Evidence map›Paper›PMID 34110506›Full record

ArticleAIDS and behavior2022

Program Adaptations to Provide Harm Reduction Services During the COVID-19 Pandemic: A Qualitative Study of Syringe Services Programs in the U.S.

Madeline C Frost, Elsa W Sweek, Elizabeth J Austin, Maria A Corcorran, Alexa M Juarez, Noah D Frank, Stephanie M Prohaska, Paul A LaKosky, Alice K Asher, Dita Broz and 3 more

Abstract read
In one paragraph

Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Program Director Reports of COVID-19 Lockdown-Driven Service Changes in Community-Based STI Clinics and Syringe Services Programs in the Southeastern U.S.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
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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

13 authors.

Madeline C FrostDepartment of Health Services, University of Washington School of Public Health, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5878-7692
Elsa W SweekDepartment of Health Services, University of Washington School of Public Health, Seattle, WA, USA.
Elizabeth J AustinDepartment of Health Services, University of Washington School of Public Health, Seattle, WA, USA.
Maria A CorcorranDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, WA, USA.
Alexa M JuarezDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, WA, USA.
Noah D FrankDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, WA, USA.
Stephanie M ProhaskaDave Purchase Project, North American Syringe Exchange Network, Tacoma, WA, USA.
Paul A LaKoskyDave Purchase Project, North American Syringe Exchange Network, Tacoma, WA, USA.
Alice K AsherOffice of Policy, Planning and Partnerships, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention , Centers for Disease Control and Prevention, Atlanta, GA, USA.
Dita BrozDivision of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention , Centers for Disease Control and Prevention, Atlanta, GA, USA.
Don C Des JarlaisSchool of Global Public Health, New York University, New York, NY, USA.
Emily C WilliamsDepartment of Health Services, University of Washington School of Public Health, Seattle, WA, USA.
Sara N GlickDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, WA, USA. snglick@uw.edu.

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan · 1998 to 2026
$38.9M
UNIVERSITY OF WASHINGTON GI TRAINING GRANTT32DK007742 · NIDDK · UNIVERSITY OF WASHINGTON · PI GRADY, WILLIAM MALLORY · 1996 to 2022
$4.7M
CDC HHS 5 NU65 PS923685-01NIDA NIH HHS P30 DA011041NIDDK NIH HHS 5 T32 DK007742-22NIDDK NIH HHS T32 DK007742
6 · The paper itself

Abstract

Syringe services programs (SSPs) are essential to preventing injection drug use-related infections and overdose death among people who use drugs (PWUD). The novel coronavirus (COVID-19) pandemic initially impeded SSPs' operations. To effectively support these programs, information is needed regarding SSPs' experiences adapting their services and the challenges posed by COVID-19. We conducted qualitative interviews with leadership and staff from a sample of 31 U.S. SSPs. Respondents discussed urgent concerns including reduced reach of services, suspended HIV/hepatitis C testing, high COVID-19 risk among PWUD, and negative impacts of isolation on overdose and mental health. They also noted opportunities to improve future services for PWUD, including shifting to evidence-based distribution practices and maintaining regulatory changes that increased access to opioid use disorder medications post-pandemic. Findings can inform efforts to support SSPs in restoring and expanding services, and provide insight into SSPs' role in engaging PWUD during the COVID-19 response and future emergencies.

Indexed as

COVID-19HIV InfectionsSubstance Abuse, IntravenousHarm ReductionHumansNeedle-Exchange ProgramsPandemicsSARS-CoV-2SyringesCoronavirusCOVID-19Syringe exchangeSyringe services programs

Identifiers

PMID34110506
PMCPMC8190167

What OpenQuestion holds

Textmetadata
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.