Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors

Hannah L.F. Cooper; Don C. Des Jarlais; Barbara Tempalski; Brian H. Bossak; Zev Ross; Samuel R. Friedman

doi:10.1016/j.healthplace.2011.09.005

Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors

Hannah L.F. Cooper, Don C. Des Jarlais, Barbara Tempalski, Brian H. Bossak, Zev Ross, Samuel R. Friedman

Global Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

Drug-related law enforcement activities may undermine the protective effects of syringe exchange programs (SEPs) on local injectors' risk of injection-related infections. We explored the spatial overlap of drug-related arrest rates and access to SEPs over time (1995-2006) in New York City health districts, and used multilevel models to investigate the relationship of these two district-level exposures to the odds of injecting with an unsterile syringe. Districts with better SEP access had higher arrest rates, and arrest rates undermined SEPs' protective relationship with unsterile injecting. Drug-related enforcement strategies targeting drug users should be de-emphasized in areas surrounding SEPs.

Original language	English (US)
Pages (from-to)	218-228
Number of pages	11
Journal	Health and Place
Volume	18
Issue number	2
DOIs	https://doi.org/10.1016/j.healthplace.2011.09.005
State	Published - Mar 2012

Keywords

Drug-related law enforcement
Geospatial analyses
HIV
Harm reduction
Injection drug use
Syringe exchange programs

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

Access to Document

10.1016/j.healthplace.2011.09.005

Cite this

Cooper, H. L. F., Des Jarlais, D. C., Tempalski, B., Bossak, B. H., Ross, Z., & Friedman, S. R. (2012). Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors. Health and Place, 18(2), 218-228. https://doi.org/10.1016/j.healthplace.2011.09.005

Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts : Combined effects on the risk of injection-related infections among injectors. / Cooper, Hannah L.F.; Des Jarlais, Don C.; Tempalski, Barbara; Bossak, Brian H.; Ross, Zev; Friedman, Samuel R.

In: Health and Place, Vol. 18, No. 2, 03.2012, p. 218-228.

Research output: Contribution to journal › Article › peer-review

Cooper, HLF, Des Jarlais, DC, Tempalski, B, Bossak, BH, Ross, Z & Friedman, SR 2012, 'Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors', Health and Place, vol. 18, no. 2, pp. 218-228. https://doi.org/10.1016/j.healthplace.2011.09.005

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title = "Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors",

abstract = "Drug-related law enforcement activities may undermine the protective effects of syringe exchange programs (SEPs) on local injectors' risk of injection-related infections. We explored the spatial overlap of drug-related arrest rates and access to SEPs over time (1995-2006) in New York City health districts, and used multilevel models to investigate the relationship of these two district-level exposures to the odds of injecting with an unsterile syringe. Districts with better SEP access had higher arrest rates, and arrest rates undermined SEPs' protective relationship with unsterile injecting. Drug-related enforcement strategies targeting drug users should be de-emphasized in areas surrounding SEPs.",

keywords = "Drug-related law enforcement, Geospatial analyses, HIV, Harm reduction, Injection drug use, Syringe exchange programs",

author = "Cooper, {Hannah L.F.} and {Des Jarlais}, {Don C.} and Barbara Tempalski and Bossak, {Brian H.} and Zev Ross and Friedman, {Samuel R.}",

note = "Funding Information: This research was supported by three NIDA Grants: Spatial Variations in IDU HIV Risk: Relationship to Structural Interventions ( 5R21DA023391 ; PI: Hannah Cooper); Community Vulnerability and Responses to Drug-User-Related HIV/AIDS ( 5R01DA013336 ; PI: Samuel R. Friedman); and Risk Factors for HIV/AIDS in Drug Users ( 5R01DA003574 ; PI: Don Des Jarlais). We would also like to thank the New York State Department of Health for kindly sharing data on SEP location and on pharmacies that were registered to sell syringes over the counter, and staff at St. Ann's Corner of Harm Reduction for their help finding “missing” years of SEP location data. ",

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Drug-related arrest rates and spatial access to syringe exchange programs in New York City health districts: Combined effects on the risk of injection-related infections among injectors

Abstract

Keywords

ASJC Scopus subject areas

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