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The Impact of Needle and Syringe Exchange Programs on HIV-Related Risk Behaviors in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis Examining Individual- Versus Community-Level Effects
We conducted a systematic review and meta-analysis of the impact of needle and syringe exchange programs (NSP) on both individual- and...
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HCV serostatus and injection sharing practices among those who obtain syringes from pharmacies and directly and indirectly from syringe services programs in rural New England
BackgroundAmong people who inject drugs (PWID), obtaining syringes via syringe services programs (SSPs) and pharmacies reduces injection sharing...
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Network Correlates of Using a Syringe After an Injection Partner Among Women Who Inject Drugs in Philadelphia Pennsylvania
This analysis aims to identify relationship-level correlates of receptive syringe sharing among women who inject drugs in Philadelphia. Sixty-four...
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Lessons Learned Implementing Syringe Services Programs at Rural Health Departments in Kentucky
Until recently, most syringe services programs (SSPs) in the United States operated in metropolitan areas. This study explores how SSP implementers...
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Injection partnership characteristics and HCV status associations with syringe and equipment sharing among people who inject drugs
BackgroundSharing of syringes is the leading transmission pathway for hepatitis C (HCV) infections. The extent to which HCV can spread among people...
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Differential risks of syringe service program participants in Central Ohio: a latent class analysis
BackgroundSignificant heterogeneity exists among people who use drugs (PWUD). We identify distinct profiles of syringe service program (SSP) clients...
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A mixed-methods analysis of risk-reduction strategies adopted by syringe services program participants and non-syringe services program participants in New York City
BackgroundSince the emergence of fentanyl in the drug market, syringe services programs (SSPs) have been at the forefront of providing life-saving...
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Unmet needs and harm reduction preferences of syringe services program participants: differences by co-use of illicit opioids and methamphetamine
BackgroundThe current fourth wave of the United States opioid overdose epidemic is characterized by the co-use of opioids and stimulants, including...
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Housing-based syringe services programs to improve access to safer injecting equipment for people who inject drugs in Vancouver, Canada: a spatially oriented qualitative study
BackgroundHousing environments shape injection drug-related risks and harms and thus represent a critical implementation setting for syringe services...
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How do contextual factors influence naloxone distribution from syringe service programs in the USA: a cross-sectional study
BackgroundNaloxone is a medication that can quickly reverse an opioid overdose. Syringe service programs (SSPs) are community-based prevention...
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Assessing the relationship between syringe exchange, pharmacy, and street sources of accessing syringes and injection drug use behavior in a pooled nationally representative sample of people who inject drugs in the United States from 2002 to 2019
Provision of sterile syringes is an evidence-based strategy of reducing syringe sharing and reusing and yet, access to sterile syringes through...
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Optimizing naloxone distribution to prevent opioid overdose fatalities: results from piloting the Systems Analysis and Improvement Approach within syringe service programs
BackgroundOpioid overdose fatalities are preventable with timely administration of naloxone, an opioid antagonist, during an opioid overdose event....
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Responding to a surge in overdose deaths: perspectives from US syringe services programs
BackgroundUS overdose deaths have reached a record high. Syringe services programs (SSPs) play a critical role in addressing this crisis by providing...
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The effects of COVID-19 on New York State’s Drug User Health Hubs and syringe service programs: a qualitative study
BackgroundSyringe service programs (SSPs) deliver critical harm reduction services to people who inject drugs (PWID). Some SSPs in New York State...
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“They don’t go by the law around here”: law enforcement interactions after the legalization of syringe services programs in North Carolina
BackgroundIn 2016, the US state of North Carolina (NC) legalized syringe services programs (SSPs), providing limited immunity from misdemeanor...
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Availability of telehealth-based services at syringe services programs under the COVID-19 Public Health Emergency
IntroductionThe expanded capacity of syringe services programs (SSPs) in the USA to integrate telehealth services was largely related to flexibility...
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Law enforcement and syringe services program implementation in rural counties in Kentucky: a qualitative exploration
BackgroundExisting research in urban areas has documented a multitude of ways in which law enforcement may affect risks for bloodborne infectious...
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Is your syringe services program cost-saving to society? A methodological case study
BackgroundWhile there is a general acceptance among public health officials and policy-makers that syringe services programs can be effective in...
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Houselessness and syringe service program utilization among people who inject drugs in eight rural areas across the USA: a cross-sectional analysis
BackgroundResearch conducted in urban areas has highlighted the impact of housing instability on people who inject drugs (PWID), revealing that it...
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Urgent need to expand syringe services programs in South Carolina and beyond
Opioid related overdose deaths in the United States claimed over 100,000 thousand lives during the 12-month period ending in April 2021, an increase...