@article{a1ea3de37371420597fdea14f8c99fb9,
title = "Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users",
abstract = "We evaluated the effect of syringe acquisition on syringe disposal among HIV-positive injection drug users (IDUs) in Baltimore, New York City, and San Francisco (N = 680; mean age 42 years, 62% male, 59% African-American, 21% Hispanic, 12% White). Independent predictors of safe disposal were acquiring syringes through a safe source and ever visiting a syringe exchange program. Weaker predictors included living in San Francisco, living in the area longer, less frequent binge drinking, injecting with an HIV+ partner, peer norms supporting safe injection, and self-empowerment. Independent predictors of safe {"}handling{"}-both acquiring and disposing of syringes safely-also included being from New York and being older. HIV-positive IDUs who obtain syringes from a safe source are more likely to safely dispose; peer norms contribute to both acquisition and disposal. Interventions to improve disposal should include expanding sites of safe syringe acquisition while enhancing disposal messages, alternatives, and convenience.",
keywords = "HIV, Hepatitis C, Injection drug user, Syringe disposal, Syringe exchange",
author = "Coffin, {Phillip O.} and Latka, {Mary H.} and Carl Latkin and Yingfeng Wu and Purcell, {David W.} and Lisa Metsch and Cynthia Gomez and Gourevitch, {Marc N.} and Amy Knowlton and Karin Tobin and Eduardo Valverde and James Wilkinson and Martina DeVarona and Mary Latka and Dave Vlahov and Marc Gourevitch and Julia Arnsten and Robert Gern and Kelly Knight and Rose, {Carol Dawson} and Starley Shade and Sonja Mackenzie and David Purcell and Yuko Mizuno and Scott Santibanez and Richard Garfein and Ann O'Leary and Lois Eldred and Kathleen Handley",
note = "Funding Information: Acknowledgments This study was supported by the Centers for Disease Control and Prevention and the Health Resources and Services Administration (CDC/HRSA grant U50CCU317999). We would also like to acknowledge the following people for their contributions to this research: Susan Sherman, Roeina Marvin, Joanne Jenkins, Donny Gann, and Tonya Johnson (Baltimore); Clyde McCoy, Rob Malow, Wei Zhao, Lauren Gooden, Sam Comerford, Virginia Locascio, Curtis Delford, Laurel Hall, Henry Boza, Cheryl Riles (Miami); George Fesser, Carol Gerran, and Diane Thornton (New York); Caryn Pelegrino, Barbara Garcia, Jeff Moore, Erin Rowley, Debra Allen, Dinah Iglesia-Usog, Gilda Mendez, Paul Lum, and Greg Austin (San Francisco); Gladys Ibanez, Hae-Young Kim, Toni McWhorter, Jan Moore, Lynn Paxton, and John Williamson (CDC); and Lee Lam, Jeanne Urban, Stephan Soroka, Zilma Rey, Astrid Ortiz, Sheila Bashirian, Marjorie Hubbard, Karen Tao, Bharat Parekh, Thomas Spira (CDC Laboratory).",
year = "2007",
month = sep,
day = "1",
doi = "10.1007/s10461-006-9171-x",
language = "English (US)",
volume = "11",
pages = "652--662",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "5",
}
