Document Type
Journal Article
Publication Date
3-1-2015
Journal
Harm Reduction Journal
Volume
Volume 12
Inclusive Pages
Article number 3
Abstract
Background
Prior research has explored spatial access to syringe exchange programs (SEPs) among people who inject drugs (PWID), but little is known about service utilization by former PWID who continue to access services (e.g., HIV screenings and referrals for social services) at harm reduction providers. The purpose of this research is to examine differences in access to SEPs between current and former PWID seeking services at a mobile SEP in Washington, DC.
Findings
A geometric point distance estimation technique was applied to data collected as part of a PWID population estimation study that took place in Washington, DC, in March and April 2014. We calculated the walking distance from the centroid point of home residence zip code to the mobile exchange site where PWID presented for services. An independent samples t-test was used to examine differences in walking distance measures between current and former PWID. Differences in mean walking distance were statistically significant with current and former PWID having mean walking distances of 2.75 and 1.80 miles, respectively.
Conclusions
The results of this study suggest that former PWID who are engaging with SEPs primarily for non-needle exchange services (e.g., medical or social services) may have decreased access to SEPs than their counterparts who are active injectors. This research provides support for expanding SEP operations such that both active and former PWID have increased access to harm reduction providers and associated health and social services. Increasing service accessibility may help resolve unmet needs among current and former PWID.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Allen, S., Ruiz, M., O'Rourke, A. (2015). How far will they go?: assessing the travel distance of current and former drug users to access harm reduction services. Harm Reduction Journal, 12:3.
Peer Reviewed
1
Open Access
1
Comments
Reproduced with permission of BioMed Central. Harm Reduction Journal.