Year of Publication



Public Health

Date Available


Degree Name

Master of Public Health (M.P.H.)

Committee Chair

Dr. April M. Young

Committee Member

Dr. Rachel A. Vickers-Smith

Committee Member

Dr. Jennifer R. Havens


Aim: To explore acceptability of delivery-based syringe services program (SSP) among people who inject drug (PWID) in Eastern Kentucky and compare those who wanted to participate in delivery-based SSP to those who did not.

Methods: This was a cross-sectional analysis of data from PWID who injected drugs to get high in the past 30 days (n=246) collected during the baseline assessment administered to the Gateway2Health cohort. Chi-square tests, t-tests, univariate and multivariable logistic regressions were calculated between independent variables and the outcome variable (likelihood of participating in a delivery-based SSP).

Results: 52.9% of PWID reported being likely to participate in a deliver-based SSP. Having education of high school and above (AOR=2.05, [1.10, 3.88]), living with partner (AOR=2.33, [1.27, 4.35]), being age 30-39 years (AOR=2.08 [1.06, 4.12]) and over 50 years (AOR=4.91, [1.38, 19.64]) compared to under 30, distributive syringe sharing (AOR=2.92, [1.54, 5.68]) and injecting drugs more than daily (AOR=2.25, [1.02, 5.10]) were significantly associated with likelihood of using a delivery-based SSP.

Conclusion: PWID have substantial interest in this program. However, it should be complemented with other programs to be able to reach young PWID and those who inject less frequently.

Available for download on Wednesday, April 22, 2026

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