Satellite exchange in the Baltimore Needle Exchange Program.

Valente, T W; Foreman, R K; Junge, B; Vlahov, D

[PDF-2.32 MB]

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Public Health Rep

Personal Author:

Valente, T W ; Foreman, R K ; Junge, B ; Vlahov, D ;

Description:

Our first objective was to develop an index of satellite exchange and then determine whether satellite exchangers (SEs) differed demographically or behaviorally from other injecting drug users (IDUs). Our second objective was to determine the degree that SEs contributed to needle exchange program (NEP) effectiveness.|We collected data from approximately 5000 Baltimore Needle Exchange Program (BNEP) participants on the number of syringes acquired and returned over the two-year period February 1995 to February 1997. We then conducted one-way ANOVAs and logistic regressions to determine if SEs were different from other IDUs.|We classified 9.35% of the IDUs and SEs and showed that SEs reported levels of drug use and risk behavior similar to other BNEP participants. Although SEs represented less than 10% of all BNEP clients, they accounted for more than 64% of all needles distributed by the BNEP. We showed that SEs accessed more wide-ranging drug use networks than non-SE IDUs and thus can act as potential bridges for human immunodeficiency virus (HIV) prevention materials and messages to larger numbers of drug injectors.|SEs can be expressly targeted with specific prevention messages and encouraged to be "ambassadors" for HIV prevention messages. Efforts to curtail the activities of SEs may detract from the effectiveness of NEPs.

Subject:

[+]

Pubmed ID:

9722814

Pubmed Central ID:

PMCnull

Document Type:

Journal Article

Funding:

DA H400-963-2034/DA/NIDA NIH HHS/United States

Collection(s):

Public Health Reports

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[+]

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Public Health Reports ; v. 113, Suppl. 1 : table of contents

[PDF - 135.73 KB]

Published Date:

6-1998

Source:

Public Health Rep. 113(Suppl 1)

Description:

The National Institute on Drug Abuse (NIDA), in collaboration with the Office of AIDS Research of the National Institutes of Health, invited national and international researchers to the "Research Synthesis Symposium on the Prevention of HIV in Drug ...

File Type:

[PDF - 135.73 KB]
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[PDF - 1.18 MB]

Published Date:

6-1998

Source:

Public Health Rep. 113(Suppl 1)

Description:

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[PDF - 7.12 MB]

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Published Date:

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Description:

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[PDF - 7.12 MB]
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[PDF - 3.90 MB]

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[PDF - 3.90 MB]
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[PDF - 2.59 MB]

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[PDF - 3.39 MB]

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Description:

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[PDF - 3.39 MB]
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[PDF - 2.54 MB]

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[PDF - 2.15 MB]

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Description:

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[PDF - 2.15 MB]
Public Health Reports ; v. 113, Suppl. 1 : masthead

[PDF - 230.08 KB]

Published Date:

6-1998

Source:

Public Health Rep. 113(Suppl 1)

File Type:

[PDF - 230.08 KB]
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[PDF - 2.90 MB]

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Published Date:

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[PDF - 3.45 MB]

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[PDF - 3.45 MB]
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[PDF - 1.90 MB]

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Vlahov, D; Junge, B;

Published Date:

Jun 1998

Source:

Public Health Rep. 113(Suppl 1):75-80

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[PDF - 1.90 MB]
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[PDF - 780.81 KB]

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Jun 1998

Source:

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[PDF - 780.81 KB]
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[PDF - 413.01 KB]

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Published Date:

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Source:

Public Health Rep. 113(Suppl 1):1-3

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[PDF - 413.01 KB]
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[PDF - 3.06 MB]

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[PDF - 1.57 MB]

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Heimer, R

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Description:

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[PDF - 1.57 MB]
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[PDF - 2.89 MB]

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Neaigus, A

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[PDF - 2.89 MB]
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[PDF - 3.12 MB]

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Hartel, D M; Schoenbaum, E E;

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Description:

We undertook a study of the role of methadone maintenance in protecting injecting drug users (IDUs) from human immunodeficiency virus (HIV) infection from the earliest days of the HIV epidemic in New York City to the present. The historical context o...

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[PDF - 3.12 MB]

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