOR= 2.99; 95% CI: 0.93-9.66] and third [aOR 3.92; 95% CI: 1.29-11.96] tertiles of betweenness also had higher odds of SSE, controlling for gender, age, frequency of injection.
Conclusions: Nearly one third of SSP clientele reported SSE. Network centrality was associated with SSE participation. Based on our findings, SSE should be promoted in SSPs, especially among highly connected PWID. Subsequently, the influence of harm reduction programs could be expanded.
Wilson, Jordan R., "Prevalence and Correlates of Secondary Syringe Exchange (SSE) Among People Who Inject Drugs (PWID) in Rural Kentucky" (2021). Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.). 298.
Available for download on Saturday, April 22, 2023
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