title: Triangulating Syndemic Services and Drug Treatment Policy: Improving Drug Treatment Portal Locations in Baltimore City.
abstract: OBJECTIVE
  The prevalence of injection drug use (IDU) and incidence of human immunodeficiency virus (HIV) remain high in Baltimore, where IDU is a primary HIV risk factor. Substance use disorders and HIV are related syndemically--their causes and consequences interact synergistically. Baltimore is increasingly considering the syndemic relationship of substance use disorders, IDU, and HIV in making decisions about drug treatment funding and location.
  
  
  OBJECTIVE
  Our goal was to empirically identify the optimal location of new drug treatment programs through the development and application of a novel, practical tool.
  
  
  CONCLUSIONS
  Syndemic triangles were constructed to measure and visualize unmet need for drug treatment services. These data were used to determine priority zones for new treatment centers.
  
  
  CONCLUSIONS
  The application of this tool helped inform strategies for locating drug treatment services in Baltimore, and its successful use suggests its potential value in other metropolitan areas.
authors.forename: Debra M
authors.initials: DM
authors.lastname: Furr-Holden
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Milam
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Nesoff
authors.forename: Joshua
authors.initials: J
authors.lastname: Garoon
authors.forename: Mieka J
authors.initials: MJ
authors.lastname: Smart
authors.forename: Alexandra
authors.initials: A
authors.lastname: Duncan
authors.forename: Gregory C
authors.initials: GC
authors.lastname: Warren
mesh_terms: D015142:Baltimore; D003153:Community Health Services / Q000458:organization & administration*; D040362:Geographic Information Systems; D015658:HIV Infections / Q000517:prevention & control*; D006292:Health Priorities; D006297:Health Services Accessibility; D006801:Humans; D018671:Needle-Exchange Programs; D058996:Quality Improvement; D012111:Residence Characteristics; D012307:Risk Factors; D015819:Substance Abuse, Intravenous / Q000517:prevention & control*; D014504:Urban Health; D014505:Urban Population