Prevalence and Correlates of the Use of Prefilled Syringes Among Persons Who Inject Drugs in San Diego, CA
Richard F. Armenta, Alexis M. Roth, Karla D. Wagner, Steffanie A. Strathdee, Stephanie K. Brodine, Jazmine Cuevas-Mota, Fatima A. Munoz and Richard S. Garfein
General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Public, Environmental & Occupational Health Science & Technology
Persons who inject drugs (PWID) are at increased risk for blood-borne virus (BBV) infections and overdose resulting from high-risk injecting practices. Studies of prefilled syringe use ([PFSU] using a syringe that already contained drug solution when it was obtained by the user), an injection practice previously described in Eastern Europe, suggest that it increases susceptibility to BBV. However, little is known about this practice in the USA. Data were obtained from an ongoing cohort study of PWID to determine the prevalence and assess correlates of PFSU in San Diego, CA. Baseline interviews assessed socio-demographics and drug use behaviors. Logistic regression was used to identify factors independently associated with ever using a prefilled syringe (yes/no). Participants (n = 574) were predominately males (73.9 %) and white (50.9 %) with a mean age of 43.4 years (range 18-80); 33.3 % reported ever using prefilled syringes, although only 4.9 % reported use in the past 6 months. In multivariable analyses, PFSU was independently associated with ever having a rushed injection due to police presence [adjusted odds ratio (AOR) = 2.51, 95 % CI 1.66, 3.79], ever being in prison (AOR = 1.80, 95 % CI 1.23, 2.63), injecting most often in public versus private places in the past 6 months (AOR = 1.66, 95 % CI 1.11, 2.48), and injecting drugs in Mexico (AOR = 1.70, 95 % CI 1.16, 2.49). Results indicate that a history of PFSU is common and associated with environmental factors that may also increase risk for adverse health outcomes. Studies are needed to better understand PFSU in order to develop interventions to prevent adverse outcomes associated with their use.
Prevalence and Correlates of the Use of Prefilled Syringes Among Persons Who Inject Drugs in San Diego, CA
Creators
Richard F. Armenta - San Diego State University
Alexis M. Roth - Drexel University
Karla D. Wagner - University of Nevada Reno
Steffanie A. Strathdee - University of California—San Diego
Stephanie K. Brodine - San Diego State University
Jazmine Cuevas-Mota - University of California—San Diego
Fatima A. Munoz - University of California—San Diego
Richard S. Garfein - University of California—San Diego
Publication Details
Journal of urban health, v 92(6), pp 1081-1091
Publisher
Springer Nature
Number of pages
11
Grant note
R01 DA031074-01S1 / NIDA diversity supplement
R01DA031074 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission
R01 DA031074; T32 DA 023356; K01DA031031; R01 DA031074-03S1; R37 DA019829 / National Institutes of Drug Abuse (NIDA); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
Resource Type
Journal article
Language
English
Academic Unit
Community Health and Prevention
Web of Science ID
WOS:000366351500007
Scopus ID
2-s2.0-84949535929
Other Identifier
991019168156904721
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