Titre : | Social and political factors predicting the presence of syringe exchange programs in 96 US metropolitan areas. (2007) |
Auteurs : | Barbara TEMPALSKI ; DES JARLAIS (Don-C) : USA. Baron de Rothschild Chemical Dependency Institute. Beth Israel Medical Center. New York. ; Peter-L FLOM ; Judith-J FRIEDMAN ; FRIEDMAN (Risa) : ECU. Department of Public Health. Universidad San Francisco de Quito. Quito. ; FRIEDMAN (Samuel-R) : USA. Department of Epidemiology. Johns Hopkins Bloomberg School of Public Health. Baltimore. MD. ; Courtney MCKNIGHT ; Center for Drug Use and Hiv Research. National Development and Research Institutes Inc. New York. NY. USA ; Rutgers University. Department of Sociology. Piscataway. NJ. USA |
Type de document : | Article |
Dans : | American journal of public health (vol. 97, n° 3, 2007) |
Pagination : | 437-447 |
Langues: | Anglais |
Mots-clés : | Toxicomanie ; Seringue ; Echange seringue ; Programme ; Etats Unis ; Amérique ; Milieu urbain ; Lutte contre toxicomanie ; Programme santé ; Amérique du Nord |
Résumé : | [BDSP. Notice produite par INIST-CNRS hR0xYol4. Diffusion soumise à autorisation]. Community activism can be important in shaping public health policies. For example, political pressure and direct action from grassroots activists have been central to the formation of syringe exchange programs (SEPs) in the United States. We explored why SEPs are present in some localities but not others, hypothesizing that programs are unevenly distributed across geographic areas as a result of political, socioeconomic, and organizational characteristics of localities, including needs, resources, and local opposition. We examined the effects of these factors on whether SEPs were present in different US metropolitan statistical areas in 2000. Predictors of the presence of an SEP included percentage of the population with a college education, the existence of local AIDS Coalition to Unleash Power (ACT UP) chapters, and the percentage of men who have sex with men in the population. Need was not a predictor. |