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Needle exchange programs and drug injection behavior

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  • Jeff DeSimone

    (University of South Florida)

Abstract

This study examines how drug injection and needle sharing propensities respond when a needle exchange program (NEP) is introduced into a city. I analyze 1989-1995 Drug Use Forecasting data on adult male arrestees from 24 large U.S. cities, in nine of which NEPs opened during the sample period. After controlling for cocaine and heroin prices, AIDS prevalence, fixed effects for cities and years and city-specific time trends, the model indicates that the presence of a NEP is associated with declines of 13 percent in drug injection and 20 percent in needle sharing among drug injectors. © 2005 by the Association for Public Policy Analysis and Management

Suggested Citation

  • Jeff DeSimone, 2005. "Needle exchange programs and drug injection behavior," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 24(3), pages 559-577.
    • Handle: RePEc:wly:jpamgt:v:24:y:2005:i:3:p:559-577
    DOI: 10.1002/pam.20115
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    References listed on IDEAS

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    1. Anne Line Bretteville‐Jensen, 1999. "Gender, heroin consumption and economic behaviour," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 379-389, August.
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    3. Jeff DeSimone & Matthew C. Farrelly, 2003. "Price and Enforcement Effects on Cocaine and Marijuana Demand," Economic Inquiry, Western Economic Association International, vol. 41(1), pages 98-115, January.
    4. Frank J. Chaloupka & Michael Grossman & John A. Tauras, 1999. "The Demand for Cocaine and Marijuana by Youth," NBER Chapters, in: The Economic Analysis of Substance Use and Abuse: An Integration of Econometric and Behavioral Economic Research, pages 133-156, National Bureau of Economic Research, Inc.
    5. Vogt, R.L. & Breda, M.C. & Des Jarlais, D.C. & Gates, S. & Whiticar, P., 1998. "Hawaii's statewide syringe exchange program," American Journal of Public Health, American Public Health Association, vol. 88(9), pages 1403-1404.
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    Cited by:

    1. Craig A. Gallet, 2014. "Can Price Get The Monkey Off Our Back? A Meta‐Analysis Of Illicit Drug Demand," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 55-68, January.
    2. Lauren E Cipriano & Gregory S Zaric & Mark Holodniy & Eran Bendavid & Douglas K Owens & Margaret L Brandeau, 2012. "Cost Effectiveness of Screening Strategies for Early Identification of HIV and HCV Infection in Injection Drug Users," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-14, September.
    3. Packham, Analisa, 2022. "Syringe exchange programs and harm reduction: New evidence in the wake of the opioid epidemic," Journal of Public Economics, Elsevier, vol. 215(C).
    4. Analisa Packham, 2019. "Are Syringe Exchange Programs Helpful or Harmful? New Evidence in the Wake of the Opioid Epidemic," NBER Working Papers 26111, National Bureau of Economic Research, Inc.

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