Safer Injection Sites in New York City: A Utilization Survey of Injection Drug Users

Author:

Broadhead Robert S.1,Borch Casey A.1,van Hulst Yael2,Farrell Jason3,Villemez Wayne J.4,Altice Frederick L.5

Affiliation:

1. University of Connecticut

2. University of Connecticut, Storrs, and the director of Project REACH

3. Positive Health Project, Inc., New York City

4. University of Connecticut, Storrs, and director of the Connecticut Center for Population Studies

5. Yale University, New Haven, and the coprincipal investigator of Project REACH

Abstract

HIV, hepatitis B & C, drug overdose, and other drug-related health problems still pose significant health risks to injection drug users (IDUs) and their sexual partners, indicating the need for further development of innovative public health interventions. A relatively new intervention implemented in many municipalities throughout the world is the “safer injection site” (SIS). An SIS is a legal facility that allows people to prepare and inject pre-obtained drugs in a hygienic, anxiety-free atmosphere under the supervision of health personnel. This paper examines the responses of a sample of IDUs in New York City to whether they would use an SIS should one be implemented in mid-town Manhattan. The SIS would be part of a comprehensive harm reduction project that already offers needle-exchange, street outreach, testing and counseling, support groups, referral services including drug treatment, and on-site primary medical and dental services. The results of our study indicate that a large majority of the IDUs sampled would utilize an SIS should one be implemented, and that those most likely to use it are IDUs at the highest risk for contracting or spreading blood-borne diseases such as HIV and hepatitis, and for experiencing a drug overdose.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Health(social science),Medicine (miscellaneous)

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