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Access to HIV, Viral Hepatitis, and Substance Use Disorder Treatment/Overdose Prevention Services: A Qualitative Analysis of Syringe Service Programs (SSPs) Serving Rural PWID.
- Source :
- Substance Use & Misuse; 2021, Vol. 56 Issue 13, p1933-1940, 8p, 2 Charts
- Publication Year :
- 2021
-
Abstract
- Syringe service programs (SSP) increasingly serve rural areas of the United States, yet little is known about access and perceived need for their services. Objectives: This paper presents the HIV and viral hepatitis prevention, testing, and treatment, and, substance use disorder treatment and overdose prevention services offered at three SSPs and which services their clients accessed. Across the three SSPs, 45 clients (people who inject drugs [PWID]), 11 staff, and five stakeholders were interviewed. Results: Most clients (n = 34) reported accessing SSP services weekly and primarily for sterile syringes and injection-related supplies. All clients reported testing for HIV at least once, though concern for acquiring or transmitting HIV was divided between some or no concern. Most clients (n = 43) reported testing for hepatitis C virus (HCV). Concern for acquiring or transmitting HCV was also mixed. Vaccination for hepatitis A and/or B teetered around half (HAV: n = 23) to a third (HBV: n = 15). Most clients (n = 43) knew where to access the overdose countering medication, Narcan. Feelings about substance use treatment options varied, yet most felt not enough were available. Of note, not all assessed services were offered by the sampled SSPs. Conclusions/Importance: The findings help us understand PWIDs' rationale regarding services accessed and preference for particular services. The need for some services was not perceived by those at risk for the illness the services addressed. Discussing risk and providing tailored education is important when providing SSP services to rural residing PWIDs. [ABSTRACT FROM AUTHOR]
- Subjects :
- SUBSTANCE abuse treatment
HIV infection transmission
DIAGNOSIS of HIV infections
HIV prevention
HIV infections
HEALTH services accessibility
RURAL health services
HEPATITIS A vaccines
SYRINGES
INJECTIONS
VIRAL hepatitis
DRUG overdose
RESEARCH methodology
ATTITUDE (Psychology)
MEDICAL screening
COMMUNITY health services
INTERVIEWING
CONSUMER attitudes
QUALITATIVE research
ATTITUDES toward illness
RISK perception
NALOXONE
PATIENTS' attitudes
DESCRIPTIVE statistics
HEALTH attitudes
HEPATITIS B vaccines
DRUG administration
INFECTIOUS disease transmission
DRUG dosage
Subjects
Details
- Language :
- English
- ISSN :
- 10826084
- Volume :
- 56
- Issue :
- 13
- Database :
- Complementary Index
- Journal :
- Substance Use & Misuse
- Publication Type :
- Academic Journal
- Accession number :
- 153045429
- Full Text :
- https://doi.org/10.1080/10826084.2021.1958863