Prevalence and Correlates of Syringe Disposal Box Use in a Philadelphia Neighborhood with High Levels of Public Drug Injection.
Autor: | Roth, Alexis M., Mitchell, Allison K., Mukherjee, Rohit, Scheim, Ayden I., Ward, Kathleen M., Lankenau, Stephen E. |
---|---|
Předmět: |
PREVENTION of epidemics
MEDICAL waste equipment MEDICAL wastes NARCOTICS NEEDLE exchange programs CONFIDENCE intervals ANALGESICS SHARPS (Medical instruments) PUBLIC health SOCIOECONOMIC factors DISEASE prevalence BUSINESS DESCRIPTIVE statistics LOGISTIC regression analysis HOUSING ODDS ratio OPIOID abuse |
Zdroj: | Substance Use & Misuse; 2021, Vol. 56 Issue 5, p668-673, 6p, 1 Black and White Photograph, 2 Charts |
Abstrakt: | Background: Philadelphia (Pennsylvania, USA) is facing an unprecedented public health crisis due to fentanyl use. To combat drug-related litter, the Philadelphia Department of Public Health installed 7 public syringe disposal boxes (SDB) in Kensington, the neighborhood most impacted by the opioid crisis and home to a syringe exchange. Methods: We used street- and business-intercepts to recruit residents (N=358) and business owners/staff (N=78) who completed a brief survey with two binary items measuring observing and using SDB. Multivariable logistic regression was used to assess factors independently associated with SDB observance and use. Results: 78% (340/436) observed SDB and 34.1% (116/340) had ever used SDB among those who had seen them. Unstably housed persons had 4.3 times greater odds of observing SDB (Adjusted odds ratio [aOR= 4.29; 95% confidence interval [CI]: 1.56, 11.82) and had 2.5 times greater odds of using SDB (aOR = 2.51; 95% CI: 1.33, 4.74) as did people who use opioids (aOR = 2.61; 95% CI: 1.45, 4.72). Among individuals reporting opioid use who also saw SDB (n=123), those who were unstably housed were more likely to use SDB than those with stable housing (67.8% vs 45.3%, p=.012). Conclusion: These results suggest Kensington residents, especially those who are unstably housed, use SDB once they see them in the neighborhood. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
Externí odkaz: | |
Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |