Decreased Odds of Injection Risk Behavior Associated With Direct Versus Indirect Use of Syringe Exchange: Evidence From Two California Cities Academic Article uri icon


MeSH Major

  • Continuity of Patient Care
  • HIV Infections
  • Mass Screening
  • Prisoners


  • Multivariable analyses revealed 95% and 69% reductions, respectively, in high-risk injection associated with direct use of the SEPs in Sacramento and San Jose, and a 46% reduction associated with indirect use of the SEP in Sacramento. Conclusions/Importance: The very large effect of direct SEP use in Sacramento was likely due in part to home delivery of sterile syringes. While more modest effects were associated with indirect use, such use nevertheless is valuable in reducing the risk of HIV transmission of PWID who are unable or unwilling to visit a syringe exchange.

publication date

  • July 29, 2017



  • Academic Article



  • eng

PubMed Central ID

  • PMC5592728

Digital Object Identifier (DOI)

  • 10.1080/10826084.2017.1299182

PubMed ID

  • 28557553

Additional Document Info

start page

  • 1151

end page

  • 1159


  • 52


  • 9