Abstract:
:Drug-related law enforcement activities may undermine the protective effects of syringe exchange programs (SEPs) on local injectors' risk of injection-related infections. We explored the spatial overlap of drug-related arrest rates and access to SEPs over time (1995-2006) in New York City health districts, and used multilevel models to investigate the relationship of these two district-level exposures to the odds of injecting with an unsterile syringe. Districts with better SEP access had higher arrest rates, and arrest rates undermined SEPs' protective relationship with unsterile injecting. Drug-related enforcement strategies targeting drug users should be de-emphasized in areas surrounding SEPs.
journal_name
Health Placejournal_title
Health & placeauthors
Cooper HL,Des Jarlais DC,Tempalski B,Bossak BH,Ross Z,Friedman SRdoi
10.1016/j.healthplace.2011.09.005subject
Has Abstractpub_date
2012-03-01 00:00:00pages
218-28issue
2eissn
1353-8292issn
1873-2054pii
S1353-8292(11)00167-5journal_volume
18pub_type
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