Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/575
Title: Practices surrounding syringe acquisition and disposal: effects of Syringe Exchange Programmes from different Brazilian regions — the AjUDE-Brasil II Project
Authors: Caiaffa, Waleska Teixeira
Bastos, Francisco Inácio Pinkusfeld Monteiro
Proietti, Fernando Augusto
Reis, Angela Cristina Maia
Mingoti, Sueli Aparecida
Gandolfi, Denise
Doneda, Denise
Affilliation: Universidade Federal de Minas Gerais. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Minas Gerais. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Departamento de Estatística. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Departamento de Estatística. Belo Horizonte, MG, Brasil.
Abstract: The study describes practices relating to syringe acquisition and disposal by Syringe Exchange Programme (SEP) participants. A crosssectional multi-city study enrolled 857 injection drug users (IDUs) from six SEPs in different Brazilian regions, and assessed self-reported acquisition and disposal behaviours. Seven hundred and nine males (82.9%) and 146 females (17.1%) were recruited through outreach and interviewed, most from the streets or their neighbourhoods (54.1%). The average age was 28.5 years; 76.4% reported injecting cocaine in the past 6 months. Sources for acquiring new syringes differed significantly between time of injection drug use debut and the 6 months prior to interview. Fifty-three percent of IDUs reported acquiring their syringes in pharmacies when they initiated injection drug use, whereas most reported acquiring new syringes in the 6 months before interview from several simultaneous sources: 69% through SEPs; 58% through pharmacies; 36% from friends and/or sexual partners; and 17% from other health services. Across SEPs, acquisition and disposal varied widely. Most interviewees discarded their syringes on the streets, in open fields, or in the garbage or sewage. Restrictions on syringe availability and unsafe practices may be functioning as barriers to the public health recommendation of one-time use of sterile syringes for IDUs and discouraging community support to SEPs. Further increase in access to legal, inexpensive and timely sterile syringes, as well as counselling about the merits of one-time use and safer disposal must be reinforced as part of efforts to minimise high-risk behaviours and curb the spread of blood-borne infections.
Keywords: IDUs
HIV/AIDS
Needles
Syringes
Issue Date: 2003
Publisher: Elsevier B.V.
Citation: CAIAFFA, W. T. et al. Practices surrounding syringe acquisition and disposal: effects of Syringe Exchange Programmes from different Brazilian regions — the AjUDE-Brasil II Project. The International Journal of Drug Policy, Liverpool, v. 14, p. 365–371, 2003.
Description: The AjUDE-Brasil II Project team includes: Waleska Teixeira Caiaffa (PI), Anna Bárbara Carneiro Proietti, Eduardo Alves Mendonça, Fernando Augusto Proietti, Francisco Inácio Bastos, Nélio Januário, Sueli Aparecida Mingoti, Suely Deslandes, Denise Doneda, Denise Gandolfi, Aline Cristine Souza Lopes, Divane Leite Matos, Marta Aparecida Barbosa Chagas, Mˆonica Malta, Rodrigo Carazolli da Silva, Ronald Elsin Moraes Eller, Angela Cristina Maia, Isabela Furtado de Mendonça Picinim, Henrique Fernades Mendes, Mariana Hacker, Renata Cristina Rolim Marinho and Rosana Teixeira Caiaffa. SEP Florianópolis (SC): Ioná Maria Cardoso and team; SEP Gravata´ı (RS): Rosa Maria Bittencourt Mayer and team; SEP Itaja´ı (SC): Rosalie Knoll and team; SEP Porto Alegre (RS): Mirtha Delia Sendic Sudbrack and team; SEP Salvador: Tarc´ısio Andrade and team; SEP São José do Rio Preto (SP): Elza Maria Alves Ferreira and team.
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos

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