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. 1994 Dec;84(12):1991-4.
doi: 10.2105/ajph.84.12.1991.

A decline in HIV-infected needles returned to New Haven's needle exchange program: client shift or needle exchange?

E H Kaplan  1 , K Khoshnood, R Heimer
Affiliations

A decline in HIV-infected needles returned to New Haven's needle exchange program: client shift or needle exchange?

E H Kaplan et al. Am J Public Health. 1994 Dec.

Abstract

The New Haven needle exchange program experienced a significant decline in the fraction of returned needles containing human immunodeficiency virus 1 (HIV-1) proviral DNA. Is this decline due to the operations of the needle exchange or to a shift in clients? Analysis of demographic and behavioral data revealed that only one variable, the race of participating clients, changed significantly over time. However, HIV-1 prevalences in needles given to Whites and to non-Whites were not statistically different. Thus, client shift cannot be responsible for the decline in the observed HIV prevalence in needles. Instead, needle circulation times were a significant predictor of HIV prevalence.

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Comment in

  • The evaluation of needle exchange programs.
    Vlahov D, Brookmeyer RS. Vlahov D, et al. Am J Public Health. 1994 Dec;84(12):1889-91. doi: 10.2105/ajph.84.12.1889. Am J Public Health. 1994. PMID: 7998623 Free PMC article. No abstract available.

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