Evidence map›Paper›PMID 27167664›Full record

ArticleSocial work in public health

The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California.

Kris Clarke, Debra Harris, John A Zweifler, Marc Lasher, Roger B Mortimer, Susan Hughes

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Social work in public health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

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  8. Students as effective harm reductionists and needle exchange organizers.Substance abuse treatment, prevention, and policy · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kris Clarkea Department of Social Work , California State University , Fresno , California , USA.
Debra Harrisa Department of Social Work , California State University , Fresno , California , USA.
John A Zweiflerb Department of Family & Community Medicine , University of California, San Francisco, Fresno Medical Education Program , Fresno , California , USA.
Marc Lasherb Department of Family & Community Medicine , University of California, San Francisco, Fresno Medical Education Program , Fresno , California , USA.
Roger B Mortimerb Department of Family & Community Medicine , University of California, San Francisco, Fresno Medical Education Program , Fresno , California , USA.
Susan Hughesb Department of Family & Community Medicine , University of California, San Francisco, Fresno Medical Education Program , Fresno , California , USA.
California State University, Fresno · USUniversity of California, San Francisco · US

Funding

Interdisciplinary Development Extramural Associate (IDEA)G11HD057605 · NICHD · CALIFORNIA STATE UNIVERSITY FRESNO · PI DE LA CRUZ-REYES, PILAR · 2008 to 2012
$480k
NICHD NIH HHS G11 HD057605
6 · The paper itself

Abstract

Infectious disease remains a significant social and health concern in the United States. Preventing more people from contracting HIV/AIDS or Hepatitis C (HCV), requires a complex understanding of the interconnection between the biomedical and social dimensions of infectious disease. Opiate addiction in the US has skyrocketed in recent years. Preventing more cases of HIV/AIDS and HCV will require dealing with the social determinants of health. Needle exchange programs (NEPs) are based on a harm reduction approach that seeks to minimize the risk of infection and damage to the user and community. This article presents an exploratory small-scale quantitative study of the injection drug using habits of a group of injection drug users (IDUs) at a needle exchange program in Fresno, California. Respondents reported significant decreases in high risk IDU behaviors, including sharing of needles and to a lesser extent re-using of needles. They also reported frequent use of clean paraphernalia. Greater collaboration between social and health outreach professionals at NEPs could provide important frontline assistance to people excluded from mainstream office-based services and enhance efforts to reduce HIV/AIDS or HCV infection.

Indexed as

Harm ReductionNeedle-Exchange ProgramsPolicy MakingSubstance Abuse, IntravenousAdultCaliforniaFemaleHealth PromotionHepatitis CHIV InfectionsHumansInfection ControlMaleMiddle AgedUnited Statesabscessharm reductioninjecting drug usersneedle-exchange programssocial determinants of health

Identifiers

PMID27167664
PMCPMC5129746
OpenAlexW2394107576

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.