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- W2221441547 abstract "Background. On April 6, 2015, an emergency syringe exchange program (SEP) was implemented in response to an unprecedented HIV outbreak linked to injection drug use in a small rural Indiana community. To assess impact of the SEP, we compared injection-related risk behaviors reported over time.Methods. At each SEP visit, clients received sterile syringes, a wound kit, harm reduction education, and referrals to health and substance abuse services. Returned syringes were safely disposed and clients were surveyed about current risk behaviors. We analyzed data on clients with >2 SEP visits ≥7 days apart through June 6, 2015. Differences in medians and percentages between clients' first and most recent visit were assessed using the Kruskal-Wallis test, or χ2 or Fisher exact test.Results. We evaluated data from 100 qualifying SEP clients who contributed a total of 361 visits (median: 3) and received 19,376 syringes: 55% were male, median age was 33 years (interquartile range [IQR]: 26–40). The median interval between first and most recent visit was 27 days (IQR: 16–40). Sharing syringes to inject declined significantly by 85% between the first and most recent visits (table). The frequency of reusing the same syringe also declined significantly. The number of syringes returned and distributed both increased significantly. Decreases in sharing syringes to divide drugs and sharing other injection equipment were not statistically significant.Conclusion. Among clients enrolled during the first two months of an emergency SEP, many injection-related risk behaviors declined significantly. Emergency SEPs can rapidly reduce risk behaviors capable of transmitting HIV in an outbreak setting. Risk Behaviors Reported by Emergency Syringe Exchange Program Clients, by Visit, Scott County Indiana, April 6–June 6, 2015 (n = 100)First VisitMost Recent VisitP ValueSharing syringes to inject, n (%)34 (34%)5 (5%)0.04Median frequency of syringe reuse, n (interquartile range [IQR])4 (2–15)1 (1–1)<0.001Median syringes returned, n (IQR)0 (0–1)47 (27–80)<0.001Median syringes given, n (IQR)35 (21–56)42 (30–70)0.004Sharing syringes to divide drugs, n (%)38 (38%)10 (10%)0.17Sharing other injection equipment, n (%)44 (44%)11 (11%)0.52View it in a separate windowDisclosures. All authors: No reported disclosures." @default.
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- W2221441547 date "2015-01-01" @default.
- W2221441547 modified "2023-10-18" @default.
- W2221441547 title "Reduction in Injection Risk Behaviors After Institution of an Emergency Syringe Exchange Program During an HIV Outbreak Among Persons Who Inject Drugs, Indiana 2015" @default.
- W2221441547 doi "https://doi.org/10.1093/ofid/ofv130.10" @default.
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