Syringe-exchange programs and HIV prevention: if they're effective, what's the controversy?
Injection drug users and their sexual partners and children represent an increasing proportion of Americans living with HIV or AIDS. Syringe-exchange programs (SEPs), which are based on the theory of harm reduction, are effective in preventing the transmission of HIV and other pathogens through injection drug use. Most programs also serve as gateways to other vital medical services. Yet SEPs remain controversial. This article describes the controversy, considers the evidence, and discusses the nursing implications.
Villarreal
Holly
H
Christus Santa Rosa Hospital, San Antonio, TX and Saint Anselm College, Manchester, NH 03102, USA.
Fogg
Catherine
C
D034462:Dissent and Disputes; D015658:HIV Infections / Q000209:etiology / Q000517:prevention & control*; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D018671:Needle-Exchange Programs; D024802:Nurse's Role; D010043:Outcome and Process Assessment, Health Care; D010344:Patient Advocacy; D015397:Program Evaluation; D011639:Public Opinion; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000517:prevention & control*; D014481:United States