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    Client-Level Coverage of Needle and Syringe Program and High-Risk Injection Behaviors: A Case Study of People Who Inject Drugs in Kermanshah, Iran

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    Access Status
    Open access
    Authors
    Noroozi, M.
    Mirzazadeh, A.
    Noroozi, A.
    Mehrabi, Y.
    Hajebi, A.
    Zamani, S.
    Sharifi, H.
    Higgs, Peter
    Soori, H.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Noroozi, M. and Mirzazadeh, A. and Noroozi, A. and Mehrabi, Y. and Hajebi, A. and Zamani, S. and Sharifi DVM, H. et al. 2015. Client-Level Coverage of Needle and Syringe Program and High-Risk Injection Behaviors: A Case Study of People Who Inject Drugs in Kermanshah, Iran. Addiction and Health. 7 (3-4): pp. 164-173.
    Source Title
    Addiction and Health
    ISSN
    2008-4633
    School
    National Drug Research Institute (NDRI)
    Remarks

    This open access article is distributed under the Creative Commons license http://creativecommons.org/licenses/by/3.0/

    URI
    http://hdl.handle.net/20.500.11937/21666
    Collection
    • Curtin Research Publications
    Abstract

    Background: Needle-syringe programs (NSP) have been running in Iran since 2002. However, the coverage of such program among the NSP clients at the individual level was not studies yet. This study aimed to determine the client coverage of NSP and its correlation with high injection-related risk behaviors. Methods: A cross-sectional survey was conducted in Kermanshah province, Iran, in 2014. 230 people who inject drugs (PWID) recruited from two drop-in centers (DICs) from April to September 2014, participated in a face-to-face interview to provide information related individual coverage of NSP, demographic characteristics, and injecting behaviors 30 days prior to the interview. Findings: Overall, the average of syringe coverage was 158% [95% confidence interval (CI) = 65.7-205.5], while 56% (95% CI = 40-97) have individual converge less than 100%. Needle/syringe sharing was significantly higher among individual with low NSP coverage [adjusted odds ratio (AOR) = 2.6, 95% CI = 1.3-6.2]. About 85% participants with coverage of less than 100% reported reuse of syringe within the last 30 days (AOR = 3.2, 95% CI = 1.4-7.7). Conclusion: PWID are different regarding their NSP individual-level converges. There are certain clusters of PWID, who do not receive sufficient number of syringes. Given that insufficient individual syringe coverage level is highly associated with injection risk behaviors, reasons for such low converge need to be assessed and addressed carefully.

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    • Comparing profile of people who inject drugs (PWID) accessing different types of needle and syringe programs or secondary distribution in Kermanshah, Iran
      Noroozi, A.; Mirzazadeh, A.; Hajebi, A.; Farhoudian, A.; Sharifi, H.; Higgs, Peter; Noroozi, M. (2017)
      © 2017 Taylor & Francis Group, LLC. Background: Needle and syringe programs (NSPs) have been developed and implemented since 2002 in Iran. NSPs are largely delivered through fixed site and outreach services. Characterizing ...
    • Comparing Injecting Risk Behaviors of Long-Term Injectors with New Injectors in Tehran, Iran
      Bazrafshan, M.; Noroozi, M.; Ghisvand, H.; Noroozi, A.; Alibeigi, N.; Abbasi, M.; Higgs, Peter; Armoon, B. (2018)
      Background: Global estimates suggest there are 15.6 million people who inject drugs (PWID) of whom 17.8% are living with HIV.Few studies have characterized newly-onset injectors with long-term injectors and its association ...
    • Access to needle and syringe programs and the relationship to equipment sharing among people who inject drugs in Kermanshah, Iran
      Rezaie, F.; Farhadi, M.; Farhoudian, A.; Najafi, M.; Bazrafshan, A.; Higgs, Peter; Mohammadi Shahboulagh, F.; Ranjbar, M.; Vameghi, M.; Abbasi, M.; Noroozi, A.; Noroozi, M. (2017)
      © 2017 Taylor & Francis Group, LLC. Background: Needle and Syringe Programs (NSP) have been implemented in Iran since 2002. The primary aim of NSP is to prevent blood-borne virus transmission by providing sterile injecting ...
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