Document 0499
 DOCN  M9650499
 TI    The role of needle exchanges in modifying sharing behaviour: cross-study
       comparisons 1989-1993.
 DT    9605
 AU    Klee H; Morris J; Manchester Metropolitan University, Department of
       Psychology, UK.
 SO    Addiction. 1995 Dec;90(12):1635-45. Unique Identifier : AIDSLINE
       MED/96127657
 AB    In this paper the relationship between sharing behaviour and
       needle-exchange attendance is examined. Data from three studies of drug
       misuse carried out consecutively from 1989 to 1993 in the north-west of
       England are compared. Samples differed in their drug preferences.
       Analyses of sharing injecting equipment comparing exchange attenders and
       non-attenders revealed different patterns in each of the studies. Among
       opiate injectors no differences were observed in the proportions using
       others' injecting equipment, but attenders not in treatment were more
       likely to pass on their used equipment. This was attributed to uneven
       patterns of availability in the early days of exchange provision.
       Primary amphetamine users attending a needle exchange shared less than
       non-attenders, although overall levels of sharing were higher. Frequency
       of sharing was lowest in the third study of polydrug users but
       proportions sharing were similar to the opiate users. There was no
       effect of exchange attendance on sharing. Multiple logistic regressions
       identified other important predictors in these studies, e.g. treatment
       status, an injecting partner and injecting friends. Interpretations of
       the relationship between exchanges and sharing should take account of
       local availability of sterile equipment and the characteristics of
       exchange clientele.
 DE    Adult  Amphetamine  Comparative Study  England/EPIDEMIOLOGY  Female
       Heroin Dependence/EPIDEMIOLOGY/REHABILITATION  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL  Knowledge, Attitudes,
       Practice  Male  Needle Sharing/ADVERSE EFFECTS/*STATISTICS & NUMER DATA
       Needle-Exchange Programs/*STATISTICS & NUMER DATA  Program Evaluation
       Risk Factors  Substance Abuse, Intravenous/*EPIDEMIOLOGY/REHABILITATION
       JOURNAL ARTICLE

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