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
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 healt...
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Veröffentlicht in: | Health & place 2012-03, Vol.18 (2), p.218-228 |
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creator | Cooper, Hannah LF Des Jarlais, Don C. Tempalski, Barbara Bossak, Brian H. Ross, Zev Friedman, Samuel R. |
description | 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.
► Areas with more spatial access to syringe exchange programs have more drug arrests. ► Drug-related arrests damage SEPs' protective effects on injectors' HIV risk. ► Enforcement efforts targeting drug users should be scaled back in areas around SEPs. |
doi_str_mv | 10.1016/j.healthplace.2011.09.005 |
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► Areas with more spatial access to syringe exchange programs have more drug arrests. ► Drug-related arrests damage SEPs' protective effects on injectors' HIV risk. ► Enforcement efforts targeting drug users should be scaled back in areas around SEPs.</description><subject>Access to health care</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS</subject><subject>Arrest</subject><subject>Arrests</subject><subject>Bacteremia - etiology</subject><subject>Crime - trends</subject><subject>Data Collection</subject><subject>Drug addicts</subject><subject>Drug use</subject><subject>Drug Users</subject><subject>Drug-related law enforcement</subject><subject>Drugs</subject><subject>Enforcement</subject><subject>Female</subject><subject>Geospatial analyses</subject><subject>Harm Reduction</subject><subject>Health</subject><subject>Health Services Accessibility</subject><subject>HIV</subject><subject>Humans</subject><subject>Infection</subject><subject>Injection drug use</subject><subject>Law enforcement</subject><subject>Male</subject><subject>Metropolitan areas</subject><subject>Middle Aged</subject><subject>Needle exchange schemes</subject><subject>Needle-Exchange Programs</subject><subject>New York City</subject><subject>Public health</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Substance Abuse, Intravenous</subject><subject>Syringe exchange programs</subject><subject>U.S.A</subject><subject>Virus Diseases - etiology</subject><subject>Young Adult</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNUk1vEzEQtRCItoG_gMwJLhv8sev1ckCqQvmQKrjAgZPl9Y4Tp7t2sJ1Cfhr_DkcJUblATx6P33sznnkIPadkTgkVr9bzFegxrzajNjBnhNI56eaENA_QOZUtrxhp6ocl5g2vJOvYGbpIaU0IEbKmj9EZY6Ru246co19v43ZZRRh1hgHrGCFlHMslYe0HnDY6Oz1ibQykhHPAaRedXwKGn2al98EmhmXUU8LO40_wA38L8QYvXN7hQ5N4cClHZ3J6jRdh6p0vhcBaKBkcPM4rwNGlGxxskViXtAv-1JHz9pAp_UzBL4-QENMT9MjqMcHT4zlDX99dfVl8qK4_v_-4uLyujKA8V8K2nNR9Q-vekkHXHHrdM9oMHdGUUWGJFcbWQje14RJkr1sxFOrQNLxuheUz9Oagu9n2EwwGfI56VJvoJh13Kmin_n7xbqWW4VZx1tZN2cYMvTgKxPB9W-arJpcMjKP2ELZJdUx2knel2xl6-U8kbQUVDZes_T-UUMlbwZi4B5RIyWVTCDPUHaAmhpQi2NM3KdlLCrVWd6yn9tZTpFPFeoX77O6cTsw_XiuAxQEAZVu3DqJKxoE3MLhYVqqG4O5R5jdFz_UK</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Cooper, Hannah LF</creator><creator>Des Jarlais, Don C.</creator><creator>Tempalski, Barbara</creator><creator>Bossak, Brian H.</creator><creator>Ross, Zev</creator><creator>Friedman, Samuel R.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>5PM</scope></search><sort><creationdate>20120301</creationdate><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</title><author>Cooper, Hannah LF ; Des Jarlais, Don C. ; Tempalski, Barbara ; Bossak, Brian H. ; Ross, Zev ; Friedman, Samuel R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c613t-6f7304b514bf0da43ebab215d90a1216f0f6cf46a54c38e8ba76dc61d553476f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Access to health care</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS</topic><topic>Arrest</topic><topic>Arrests</topic><topic>Bacteremia - etiology</topic><topic>Crime - trends</topic><topic>Data Collection</topic><topic>Drug addicts</topic><topic>Drug use</topic><topic>Drug Users</topic><topic>Drug-related law enforcement</topic><topic>Drugs</topic><topic>Enforcement</topic><topic>Female</topic><topic>Geospatial analyses</topic><topic>Harm Reduction</topic><topic>Health</topic><topic>Health Services Accessibility</topic><topic>HIV</topic><topic>Humans</topic><topic>Infection</topic><topic>Injection drug use</topic><topic>Law enforcement</topic><topic>Male</topic><topic>Metropolitan areas</topic><topic>Middle Aged</topic><topic>Needle exchange schemes</topic><topic>Needle-Exchange Programs</topic><topic>New York City</topic><topic>Public health</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Substance Abuse, Intravenous</topic><topic>Syringe exchange programs</topic><topic>U.S.A</topic><topic>Virus Diseases - etiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooper, Hannah LF</creatorcontrib><creatorcontrib>Des Jarlais, Don C.</creatorcontrib><creatorcontrib>Tempalski, Barbara</creatorcontrib><creatorcontrib>Bossak, Brian H.</creatorcontrib><creatorcontrib>Ross, Zev</creatorcontrib><creatorcontrib>Friedman, Samuel R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cooper, Hannah LF</au><au>Des Jarlais, Don C.</au><au>Tempalski, Barbara</au><au>Bossak, Brian H.</au><au>Ross, Zev</au><au>Friedman, Samuel R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>18</volume><issue>2</issue><spage>218</spage><epage>228</epage><pages>218-228</pages><issn>1353-8292</issn><eissn>1873-2054</eissn><coden>HEPLFG</coden><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.
► Areas with more spatial access to syringe exchange programs have more drug arrests. ► Drug-related arrests damage SEPs' protective effects on injectors' HIV risk. ► Enforcement efforts targeting drug users should be scaled back in areas around SEPs.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22047790</pmid><doi>10.1016/j.healthplace.2011.09.005</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Access to health care Adolescent Adult Aged AIDS Arrest Arrests Bacteremia - etiology Crime - trends Data Collection Drug addicts Drug use Drug Users Drug-related law enforcement Drugs Enforcement Female Geospatial analyses Harm Reduction Health Health Services Accessibility HIV Humans Infection Injection drug use Law enforcement Male Metropolitan areas Middle Aged Needle exchange schemes Needle-Exchange Programs New York City Public health Risk Risk Assessment Substance Abuse, Intravenous Syringe exchange programs U.S.A Virus Diseases - etiology Young Adult |
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 |
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