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This version was published on April 1, 2007
Health Education & Behavior, Vol. 34, No. 2, 390-403 (2007)
DOI: 10.1177/1090198106288560
© 2007 Society for Public Health Education

Syringe Disposal Among Injection Drug Users in Harlem and the Bronx During the New York State Expanded Syringe Access Demonstration Program

Charles M. Cleland, PhD

National Development and Research Institutes (NDRI), New York, New York, cleland{at}ndri.org

Sherry Deren, PhD

NDRI, New York, New York

Crystal M. Fuller, PhD

New York Academy of Medicine, Center for Urban Epidemiologic Studies, New York

Shannon Blaney, MPH

New York Academy of Medicine, Center for Urban Epidemiologic Studies, New York

James M. McMahon, PhD

NDRI, New York, New York

Stephanie Tortu, PhD

School of Public Health; Louisiana State University Health Sciences Center, New Orleans

Don C. Des Jarlais, PhD

NDRI and the Edmond de Rothschild Foundation, Chemical Dependency Institute, Beth Israel Medical Center, New York, New York

David Vlahov, PhD

New York Academy of Medicine, Center for Urban Epidemiologic Studies, New York

Effective January 1, 2001, New York State enacted the Expanded Syringe Access Demonstration Program (ESAP), allowing syringes to be sold in pharmacies without a prescription or dispensed through doctors, hospitals, and clinics to adults. A concern in the assessment of ESAP is its effects on syringe disposal practices. Syringe use data regarding the last injection episode were combined from three projects (N = 1,030) recruiting injection drug users. Disposal of syringes by methods known to be safe decreased significantly over time after the implementation of ESAP. Syringes obtained either from syringe exchange programs or ESAP sources were more likely to be disposed of safely than syringes obtained from other sources. Efforts to enlist pharmacists and others involved in ESAP implementation to encourage safe disposal are needed. More detailed information on disposal practices is needed to capture the continuum from least to most safe practices and variation within individuals.

Key Words: injection drug use • syringe disposal • syringe access • pharmacies • syringe exchange program


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