1.

Record Nr.

UNINA9910455963203321

Titolo

Proceedings [[electronic resource] ] : Workshop on Needle Exchange and Bleach Distribution Programs / / Panel on Needle Exchange and Bleach Distribution Programs, Commission on Behavioral and Social Sciences and Education, National Research Council and Institute of Medicine

Pubbl/distr/stampa

Washington, DC, : National Academy Press, 1994

ISBN

1-280-19348-4

9786610193486

0-309-59314-X

0-585-05313-8

Descrizione fisica

1 online resource (320 p.)

Altri autori (Persone)

MosesLincoln E

Disciplina

362.29

Soggetti

Needle exchange programs - United States

Intravenous drug abuse - Health aspects - United States

AIDS (Disease) - United States - Prevention

Chlorine and derivatives as disinfectants

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Project was sponsored by the National Institute on Drug Abuse.

Workshop was held on September 27-28, 1993 in Baltimore, Maryland.

Panel chairman: Lincoln Moses.

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

""Proceedings Workshop on Needle Exchange and Bleach Distribution Programs""; ""Copyright""; ""Contents""; ""PREFACE""; ""INTRODUCTION""; ""REFERENCES""; ""U.S. NEEDLE EXCHANGE DATA""; ""The University of California Needle Exchange Program Evaluation Project: Methods, Conclusions, and Recommendation ""; ""METHODS""; ""Project Personnel""; ""Goal and Research Questions""; ""Ensuring Community and Expert Input""; ""Advisory Committee""; ""Expert Reviewers""; ""Kaiser Family Foundation Forum""; ""Consent and Confidentiality""; ""Formal Review of Existing Research""; ""Assessment of Data Needs""



""Data Collection""""Data Synthesis""; ""Site Visits""; ""Identification of Sites and Interviewees""; ""Methodological Framework""; ""Training""; ""Site Observations""; ""Key Informant Interviews""; ""IDU Focus Groups""; ""Qualitative Analysis""; ""Mail Survey of NEPs Not Visited""; ""Cost-Effectiveness Modeling""; ""CONCLUSIONS""; ""How and Why Did NEPs Develop?""; ""How Do NEPs Operate?""; ""Do NEPs Act as Bridges to Public Health Services?""; ""How Much Does it Cost to Operate NEPs?""; ""Who Are the IDUs Who Use NEPs?""; ""What Proportion of All IDUs in a Community Uses the NEP?""

""What Are the Community Responses to NEPs?""""Do NEPs Result in Changes in Community Levels of Drug Use?""; ""Do NEPs Affect the Number of Discarded Syringes?""; ""Do NEPs Affect Rates of HIV Drug and/or Sex Risk Behaviors?""; ""What is the Role of Studies of Syringes in Injection Drug Use Research?""; ""Do NEPs Affect Rates of Diseases Related to Injection Drug Use Other than HIV?""; ""Do NEPs Affect HIV Infection Rates?""; ""Are NEPs Cost-effective in Preventing HIV Infection?""; ""RECOMMENDATIONS""; ""Recommendations for the Federal Government""; ""Recommendations for State Governments""

""Recommendations for Researchers""""APPENDIX""; ""Research Questions""; ""References""; ""Risk for Human Immunodeficiency Virus and Hepatitis B Virus in Users of the Tacoma Syringe Exchange Program""; ""INTRODUCTION""; ""METHODS""; ""The Intervention""; ""Studies of Risk Behavior in Local IDUs""; ""Surveillance of Blood-Borne Viral Infections""; ""Case-Control Study of Incident HBV Infections""; ""RESULTS""; ""DISCUSSIONS""; ""References""; ""Behavioral and Community Impact of the Portland Syringe Exchange Program""; ""PROGRAM OVERVIEW""; ""METHODS""; ""RESULTS""; ""CONCLUSIONS""

""ACKNOWLEDGMENTS""""Reference""; ""New York City Syringe Exchange: An Overview""; ""INTRODUCTION""; ""OVERVIEW OF EVALUATION""; ""METHODS""; ""Ethnographic Study""; ""Behavioral Change and Seroconversion""; ""Seroprevalence and Seroincidence""; ""RESULTS""; ""Organizational-System Issues""; ""Health Departments""; ""The American Foundation for AIDS Research (AmFAR)""; ""Syringe Exchange Programs""; ""Evaluation""; ""PROBLEM SOLVING""; ""Subject Characteristics""; ""Self-Reported Change in Risk-Taking Behavior""; ""DISCUSSION""; ""ACKNOWLEDGMENTS""; ""References""

""Discussion: U.S. Needle Exchange Data""