Evolución de la necesidad y cobertura de los programas de intercambio de jeringuillas en las prisiones españolas, 1992-2009: Una estimación corregida

Autor: L. de la Fuente, José Pulido, M J Bravo, Gregorio Barrio, Luis Sordo, Eladio Jiménez-Mejías
Rok vydání: 2012
Předmět:
Zdroj: Revista Española de Sanidad Penitenciaria v.14 n.3 2012
SciELO España. Revistas Científicas Españolas de Ciencias de la Salud
instname
ISSN: 1575-0620
DOI: 10.4321/s1575-06202012000300003
Popis: Introduction: The objective of this paper is to amend the bias included in our previous work, presenting a corrected estimation of the need and coverage of syringes/needles in Spanish prisons between 1992 and 2009. Methods: Data on the provision of the needles exchange programs (NEPs) in prison is taken from official publications. The need was calculated by applying multiplicative methods to secondary data from several sources. Coverage was estimated as the quotient between provision and need and the difference between these magnitudes. The detected need estimate bias has been corrected. Results: NEP's in prisons started in 1997. Their maximum coverage reached 36% in 2005, which is much higher than the initially estimated value. However, it decreased by half in the next four years, reaching 17.4% in 2009. Conclusion: The remarkable coverage reached by these programmes must be valued, but more recent evolution leads us to emphasize the need to be imaginative so that new epidemiological and economic circumstances do not lead to their disappearance. Key words: needle-exchange programs; prisons; program evaluation; harm reduction; substance abuse, intravenous; Spain; HIV; hepatitis C; corrected and respublished article.
Databáze: OpenAIRE