International Journal of Drug Policy
Volume 14, Issue 5 , Pages 365-371 , December 2003

Practices surrounding syringe acquisition and disposal: effects of Syringe Exchange Programmes from different Brazilian regions—the AjUDE-Brasil II Project

  • Waleska Teixeira Caiaffa

      Affiliations

    • Department of Preventive and Social Medicine of Federal University of Minas Gerais State (UFMG) and Research Group in Epidemiology (GPE/UFMG), Av. Alfredo Balena 190, 10o. andar, 30130-100 Belo Horizonte, Minas Gerais, Brazil
    • Corresponding Author InformationCorresponding author.
    • ,
  • Francisco Inácio Bastos

      Affiliations

    • Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
    • ,
  • Fernando Augusto Proietti

      Affiliations

    • Department of Preventive and Social Medicine of Federal University of Minas Gerais State (UFMG) and Research Group in Epidemiology (GPE/UFMG), Av. Alfredo Balena 190, 10o. andar, 30130-100 Belo Horizonte, Minas Gerais, Brazil
    • ,
  • Ângela Cristina Maia Reis

      Affiliations

    • Department of Statistics of UFMG, Belo Horizonte, Minas Gerais, Brazil
    • ,
  • Sueli Aparecida Mingoti

      Affiliations

    • Department of Statistics of UFMG, Belo Horizonte, Minas Gerais, Brazil
    • ,
  • Denise Gandolfi

      Affiliations

    • National STD/AIDS Program, Ministry of Health, Brazil
    • ,
  • Denise Doneda

      Affiliations

    • National STD/AIDS Program, Ministry of Health, Brazil
    • ,
  • AjUDE-Brasil II Project

Received 1 December 2002 ,Revised 15 March 2003 ,Accepted 2 July 2003.

References 

  1. Bastos FI. Drugs and AIDS: A case study from Brazil. Urban Health Development Bulletin. 2000;3:30–38
  2. Bastos FI, Strathdee SA. Evaluating effectiveness of syringe exchange programmes: Current issues and future prospects. Social Science & Medicine. 2000;51:1771–1782
  3. Brazil. (2002). Boletim Epidemiológico de AIDS XV; no. 01: 48a/2001 à 13a/2002 semanas epidemiológicas, October–March 2002. Brası́lia: Ministry of Health.
  4. Caiaffa, W. T. (2001). Projeto AjUDE-Brasil. Avaliação epidemiológica dos usuários de drogas injetáveis dos projetos de redução de danos apoiados pela CNDST e Aids (Brası́lia, CNDST e Aids/Ministério da Saúde, Série Avaliação no. 6, 324 pp.). Brası́lia: Ministério da Saúde. Available: www.aids.gov.br
  5. Caiaffa, W. T., Proietti, F. A., Deslandes, S., Mingoti, S. A., Marques, L. F., Mendonça, E. A. (2002). Harm reduction as a campaign: A public health concern—A quantitative and qualitative approach in the Brazilian Syringe Exchange Program (SEP)—The AjUDE-Brasil Project (Vol. 1, p. 63). 12th International Conference on the Reduction of Drug-related Harm, April 1–5, 2001, New Delhi.
  6. Caiaffa WT, Proietti FA, Mingoti SA, Carneiro-Proietti AB, Doneda D, Gandolfi D, et al.  The dynamics of HIV among IDU in Brazil: Empirical and theoretical considerations. Brazilian Journal of Epidemiology. 2002;V(Suppl. 1):302
  7. Caiaffa, W. T., Mingoti, S. A., Proietti, F. A., Carneiro-Proietti, A. B., Silva, R. C., Lopes, A. C. S., et al. (2003). Estimation of the number of Injecting drug users (IDUs) attending an outreach Syringe Exchange Program (SEP), and the infection with Human Immunodeficiency Virus (HIV) and Hepatitis C virus (HCV). Journal of Urban Health.
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  9. Deslandes SF, Mendonça EA, Caiaffa WT, Doneda D. As Concepções de Risco e de Prevenção Segundo a ótica dos Usuários de Drogas Injetáveis. Cad. Saude Pub. 2002;18:141–151
  10. Diaz T, Chu S, Weinstein B, Mokotoff E, Jones TS. injection and syringe sharing among HIV-infected injection drug users: Implications for prevention of HIV transmission. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1998;18(Suppl. 1):S76–S81
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  12. Gleghorn AA, Gee G, Vlahov D. Pharmacists’ attitudes about pharmacy sale of needles/syringes and needle exchange programs in a city without needle/syringe prescription laws. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1998;18(Suppl. 1):S89–S93
  13. Groseclove SL, Weinstein B, Jones TS, Valleroy LA, Fehrs LJ, Kassler WJ. Impact of increased legal access to needles and syringes on practices on injecting-drug users and police officers—Connecticut, 1992–1993. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1995;10:82–89
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  15. Jungle, B., Bouey, P., Cohn, S., Perceptions and practices surrounding syringe acquisition by participants in the Baltimore syringe exchange program. Unpublished manuscript.
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  17. Lurie P, Gorsky R, Jones TS, Shomhe L. An economic analysis of needle exchange programs and pharmacy-based programs to increase sterile syringe availability for injection drug users. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1998;18(Suppl. 1):S126–S132
  18. Macalino GE, Springer KW, Rahman ZS, Vlahov D, Jones TS. Community-based programs for safe disposal of used needles and syringes. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1998;18(Suppl. 1):S111–S119
  19. Montella F, Di Sora F, Recchia O. Can HIV infection be transmitted by a “discarded” syringe?. Journal of Acquired Immune Deficiency Syndromes. 1992;5:1274–1275
  20. Riley E, Beilenson P, Vlahov D, Smith L, Koenig M, Jones TS, et al.  Operation red box: A pilot project of needle and syringe drop boxes for injection drug users is East Baltimore. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1998;18(Suppl. 1):S120–S125
  21. Sheridan J, Lovell S, Turnbull P, Parsons J, Stimson G, Strang J. Pharmacy-based needle exchange (PBNX) schemes in Southeast England: A survey of service providers. Addiction. 2000;95:1551–1560

PII: S0955-3959(03)00136-1

doi: 10.1016/S0955-3959(03)00136-1

International Journal of Drug Policy
Volume 14, Issue 5 , Pages 365-371 , December 2003

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