title: Continuing HIV risk in New York City injection drug users: the association of syringe source and syringe sharing.
abstract: Sterile syringe access is an important means to reduce HIV risk, but many injection drug users (IDU) who obtain syringes from sterile sources continue to share syringes. We examined the factors associated with continuing syringe sharing in New York City. We recruited 500 active IDU in 2005 through respondent-driven sampling. In multiple logistic regression, not obtaining all syringes in the past year exclusively from sterile sources was associated with increased syringe sharing. Ensuring adequate syringe availability as well as engaging and retaining nonusers and inconsistent users in sterile syringe services may increase sterile syringe access and decrease syringe sharing.
authors.affiliation: HIV Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, New York, New York 10013, USA. sjenness@health.nyc.gov
authors.forename: Samuel M
authors.initials: SM
authors.lastname: Jenness
authors.forename: Holly
authors.initials: H
authors.lastname: Hagan
authors.forename: Kai-Lih
authors.initials: KL
authors.lastname: Liu
authors.forename: Travis
authors.initials: T
authors.lastname: Wendel
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Murrill
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D055030:Drug Users; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000635:transmission*; D006679:HIV Seropositivity / Q000150:complications / Q000635:transmission*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016485:Needle Sharing; D018671:Needle-Exchange Programs; D009519:New York City; D012306:Risk; D012309:Risk-Taking; D015819:Substance Abuse, Intravenous / Q000150:complications; D013594:Syringes