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1090198106288560v1
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First published on June 30, 2006, doi:10.1177/1090198106288560

Health Education & Behavior 2007;34:390.

A more recent version of this article appeared on April 1, 2007

Article

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

Charles M. Cleland, PhD1*, Sherry Deren, PhD1, Crystal M. Fuller, PhD2, Shannon Blaney, MPH2, James M. McMahon, PhD3, Stephanie Tortu, PhD4, Don C. Des Jarlais, PhD5, David Vlahov, PhD2

1 National Development and Research Institutes (NDRI), New York, New York.
2 New York Academy of Medicine, Center for Urban Epidemiologic Studies, New York.
3 NDRI, New York, New York.
4 School of Public Health; Louisiana State University Health Sciences Center, New Orleans.
5 NDRI and the Edmond de Rothschild Foundation, Chemical Dependency Institute, Beth Israel Medical Center, New York, New York.

* To whom correspondence should be addressed. E-mail: cleland{at}ndri.org..


  Abstract

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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