Evidence map›Paper›PMID 38703621›Full record

ArticleThe International journal on drug policy2024

Syringe reuse among people who inject drugs in rural Appalachian Kentucky.

Tasfia Jahangir, Grayson K Fuller, Melvin D Livingston, Edward Freeman, Laura C Fanucchi, Amanda Fallin-Bennett, Hannah L F Cooper, April M Young

Abstract read
In one paragraph

Article in The International journal on drug policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

8 authors.

Tasfia JahangirEmory University Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA 30322, United States.
Grayson K FullerUniversity of Kentucky Center on Drug and Alcohol Research, 845 Angliana Avenue, Lexington KY 40508, United States.
Melvin D LivingstonEmory University Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA 30322, United States.
Edward FreemanUniversity of Kentucky College of Public Health, 111 Washington Avenue, Lexington, KY 40536, United States.
Laura C FanucchiUniversity of Kentucky Center on Drug and Alcohol Research, 845 Angliana Avenue, Lexington KY 40508, United States; Division of Infectious Diseases, University of Kentucky College of Medicine, 845 Angliana Ave. Lexington, KY 40508, United States.
Amanda Fallin-BennettVoices of Hope, 450 Old Vine Street, Suite 101, Lexington, KY 40507, United States; University of Kentucky College of Nursing, 2265 Harrodsburg Road, Suite 202, Lexington, KY, United States.
Hannah L F CooperEmory University Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA 30322, United States.
April M YoungUniversity of Kentucky Center on Drug and Alcohol Research, 845 Angliana Avenue, Lexington KY 40508, United States; University of Kentucky College of Public Health, 111 Washington Avenue, Lexington, KY 40536, United States. Electronic address: april.young@uky.edu.

Funding

Kentucky Communities and Researchers Engaging to Halt the Opioid Epidemic (CARE2HOPE)UH3DA044798 · NIDA · UNIVERSITY OF KENTUCKY · PI COOPER, HANNAH LF, YOUNG, APRIL MARIE · 2019 to 2022
$4.4M
Kentucky Communities & Researchers Engaging to Halt the Opioid Epidemic-CARE2HOPEUG3DA044798 · NIDA · UNIVERSITY OF KENTUCKY · PI COOPER, HANNAH LF, YOUNG, APRIL MARIE · 2017 to 2018
$1.3M
NIDA NIH HHS UG3 DA044798NIDA NIH HHS UH3 DA044798
6 · The paper itself

Abstract

backgroundPersonal syringe reuse (i.e., reuse of one's own syringes) can place people who inject drugs at increased risk for infectious disease but has received relatively little attention in published literature. The purpose of this study is to identify factors associated with syringe reuse among people who inject drugs in rural Kentucky.

methodsParticipants (n = 238) completed interviewer-administered questionnaires on syringe reuse and demographic, behavioral, and service access characteristics. Unadjusted negative binomial regression with cluster-robust standard errors was used to model the associations with a logged offset for number of injections in the past 30 days.

resultsThe average age of the sample was 35 and 59.7 % were male. Most participants (77.7 %) reused syringes at least once in the past 30 days, using each syringe a median of three times. Reuse was higher among those who were older and reported a higher street price for syringes. Syringe reuse was lower among people who were within walking distance to a syringe service program (SSP) and who obtained most of their syringes from SSPs or pharmacies.

conclusionSyringe reuse among people who inject drugs in rural Kentucky is common. However, these data suggest that increased access to syringes from SSPs and pharmacies, as well as policy-level interventions that reduce street syringe price, might reduce syringe reuse and related harms.

Indexed as

Equipment ReuseNeedle-Exchange ProgramsRural PopulationSubstance Abuse, IntravenousSyringesAdultAppalachian RegionFemaleHumansKentuckyMaleMiddle AgedSurveys and QuestionnairesYoung AdultInjection drug useNeedle reuseRuralSyringe reuse

Identifiers

PMID38703621
PMCPMC11213664

What OpenQuestion holds

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Registered trials

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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.