Unmet need for recommended preventive health services among clients of California syringe exchange programs: Implications for quality improvement
Comprehensive preventive services are recommended for injection drug users (IDU), including screening tests, vaccinations, risk reduction counseling, and sterile syringes. Syringe exchange programs (SEP) may facilitate receipt of preventive services by IDUs, but whether SEP clients receive recommend...
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| Veröffentlicht in: | Drug and alcohol dependence 2006-02, Vol.81 (2), p.167-178 |
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| creator | Heinzerling, K.G. Kral, A.H. Flynn, N.M Anderson, R.L. Scott, A. Gilbert, M.L. Asch, S.M. Bluthenthal, R.N. |
| description | Comprehensive preventive services are recommended for injection drug users (IDU), including screening tests, vaccinations, risk reduction counseling, and sterile syringes. Syringe exchange programs (SEP) may facilitate receipt of preventive services by IDUs, but whether SEP clients receive recommended preventive care is not known. We examined use of recommended preventive services by clients of 23 SEPs throughout California.
Five hundred and sixty SEP clients were recruited from 23 SEPs throughout California between March and September 2003. Receipt of 10 recommended preventive services and source of care (SEP versus non-SEP providers) was ascertained from client interviews.
On average, SEP clients received only 13% of recommended preventive services and 49% of clients received none of the recommended services. Of services that were received, 76% were received from SEPs. In multivariate analysis, use of drug treatment and more frequent SEP visits were associated with receipt of recommended preventive services by clients.
SEPs are often the only source of preventive care for their IDU clients. Still, SEP clients fail to receive most recommended preventive services. Interventions to increase use of preventive services and improve the quality of preventive care received by IDUs, such as increased access to drug treatment and SEPs, are needed. |
| doi_str_mv | 10.1016/j.drugalcdep.2005.06.008 |
| format | Article |
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Five hundred and sixty SEP clients were recruited from 23 SEPs throughout California between March and September 2003. Receipt of 10 recommended preventive services and source of care (SEP versus non-SEP providers) was ascertained from client interviews.
On average, SEP clients received only 13% of recommended preventive services and 49% of clients received none of the recommended services. Of services that were received, 76% were received from SEPs. In multivariate analysis, use of drug treatment and more frequent SEP visits were associated with receipt of recommended preventive services by clients.
SEPs are often the only source of preventive care for their IDU clients. Still, SEP clients fail to receive most recommended preventive services. Interventions to increase use of preventive services and improve the quality of preventive care received by IDUs, such as increased access to drug treatment and SEPs, are needed.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2005.06.008</identifier><identifier>PMID: 16043308</identifier><identifier>CODEN: DADEDV</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Addictive behaviors ; Adult and adolescent clinical studies ; Biological and medical sciences ; California ; Counseling ; Drug addiction ; Drug Injection ; Health Services Needs and Demand - organization & administration ; Hepatitis ; Hepatitis C ; HIV ; HIV Infections - diagnosis ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human viral diseases ; Humans ; Infectious diseases ; Injection drug use ; Mass Screening ; Medical sciences ; Needle Exchange Programs ; Needle exchange schemes ; Needle Sharing - adverse effects ; Needle-Exchange Programs - organization & administration ; Prevention ; Preventive health care ; Preventive Health Services - organization & administration ; Preventive services ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of care ; Quality of Health Care ; Risk-Taking ; Substance Abuse, Intravenous - complications ; Syringe exchange programs ; Syringes ; Toxicology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>Drug and alcohol dependence, 2006-02, Vol.81 (2), p.167-178</ispartof><rights>2005 Elsevier Ireland Ltd</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-61ca921fcd308d8d54e4989527fc570cfac96155348ca1dd6ccb211b19a64bfb3</citedby><cites>FETCH-LOGICAL-c495t-61ca921fcd308d8d54e4989527fc570cfac96155348ca1dd6ccb211b19a64bfb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0376871605002127$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30977,33752,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17404463$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16043308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heinzerling, K.G.</creatorcontrib><creatorcontrib>Kral, A.H.</creatorcontrib><creatorcontrib>Flynn, N.M</creatorcontrib><creatorcontrib>Anderson, R.L.</creatorcontrib><creatorcontrib>Scott, A.</creatorcontrib><creatorcontrib>Gilbert, M.L.</creatorcontrib><creatorcontrib>Asch, S.M.</creatorcontrib><creatorcontrib>Bluthenthal, R.N.</creatorcontrib><title>Unmet need for recommended preventive health services among clients of California syringe exchange programs: Implications for quality improvement</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>Comprehensive preventive services are recommended for injection drug users (IDU), including screening tests, vaccinations, risk reduction counseling, and sterile syringes. Syringe exchange programs (SEP) may facilitate receipt of preventive services by IDUs, but whether SEP clients receive recommended preventive care is not known. We examined use of recommended preventive services by clients of 23 SEPs throughout California.
Five hundred and sixty SEP clients were recruited from 23 SEPs throughout California between March and September 2003. Receipt of 10 recommended preventive services and source of care (SEP versus non-SEP providers) was ascertained from client interviews.
On average, SEP clients received only 13% of recommended preventive services and 49% of clients received none of the recommended services. Of services that were received, 76% were received from SEPs. In multivariate analysis, use of drug treatment and more frequent SEP visits were associated with receipt of recommended preventive services by clients.
SEPs are often the only source of preventive care for their IDU clients. Still, SEP clients fail to receive most recommended preventive services. Interventions to increase use of preventive services and improve the quality of preventive care received by IDUs, such as increased access to drug treatment and SEPs, are needed.</description><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>California</subject><subject>Counseling</subject><subject>Drug addiction</subject><subject>Drug Injection</subject><subject>Health Services Needs and Demand - organization & administration</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Injection drug use</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Needle Exchange Programs</subject><subject>Needle exchange schemes</subject><subject>Needle Sharing - adverse effects</subject><subject>Needle-Exchange Programs - organization & administration</subject><subject>Prevention</subject><subject>Preventive health care</subject><subject>Preventive Health Services - organization & administration</subject><subject>Preventive services</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of care</subject><subject>Quality of Health Care</subject><subject>Risk-Taking</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Syringe exchange programs</subject><subject>Syringes</subject><subject>Toxicology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heinzerling, K.G.</creatorcontrib><creatorcontrib>Kral, A.H.</creatorcontrib><creatorcontrib>Flynn, N.M</creatorcontrib><creatorcontrib>Anderson, R.L.</creatorcontrib><creatorcontrib>Scott, A.</creatorcontrib><creatorcontrib>Gilbert, M.L.</creatorcontrib><creatorcontrib>Asch, S.M.</creatorcontrib><creatorcontrib>Bluthenthal, R.N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Social Services Abstracts</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heinzerling, K.G.</au><au>Kral, A.H.</au><au>Flynn, N.M</au><au>Anderson, R.L.</au><au>Scott, A.</au><au>Gilbert, M.L.</au><au>Asch, S.M.</au><au>Bluthenthal, R.N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unmet need for recommended preventive health services among clients of California syringe exchange programs: Implications for quality improvement</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>81</volume><issue>2</issue><spage>167</spage><epage>178</epage><pages>167-178</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><coden>DADEDV</coden><abstract>Comprehensive preventive services are recommended for injection drug users (IDU), including screening tests, vaccinations, risk reduction counseling, and sterile syringes. Syringe exchange programs (SEP) may facilitate receipt of preventive services by IDUs, but whether SEP clients receive recommended preventive care is not known. We examined use of recommended preventive services by clients of 23 SEPs throughout California.
Five hundred and sixty SEP clients were recruited from 23 SEPs throughout California between March and September 2003. Receipt of 10 recommended preventive services and source of care (SEP versus non-SEP providers) was ascertained from client interviews.
On average, SEP clients received only 13% of recommended preventive services and 49% of clients received none of the recommended services. Of services that were received, 76% were received from SEPs. In multivariate analysis, use of drug treatment and more frequent SEP visits were associated with receipt of recommended preventive services by clients.
SEPs are often the only source of preventive care for their IDU clients. Still, SEP clients fail to receive most recommended preventive services. Interventions to increase use of preventive services and improve the quality of preventive care received by IDUs, such as increased access to drug treatment and SEPs, are needed.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16043308</pmid><doi>10.1016/j.drugalcdep.2005.06.008</doi><tpages>12</tpages></addata></record> |
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| identifier | ISSN: 0376-8716 |
| ispartof | Drug and alcohol dependence, 2006-02, Vol.81 (2), p.167-178 |
| issn | 0376-8716 1879-0046 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts |
| subjects | Addictive behaviors Adult and adolescent clinical studies Biological and medical sciences California Counseling Drug addiction Drug Injection Health Services Needs and Demand - organization & administration Hepatitis Hepatitis C HIV HIV Infections - diagnosis HIV Infections - prevention & control HIV Infections - transmission Human viral diseases Humans Infectious diseases Injection drug use Mass Screening Medical sciences Needle Exchange Programs Needle exchange schemes Needle Sharing - adverse effects Needle-Exchange Programs - organization & administration Prevention Preventive health care Preventive Health Services - organization & administration Preventive services Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of care Quality of Health Care Risk-Taking Substance Abuse, Intravenous - complications Syringe exchange programs Syringes Toxicology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | Unmet need for recommended preventive health services among clients of California syringe exchange programs: Implications for quality improvement |
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