ArticleThe American journal of drug and alcohol abuse2015
High dead-space syringe use among people who inject drugs in Tijuana, Mexico.
Article in The American journal of drug and alcohol abuse, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Policing Practices and Risk of HIV Infection Among People Who Inject Drugs.Epidemiologic reviews · 2020Pooled it
- Factors associated with perceived ease of access to syringes in Appalachian North Carolina.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- CAM Practices and Treatment Adherence Among Key Subpopulations of HIV+ Latinos Receiving Care in the San Diego-Tijuana Border Region: A Latent Class Analysis.Frontiers in public health · 2019Article
- Usage of low dead space syringes and association with hepatitis C prevalence amongst people who inject drugs in the UK.Drug and alcohol dependence · 2018Observational
- Factors associated with extrajudicial arrest for syringe possession: results of a department-wide survey of municipal police in Tijuana, Mexico.BMC international health and human rights · 2018Article
- Cost of provision of opioid substitution therapy provision in Tijuana, Mexico.Harm reduction journal · 2018Article
- Cross-border migration and initiation of others into drug injecting in Tijuana, Mexico.Drug and alcohol review · 2018Article
- Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England.The International journal on drug policy · 2017Article
- Prevalence and correlates of needle-stick injuries among active duty police officers in Tijuana, Mexico.Journal of the International AIDS Society · 2016Article
- Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundHigh dead-space syringes (HDSS) are believed to confer an elevated risk of acquiring HIV and other blood-borne infections.
objectivesWe identified prevalence and correlates of HDSS use among injection drug users (IDU) in Tijuana, Mexico, where syringe purchase and possession is legal without a prescription.
methodsBeginning in 2011, IDU who reported being 18 years or older and injected drugs within the last month were recruited into a prospective study. At baseline and semi-annually, 557 IDU underwent HIV-testing and interviewer-administered surveys. Logistic regression was used to identify correlates of using HDSS.
resultsOf 557 IDU, 40% had ever used HDSS, mostly because no other syringe type was available (72%), or because they were easier to get (20%). Controlling for sex and age at first injection, use of HDSS was associated with cocaine as the first drug injected (Adjusted Odds Ratio [AOR]: 2.68; Confidence Interval 95% [CI]: 1.15-6.22), having been stopped or arrested by police (AOR: 1.84; 95% CI: 1.11-3.07), being deported from the US (AOR: 1.64; 95% CI:1.06-2.53), and believing it is illegal to carry syringes (AOR:1.78; 95% CI: 1.01-3.15).
conclusionUse of HDSS is surprisingly common among IDU in Tijuana. Efforts are needed to expand coverage of low-dead space syringes through existing syringe exchange programs. Education is required to increase awareness of the harms associated with HDSS, and to inform IDU that syringe possession is legal across Mexico.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.