Details:

• Alternative Title:
  Subst Use Misuse
• Personal Author:
  Hershow, Rebecca B. ; Love Pieczykolan, Lauren ; Worthington, Nancy ; Adams, Monica ; McDonald, Robert ; ... More +

  Hershow, Rebecca B. ; Love Pieczykolan, Lauren ; Worthington, Nancy ; Adams, Monica ; McDonald, Robert ; Wilson, Suzanne ; McBee, Shannon ; Balleydier, Shawn ; Curran, Kathryn G. Less -
• Description:
  Background:
  
  Community concerns surrounding syringe waste are a common barrier to syringe services program (SSP) implementation. In Kanawha County, West Virginia, community opposition to SSPs resulted in the closure of needs-based SSPs prior to and during an HIV outbreak among persons who inject drugs (PWID). This qualitative analysis examines views of PWID and community partners on syringe waste and disposal associated with needs-based SSPs.
  
  Methods:
  
  Qualitative interviews with 26 PWID and 45 community partners (medical and social service providers, law enforcement personnel, policymakers, and religious leaders) were conducted. Interviews were recorded, transcribed, and coded. Code summaries described participants’ views on syringe waste and disposal and needs-based SSPs.
  
  Results:
  
  Community partners and PWID who favored needs-based SSPs reported that needs-based SSPs had not affected or reduced syringe waste. Conversely, community partners who favored one-to-one exchange models and/or barcoded syringes described needs-based SSPs increasing syringe waste. Community partners often cited pervasive community beliefs that SSPs increased syringe waste, risk of needlesticks, drug use, and crime. Community partners were unsure how to address syringe waste concerns and emphasized that contradictory views on syringe waste posed barriers to discussing and implementing SSPs.
  
  Conclusions:
  
  Participants’ views on whether syringe waste was associated with needs-based SSPs often aligned with their support or opposition for needs-based SSPs. These differing views resulted in challenges finding common ground to discuss SSP operations amid an HIV outbreak among PWID. SSPs might consider addressing syringe waste concerns by expanding syringe disposal efforts and implementing community engagement and stigma reduction activities.
  
  
• Subjects:
  [+]

  Adult Female HIV Infections Humans Male Middle Aged Needle-Exchange Programs Qualitative Research Substance Abuse, Intravenous Syringes
• Keywords:
  [+]

  Harm Reduction Persons Who Inject Drugs Qualitative Research Syringe Disposal Syringe Services Programs Syringe Waste
• Source:
  Subst Use Misuse. 59(8):1174-1181
• Pubmed ID:
  38509704
• Pubmed Central ID:
  PMC11103866
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  West Virginia
• Volume:
  59
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:830a008458ddb64115686aef8442982708f38dd5a32893eef37f9f8dbb7dbbe3e4e8a7b4919b11797a008613a4e01796b7cc9961dcdca1a02872a5d7a52035e3
• File Type:

• Supporting Files:
  No Additional Files