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A decline in HIV-infected needles returned to New Haven's needle exchange program: Client shift or needle exchange?

Author

Listed:
  • Kaplan, E.H.
  • Khoshnood, K.
  • Heimer, R.

Abstract

The New Haven needle exchange program experienced a significant decline in the fraction of returned needles containing human immunodeficiency virus 1 (HIV-1) proviral DNA. Is this decline due to the operations of the needle ex- change or to a shift in clients? Analysis of demographic and behavioral data revealed that only one variable, the race of participating clients, changed significantly over time. However, HIV-1 prevalences in needles given to Whites and to non-Whites were not statistically different. Thus, client shift cannot be responsible for the decline in the observed HIV prevalence in needles. Instead, needle circulation times were a significant predictor of HIV prevalence.

Suggested Citation

  • Kaplan, E.H. & Khoshnood, K. & Heimer, R., 1994. "A decline in HIV-infected needles returned to New Haven's needle exchange program: Client shift or needle exchange?," American Journal of Public Health, American Public Health Association, vol. 84(12), pages 1991-1994.
    • Handle: RePEc:aph:ajpbhl:1994:84:12:1991-1994_8
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    Cited by:

    1. Martin T. Schechter, 2002. "Science, Ideology, and Needle Exchange Programs," The ANNALS of the American Academy of Political and Social Science, , vol. 582(1), pages 94-101, July.
    2. Juan Manuel Cabasés Hita & Eduardo Sánchez Iriso, 2002. "Costs and Effectiveness of a syringe distribution and needle exchange programme for HIV prevention in a regional setting," Documentos de Trabajo - Lan Gaiak Departamento de Economía - Universidad Pública de Navarra 0204, Departamento de Economía - Universidad Pública de Navarra.
    3. Juan Cabasés & Eduardo Sánchez, 2003. "Costs and effectiveness of a syringe distribution and needle exchange program for HIV prevention in a regional setting," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 4(3), pages 203-208, September.
    4. Schilling, Robert F. & Fontdevila, Jorge & Fernando, Daniel & El-Bassel, Nabila & Monterroso, Edgar, 2004. "Proximity to needle exchange programs and HIV-related risk behavior among injection drug users in Harlem," Evaluation and Program Planning, Elsevier, vol. 27(1), pages 25-33, February.

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