Evaluating Needle Exchange: Do Distributed Needles Come Back?

Guydish, Joseph; Clark, George; Garcia, Delia; Downing, Moher; Case, Patricia; Sorensen, James L.
May 1991
American Journal of Public Health;May91, Vol. 81 Issue 5, p617
Academic Journal
We employed capture-recapture methods as a strategy for evaluating needle exchange. Needles distributed by the exchange at two time periods were marked with color coded bands indicating the date and site of distribution. Half of the marked needles (2,068/4,239) returned within two weeks of distribution, and 61 percent (2,593/4,239) returned during the study period. The rate of return for stationary exchange sites (63 percent) was greater than that for roving/mobile sites (51 percent; χ² = 28.6, p < .001). Of all needles returned, 87 percent (2,248/2,593) returned to the site of original distribution.


Related Articles

  • Germany: Study shows effectiveness of prison needle exchange. Betteridge, Glenn // HIV/AIDS Policy & Law Review;Apr2006, Vol. 11 Issue 1, p33 

    The article focuses on the study that shows the effectiveness of needle exchange programs in Germany. The study, which has been carried out from October 1998 to June 2001 in a men's and a women's prison in Berlin, was participated by the prisoners themselves. The subject underwent tests for HIV,...

  • Needle Exchange Programs: Guide to Critical Analysis.  // Points of View: Needle Exchange Programs;2017, p4 

    This article offers a critical guide to the controversial issue of needle exchange programs. The article discusses criteria in understanding the issue, such as distinguishing between fact and opinion and recognizing point and counterpoint arguments. Also presented are exercises that help the...

  • needle-exchange program:. Huber, Jeffrey T.; Gillaspy, Mary L. // Encyclopedic Dictionary of AIDS-Related Terminology;2000, p159 

    This article presents an encyclopedia entry for the "needle-exchange program." It refers to any program established for intravenous drug users educating them or enabling them to exchange used needles and syringes for sterile ones. These programs have been created in an effort to remove...

  • Empirical Science Meets Moral Panic: An Analysis of the Politics of Needle Exchange. Buchanan, David; Shaw, Susan; Ford, Amy; Singer, Merrill // Journal of Public Health Policy;2003, Vol. 24 Issue 3/4, p427 

    The paper presents an analysis of the policy advocacy strategies used by both proponents and opponents of needle exchange programs in the US, drawing on the analytic framework developed by Stone. Based on a case study of the politics of needle exchange in Massachusetts, we argue that proponents...

  • THE HEALTH BENEFITS OF SECONDARY SYRINGE EXCHANGE. Murphy, Sheigla; Kelley, Margaret S.; Lune, Howard // Journal of Drug Issues;Spring2004, Vol. 34 Issue 2, p245 

    From a process evaluation, participants in San Francisco's syringe exchange program (SEP) are described. Three groups, primary, secondary, and nonexchangers, were interviewed for a total of 244 study participants recruited from eight needle exchange sessions. Fifty percent of all primary...

  • Another review of prison-based needle exchange programs published. Jürgens, Ralf // Canadian HIV/AIDS Policy & Law Review;Apr2004, Vol. 9 Issue 1, p46 

    This is an article on a review that presents the results of prison-based syringe-exchange programs based on 10 years of experience in Switzerland, Germany, Spain, and Moldova. In 11 prisons, these programs were evaluated to assess feasibility and efficacy. The resistance of prison staff,...

  • SAFER INJECTION FACILITIES IN NORTH AMERICA: THEIR PLACE IN PUBLIC POLICY AND HEALTH INITIATIVES. Broadhead, Robert S.; Kerr, Thomas H.; Grund, Jean-paul C.; Altice, Frederick L. // Journal of Drug Issues;Winter2002, Vol. 32 Issue 1, p329 

    The continuing threat posed by HIV, HCV, drug overdose, and other injection-related health problems in both the United States and Canada indicates the need for further development of innovative interventions for drug injectors, for reducing disease and mortality rates, and for enrolling...

  • Illicit Drug Use and HIV Protection.  // American Journal of Public Health;Mar1989, Vol. 79 Issue 3, p367 

    The article presents a policy statement of The American Public Health Association concerning illicit drug use and HIV protection. The association recognizes the harm that drug use brings to the individual and society, and the danger in needles and syringes sharing in increasing the transmission...

  • A COHORT STUDY OF SYRINGE EXCHANGERS AND NONEXCHANGERS IN SAN FRANCISCO. Sears, Clare; Weltzein, Erin; Guydish, Joseph // Journal of Drug Issues;Spring2001, Vol. 31 Issue 2, p445 

    This paper presents a cohort study of injection drug users (n=229) who did and did not use syringe exchange in San Francisco in 1993. Participants were interviewed at baseline, six months (49%), and 12 months (57%). At baseline, exchangers were less likely than nonexchangers to share syringes...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics