2003
Feasibility of referring drug users from a needle exchange program into an addiction treatment program: Experience with a mobile treatment van and LAAM maintenance
Kuo I, Brady J, Butler C, Schwartz R, Brooner R, Vlahov D, Strathdee S. Feasibility of referring drug users from a needle exchange program into an addiction treatment program: Experience with a mobile treatment van and LAAM maintenance. Journal Of Substance Use And Addiction Treatment 2003, 24: 67-74. PMID: 12646332, DOI: 10.1016/s0740-5472(02)00343-4.Peer-Reviewed Original ResearchMeSH KeywordsAdultBaltimoreCocaine-Related DisordersFeasibility StudiesFemaleHeroin DependenceHumansMaleMethadyl AcetateMobile Health UnitsNarcoticsNeedle-Exchange ProgramsReferral and ConsultationSeverity of Illness IndexSubstance Abuse Treatment CentersSubstance-Related DisordersTime FactorsTreatment OutcomeConceptsTreatment programLevomethadyl acetate hydrochlorideFirst-line treatmentEarly treatment responseNeedle exchange programsCocaine-positive urine testsDrug treatment programsAddiction treatment programsLAAM maintenanceAgonist therapyLine treatmentOpioid dependenceUrine testsTreatment responseDrug usersNEP attendersHeroin addictionProgram attendersAlcohol useSubscale scoresProgram entrySignificant reductionAttendersLAAM
2002
Factors Associated with HIV Seroprevalence among Participants Enrolling at a Needle Exchange Program
Vertefeuille J, Strathdee S, Huettner S, Brown M, Vlahov D. Factors Associated with HIV Seroprevalence among Participants Enrolling at a Needle Exchange Program. Journal Of Drug Issues 2002, 32: 1125-1138. DOI: 10.1177/002204260203200408.Peer-Reviewed Original ResearchInjection drug usersHIV seroprevalenceHIV-seronegative counterpartsHIV-seropositive individualsHIV risk factorsDaily cocaine injectionsDaily heroin injectionDrug use characteristicsHarms of drugsHIV seropositive statusNeedle exchange programsLogistic regression modelsSpeedball injectionHIV antibodiesHIV infectionHeroin injectionProspective studyRisk factorsCocaine injectionFactors AssociatedDrug usersMultivariate modelProgram entryHIVSeroprevalenceHEALTH SERVICES UTILIZATION BY INJECTION DRUG USERS PARTICIPATING IN A NEEDLE EXCHANGE PROGRAM
Riley E, Wu A, Junge B, Marx M, Strathdee S, Vlahov D. HEALTH SERVICES UTILIZATION BY INJECTION DRUG USERS PARTICIPATING IN A NEEDLE EXCHANGE PROGRAM. The American Journal Of Drug And Alcohol Abuse 2002, 28: 497-511. PMID: 12211362, DOI: 10.1081/ada-120006738.Peer-Reviewed Original ResearchConceptsNeedle exchange programsDrug treatment utilizationDrug treatmentNEP visitsPrimary careHealth insuranceTreatment utilizationHealth careDrug usersHealth service utilization dataPrimary care utilizationHealth service utilizationAfrican American raceInjection drug usersBaltimore Needle Exchange ProgramHealth Insurance ServicePrimary health careService utilization dataHealth care systemNEP sitesMedian ageCare utilizationOdds ratioService utilizationStudy staffDRUG USER TREATMENT REFERRALS AND ENTRY AMONG PARTICIPANTS OF A NEEDLE EXCHANGE PROGRAM
Riley E, Safaeian M, Strathdee S, Brooner R, Beilenson P, Vlahov D. DRUG USER TREATMENT REFERRALS AND ENTRY AMONG PARTICIPANTS OF A NEEDLE EXCHANGE PROGRAM. Substance Use & Misuse 2002, 37: 1869-1886. PMID: 12511056, DOI: 10.1081/ja-120014088.Peer-Reviewed Original ResearchConceptsNEP participantsNeedle exchange programsTreatment referralMethadone treatmentMultiple logistic regression modelUse of speedballsDrug user treatmentNeedle exchange program participantsLogistic regression modelsMedian ageMethadone maintenanceOdds ratioFemale genderFirst injectionDrug useTreatment entryReferral
2001
Impact of Needle Exchange Programs on Adolescent Perceptions About Illicit Drug Use
Marx M, Brahmbhatt H, Beilenson P, Brookmeyer R, Strathdee S, Alexander C, Vlahov D. Impact of Needle Exchange Programs on Adolescent Perceptions About Illicit Drug Use. AIDS And Behavior 2001, 5: 379-386. DOI: 10.1023/a:1013195108756.Peer-Reviewed Original ResearchHealth care utilization among young adult injection drug users in Harlem, New York
Cronquist A, Edwards V, Galea S, Latka M, Vlahov D. Health care utilization among young adult injection drug users in Harlem, New York. Journal Of Substance Abuse 2001, 13: 17-27. PMID: 11547618, DOI: 10.1016/s0899-3289(01)00073-6.Peer-Reviewed Original ResearchConceptsYoung adult injection drug usersAdult injection drug usersInjection drug usersNeedle exchange programsHealth care utilizationCare utilizationHealth careDrug treatmentDrug usersHealth insuranceMedical careYoung injection drug usersCross-sectional studyHealth insurance coverageNEP usersUse of servicesDrug useHealth servicesAge 18Logistic regressionHealth conditionsCareInsurance coverageMonthsTreatmentUse of Audio Computer-assisted Self-Interviews to Assess Tuberculosis-related Risk Behaviors
RILEY E, CHAISSON R, ROBNETT T, VERTEFEUILLE J, STRATHDEE S, VLAHOV D. Use of Audio Computer-assisted Self-Interviews to Assess Tuberculosis-related Risk Behaviors. American Journal Of Respiratory And Critical Care Medicine 2001, 164: 82-85. PMID: 11435243, DOI: 10.1164/ajrccm.164.1.2101091.Peer-Reviewed Original ResearchConceptsInterviewer-assisted questionnaireComputer-assisted questionnaireHIV infectionRisk factorsOdds ratioHuman immunodeficiency virus risk factorsSelf-reported tuberculosisMultiple logistic regressionRisk behavior dataFinal multivariate modelSmoking equipmentNeedle exchange programsNeedle exchange program participantsHigh-risk behaviorsUnderwent interviewsHIV serostatusAlcohol intakeCigarette smokingDrug useHealth statusRisk behaviorsTuberculosisSmoking marijuanaLogistic regressionMultivariate modelNeedle-exchange participation, effectiveness, and policy: Syringe relay, gender, and the paradox of public health
Valente T, Foreman R, Junge B, Vlahov D. Needle-exchange participation, effectiveness, and policy: Syringe relay, gender, and the paradox of public health. Journal Of Urban Health 2001, 78: 340-349. PMID: 11419584, PMCID: PMC3456352, DOI: 10.1093/jurban/78.2.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultBaltimoreCommerceCommunity Health PlanningCounselingFemaleHealth BehaviorHealth EducationHIV InfectionsHumansInterpersonal RelationsMaleMiddle AgedNeedle-Exchange ProgramsOrganizational ObjectivesProgram EvaluationSocial SupportSubstance Abuse, IntravenousSurveys and QuestionnairesSyringesUrban HealthConceptsNeedle exchange programsNEP useIntravenous drug usersBaltimore Needle Exchange ProgramPublic health goalsHIV seroconversionHIV protectionDrug usersHealth goalsVirus transmission rateHigh usersDuration of contactPublic healthEducation effortsCirculation timeMost studiesRelay activityExclusive useParticipantsSeroconversionHIVVisitsWomenMultiple Access to Sterile Syringes for Injection Drug Users: Vending Machines, Needle Exchange Programs and Legal Pharmacy Sales in Marseille, France
Moatti J, Vlahov D, Feroni I, Perrin V, Obadia Y. Multiple Access to Sterile Syringes for Injection Drug Users: Vending Machines, Needle Exchange Programs and Legal Pharmacy Sales in Marseille, France. European Addiction Research 2001, 7: 40-45. PMID: 11316925, DOI: 10.1159/000050713.Peer-Reviewed Original ResearchConceptsInjection drug usersNeedle exchange programsSterile syringesNEP usersNew syringesPharmacy salesCharacteristics of IDUsDrug usersPrevention of HIVDrug use characteristicsHIV prevention programsSelf-administered questionnaireMethadone programsHeroin injectorsUseful adjunctPrevention programsInfectious diseasesProgram utilizationHIVSyringesPharmacyExchange programsQuestionnaireBuprenorphineDiseaseInjecting misuse of buprenorphine among French drug users
Obadia Y, Perrin V, Feroni I, Vlahov D, Moatti J. Injecting misuse of buprenorphine among French drug users. Addiction 2001, 96: 267-272. PMID: 11182872, DOI: 10.1046/j.1360-0443.2001.96226710.x.Peer-Reviewed Original ResearchConceptsDrug maintenance treatmentSample of IDUsNeedle exchange programsDrug usersMisuse of buprenorphineCross-sectional surveySelf-administered questionnaireAmbulatory prescriptionsMaintenance treatmentAmbulatory careCommunity pharmaciesBuprenorphineSterile syringesSubstantial riskIDUsLatter groupIllicit usePolydrug usersHIVExchange programsMonthsRisky behaviorsPrescriptionPharmacyMisuse
2000
Decline in Self-Reported High-Risk Injection-Related Behaviors Among HIV-Seropositive Participants in the Baltimore Needle Exchange Program
Vertefeuille J, Marx M, Tun W, Huettner S, Strathdee S, Vlahov D. Decline in Self-Reported High-Risk Injection-Related Behaviors Among HIV-Seropositive Participants in the Baltimore Needle Exchange Program. AIDS And Behavior 2000, 4: 381-388. DOI: 10.1023/a:1026406623736.Peer-Reviewed Original ResearchNeedle exchange programsHIV-seropositive drug usersDrug usersRisky drug use behaviorsHigh-risk injection practicesInjection-related behaviorsHIV-seropositive individualsHIV-seropositive participantsBaltimore Needle Exchange ProgramDrug use behaviorsNEP participantsDrug treatmentInjection practicesNEP attendanceMean numberVisitsT-testSignificant reductionExchange programsBaselineChi-square statisticsInjectionSyringesParticipantsFollowCorrelates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus
Shah N, Celentano D, Vlahov D, Stambolis V, Johnson L, Nelson K, Strathdee S. Correlates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus. AIDS 2000, 14: 2035-2043. PMID: 10997409, DOI: 10.1097/00002030-200009080-00020.Peer-Reviewed Original ResearchMeSH KeywordsAdultBaltimoreCohort StudiesFemaleHealth Services AccessibilityHIV AntibodiesHIV InfectionsHIV SeronegativityHIV SeropositivityHumansMaleMethadoneMiddle AgedNeedle-Exchange ProgramsProspective StudiesRisk-TakingSocioeconomic FactorsSubstance Abuse Treatment CentersSubstance Abuse, IntravenousConceptsMethadone maintenance treatment programInjection drug usersMaintenance treatment programNeedle exchange programsHIV serostatusHIV-seronegative injection drug usersSeronegative injection drug usersHIV-negative injection drug usersTreatment programHIV-seropositive participantsHealth care providersTreatment slotsNeedle exchange program participantsAfrican AmericansHIV testProspective cohortCare providersDrug usersProgram attendanceOlder ageCertain subgroupsVulnerable populationsSimilar proportionsBehavioral factorsEnrollment
1999
Needle-exchange attendance and health care utilization promote entry into detoxification
Strathdee S, Celentano D, Shah N, Lyles C, Stambolis V, Macalino G, Nelson K, Vlahov D. Needle-exchange attendance and health care utilization promote entry into detoxification. Journal Of Urban Health 1999, 76: 448-460. PMID: 10609594, PMCID: PMC3456698, DOI: 10.1007/bf02351502.Peer-Reviewed Original ResearchConceptsUninfected injection drug usersInjection drug usersNeedle exchange programsNeedle exchange attendanceDrug abuse treatmentHospital admissionDrug usersHuman immunodeficiency virus testAbuse treatmentImportant public health goalHIV-seronegative subjectsHealth care utilizationOutpatient medical careHealth care providersRecent drug usePublic health goalsIndependent predictorsCare utilizationHIV serostatusDetoxification admissionsCare providersVirus testHIVNeedle exchangeDrug useRE: “HIGH RATES OF HIV INFECTION AMONG INJECTION DRUG USERS PARTICIPATING IN NEEDLE EXCHANGE PROGRAMS IN MONTREAL: RESULTS OF A COHORT STUDY”
Garfein R, Lyerla R, Jones T, Nakashima A, Monterroso E, Vlahov D. RE: “HIGH RATES OF HIV INFECTION AMONG INJECTION DRUG USERS PARTICIPATING IN NEEDLE EXCHANGE PROGRAMS IN MONTREAL: RESULTS OF A COHORT STUDY”. American Journal Of Epidemiology 1999, 150: 325-325. PMID: 10430240, DOI: 10.1093/oxfordjournals.aje.a010009.Peer-Reviewed Original Research
1998
The role of needle exchange programs in HIV prevention.
Vlahov D, Junge B. The role of needle exchange programs in HIV prevention. Public Health Reports 1998, 113 Suppl 1: 75-80. PMID: 9722812, PMCID: PMC1307729.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusNeedle exchange programsCase-control studyNeedle exchangeHIV preventionMultiperson useNew Haven's needle exchange programDrug usersDrug useBlood-borne viral infectionsHepatitis C virus infectionSyringe-sharing behaviorsC virus infectionBlood-borne infectionsInjection drug useBlood-borne pathogensPossession of syringesSyringe trackingHCV infectionHepatitis BHIV seroincidenceHIV infectionImmunodeficiency syndromeHIV transmissionImmunodeficiency virusSatellite exchange in the Baltimore Needle Exchange Program.
Valente T, Foreman R, Junge B, Vlahov D. Satellite exchange in the Baltimore Needle Exchange Program. Public Health Reports 1998, 113 Suppl 1: 90-6. PMID: 9722814, PMCID: PMC1307731.Peer-Reviewed Original ResearchConceptsPrevention messagesBaltimore Needle Exchange ProgramHIV prevention messagesNeedle exchange programsNeedle exchange program participantsDrug-using networksDrug injectorsNumber of syringesDrug usersDrug useRisk behaviorsLogistic regressionOne-way ANOVAIDUsPrevention materialsProgram effectivenessProgram participantsActivities of SSParticipantsPotential bridgeExchange programsDrug abuse treatment success among needle exchange participants.
Brooner R, Kidorf M, King V, Beilenson P, Svikis D, Vlahov D. Drug abuse treatment success among needle exchange participants. Public Health Reports 1998, 113 Suppl 1: 129-39. PMID: 9722818, PMCID: PMC1307735.Peer-Reviewed Original ResearchConceptsNeedle exchange programsOpioid agonist treatment programStandard referral groupTreatment programReferral groupBetter short-term treatment outcomesNew admissionsDrug useHuman immunodeficiency virus (HIV) transmissionShort-term treatment outcomesDrug abuse treatment clinicsGreater baseline severitySelf-reported drug useDrug abuse treatment programsUse of drugsReferral patientsClinical variablesBaseline severityIncidence rateTreatment successTreatment clinicsTreatment outcomesBaseline differencesTreatment responseOutcome measuresPharmacists' Attitudes About Pharmacy Sale of Needles/Syringes and Needle Exchange Programs in a City Without Needle/Syringe Prescription Laws
Gleghorn A, Gee G, Vlahov D. Pharmacists' Attitudes About Pharmacy Sale of Needles/Syringes and Needle Exchange Programs in a City Without Needle/Syringe Prescription Laws. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1998, 18: s89-s93. PMID: 9663630, DOI: 10.1097/00042560-199802001-00016.Peer-Reviewed Original ResearchConceptsNeedle exchange programsMost pharmacistsNeedle exchangeInjection drug useNeedles/syringesPharmacy salesInjection drug usersHIV prevention programsDiabetic identificationHIV preventionMedian numberDrug usersDrug users' accessDrug useDrug paraphernaliaPrevention programsPharmacist practicePharmacistsPharmacists' attitudesSyringe salesExchange programsTelephone surveyPrescriptionPrescription lawsMonthsCommunity Support for Needle Exchange Programs and Pharmacy Sale of Syringes: A Household Survey in Baltimore, Maryland
Keyl P, Gruskin L, Casano K, Montag H, Junge B, Vlahov D. Community Support for Needle Exchange Programs and Pharmacy Sale of Syringes: A Household Survey in Baltimore, Maryland. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1998, 18: s82-s88. PMID: 9663629, DOI: 10.1097/00042560-199802001-00015.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthBaltimoreEducational StatusFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHealth SurveysHIV InfectionsHumansIncomeInterviews as TopicMaleMiddle AgedMultivariate AnalysisNeedle-Exchange ProgramsPharmaciesRegression AnalysisSurveys and QuestionnairesSyringesConceptsNeedle exchange programsInjection drug useInjection drug usersDrug usersMultivariate logistic regressionContiguous census tractsHIV incidenceNeedle exchangeDrug useEligible respondentsLogistic regressionExchange programsPharmacy salesCensus populationRandom sampleCensus tractsHousehold interviewsCommunity supportCommunity attitudesBaltimoreHousehold surveyIncidenceRespondentsTractNeedle
1997
Reductions in High-Risk Drug Use Behaviors Among Participants in the Baltimore Needle Exchange Program
Vlahov* D, Junge* B, Brookmeyer† R, Cohn* S, Riley* E, Armenian* H, Beilenson‡ P. Reductions in High-Risk Drug Use Behaviors Among Participants in the Baltimore Needle Exchange Program. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1997, 16: 400-406. PMID: 9420320, DOI: 10.1097/00042560-199712150-00014.Peer-Reviewed Original ResearchConceptsNeedle exchange programsBaltimore Needle Exchange ProgramDrug use behaviorsNEP participantsHigh-risk drug use behaviorsRisky injection drug use behaviorInjection drug use behaviorsBehavioral risk reductionMean numberRisky injection practicesDrug-related behaviorsInjection practicesShort-term reductionUse behaviorsDemographic informationExchange programsProgram entryT-testSignificant reductionRisk reductionSystematic sampleInjectionEarlier reportsEnrollmentParticipants