Responses were compared over time and according to demographic characteristics of the survey participants. The study consists of two parts. Conclusion While the Sydney MSIC continues to attract political controversy, local residents and business operators perceived significant improvements in public amenity indicators since the opening of the service.
Whereas previous studies have focused on the effectiveness of needle-exchange programs, we offer an analysis of a unique event, the closure of a well-established needle-exchange.
Those businesses operating for over 5 years were more likely to have seen publicly discarded needles and syringes than those who had opened within the last year. Advanced Search Despite the wealth of scientific findings showing that needle-exchange programs reduce unsafe injection practices, and that these practices are the direct or indirect cause of one third of new HIV infections in the United States, the future of needle-exchange in this country remains uncertain.
Needle-exchange staff members also continue to risk arrest, prosecution and imprisonment. Our objective was to investigate if community perceptions of public amenity have changed over time, comparing data collected prior to the establishment of the Sydney Medically Supervised Injecting Centre MSICafter 18 months and then following four and a half years of operation.
Community members appear to be cognizant of both public health potential reduction in blood borne virus transmission and overdose among injecting drug users and public amenity benefits of the service. In many cities with large numbers of HIV-positive drug injectors, local and state officials continue to oppose the implementation of exchange services.
Methods Telephone surveys were conducted among random samples of local residents and business operators in the vicinity of the MSIC at baseline, in the short term following 18 months of operation and in the medium term following four and a half years of operation.
There was a significant decrease in the proportion of residents and business operators who reported having witnessed public injecting and publicly discarded injecting equipment, in the last month, with no significant change in proportions offered drugs for purchase.
Respondents were asked about their perceptions of drug use and its consequences in their neighbourhood, and to describe what they saw as advantages and disadvantages of the Sydney MSIC.
Abstract Background and Objectives There is currently limited evidence on medium to long term community perceptions of public amenity where supervised injecting centres operate SIC. Previous article in issue.
The federal government continues to ban the use of federal funds to support needle-exchange programs. The first analyses examines the claimsmaking that succeeded in defining the needle-exchange as a public health hazard and a social problem, causing it to be closed after several years of operation.R.S.
Broadhead, Y. van Hulst, D.D. HeckathornTermination of an established needle-exchange: a study of claims and their impact Social Problems, 46 (1) (), pp.
48 - 66 Broadhead et al., b. Department of Sociology. Department of Community Medicine and Health Care. l "Qualitative analysis in evaluation research: problems and promises of an interactionist “Termination of an established needle exchange: a study of claims and their impact,” (with Yael van Hulst and Douglas D.
Heckathorn). “Termination of an Established Needle-Exchange: A Study of Claims and their Impact.” Social Problems 46 (1): 48– Brodkin, Evelyn. “Inside the Welfare Contract: Discretion and Accountability in An Analysis of the Politics of Needle Exchange.” Journal of Health Politics, Policy and Law in the Study of High-Risk Behavior.
(With Robert S.
Broadhead and Yaël van Hulst) “Termination of an Established Needle Exchange: A Study of Claims-Making and Impact.” Social Problems, “Collective Action, Social Dilemmas, and Ideology.”.
“Termination of an Established Needle-Exchange: A Study of Claims and Their Impact.” Social constructionist analysis • Career of the claims making process sentiment against illicit drugs • Needle-exchange’s staff caught off-guard • Operating as underground service The Impact of the Closure.
Impact Factor Collection; Submit. Author Guidelines; Submission Site An Organizational and Network Analysis. Matthew T. Lee; M. David Ermann.
Social Problems View article; Termination of an Established Needle-Exchange: A Study of Claims and Their Impact. Robert S. Broadhead; Yaël Van Hulst; Douglas D. .Download