Abstract:
OBJECTIVES:We aimed to determine whether syringe exchange programs (SEPs) currently receive or anticipate pursuing federal funding and barriers to funding applications following the recent removal of the long-standing ban on using federal funds for SEPs. METHODS:We conducted a telephone-administered cross-sectional survey of US SEPs. Descriptive statistics summarized responses; bivariate analyses examined differences in pursuing funding and experiencing barriers by program characteristics. RESULTS:Of the 187 SEPs (92.1%) that responded, 90.9% were legally authorized. Three received federal funds and 116 intended to pursue federal funding. Perceived federal funding barriers were common and included availability and accessibility of funds, legal requirements such as written police support, resource capacity to apply and comply with funding regulations, local political and structural organization, and concern around altering program culture. Programs without legal authorization, health department affiliation, large distribution, or comprehensive planning reported more federal funding barriers. CONCLUSIONS:Policy implementation gaps appear to render federal support primarily symbolic. In practice, funding opportunities may not be available to all SEPs. Increased technical assistance and legal reform could improve access to federal funds, especially for SEPs with smaller capacity and tenuous local support.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Green TC,Martin EG,Bowman SE,Mann MR,Beletsky Ldoi
10.2105/AJPH.2011.300595subject
Has Abstractpub_date
2012-05-01 00:00:00pages
e9-16issue
5eissn
0090-0036issn
1541-0048journal_volume
102pub_type
杂志文章abstract::Although researchers acknowledge that health disparities have multiple determinants, most recommendations for reducing inequities focus on a single approach. We suggest integrating 2 approaches for reducing disparities: improving access to primary care and updating and more vigorously enforcing consumer and environmen...
journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
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journal_title:American journal of public health
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journal_title:American journal of public health
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更新日期:2011-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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更新日期:2015-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:1997-05-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00