Hospital- versus community-based syringe exchange: A randomized controlled trial

Carmen L. Masson, James L. Sorensen, David C. Perlman, Michael S. Shopshire, Kevin L. Delucchi, Te Chieh Chen, Karl Sporer, Don Des Jarlais, Sharon M. Hall

Research output: Contribution to journalArticle

Abstract

This study examined the effect of syringe exchange program setting on the injection practices, health status, and health service utilization patterns of injection drug users (IDUs) recruited from a public urban hospital. One hundred sixty-six participants were randomized to either community- or hospital-based syringe exchange services. Poisson regression models were used to compare service utilization between groups. In both conditions, risky drug use practices decreased, and physical health functioning improved over time. Hospital-based syringe exchange program (SEP) attendees had 83% more inpatient admissions (p < .0001) and 22% more ambulatory care visits (p < .0001) than those assigned to the community-based SEP condition. Syringe exchange services that are integrated into public hospital settings may serve as a valuable strategy to engage hard to reach IDU populations in behavioral interventions designed to reduce HIV risk transmission behaviors and increase access to, or engagement in, the use of secondary and tertiary preventive medical care.

Original languageEnglish (US)
Pages (from-to)97-110
Number of pages14
JournalAIDS Education and Prevention
Volume19
Issue number2
DOIs
StatePublished - Apr 1 2007

Fingerprint

Needle-Exchange Programs
Syringes
Randomized Controlled Trials
Public Hospitals
Drug Users
Injections
community
Preventive Medicine
utilization
Urban Hospitals
Community Hospital
Ambulatory Care
Risk-Taking
drug
Health Status
Health Services
Inpatients
HIV
medical care
health status

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Masson, C. L., Sorensen, J. L., Perlman, D. C., Shopshire, M. S., Delucchi, K. L., Chen, T. C., ... Hall, S. M. (2007). Hospital- versus community-based syringe exchange: A randomized controlled trial. AIDS Education and Prevention, 19(2), 97-110. https://doi.org/10.1521/aeap.2007.19.2.97

Hospital- versus community-based syringe exchange : A randomized controlled trial. / Masson, Carmen L.; Sorensen, James L.; Perlman, David C.; Shopshire, Michael S.; Delucchi, Kevin L.; Chen, Te Chieh; Sporer, Karl; Des Jarlais, Don; Hall, Sharon M.

In: AIDS Education and Prevention, Vol. 19, No. 2, 01.04.2007, p. 97-110.

Research output: Contribution to journalArticle

Masson, CL, Sorensen, JL, Perlman, DC, Shopshire, MS, Delucchi, KL, Chen, TC, Sporer, K, Des Jarlais, D & Hall, SM 2007, 'Hospital- versus community-based syringe exchange: A randomized controlled trial', AIDS Education and Prevention, vol. 19, no. 2, pp. 97-110. https://doi.org/10.1521/aeap.2007.19.2.97
Masson CL, Sorensen JL, Perlman DC, Shopshire MS, Delucchi KL, Chen TC et al. Hospital- versus community-based syringe exchange: A randomized controlled trial. AIDS Education and Prevention. 2007 Apr 1;19(2):97-110. https://doi.org/10.1521/aeap.2007.19.2.97
Masson, Carmen L. ; Sorensen, James L. ; Perlman, David C. ; Shopshire, Michael S. ; Delucchi, Kevin L. ; Chen, Te Chieh ; Sporer, Karl ; Des Jarlais, Don ; Hall, Sharon M. / Hospital- versus community-based syringe exchange : A randomized controlled trial. In: AIDS Education and Prevention. 2007 ; Vol. 19, No. 2. pp. 97-110.
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