Organizational Issues in Conducting Tuberculosis Screening at a Syringe Exchange Program

Paone, Denise; EdD,; Perlman, David C.; Perkins, Mary Patricia; Kochems, Lee M.; Salomon, Nadim; Jarlais, Don C. Des

doi:10.1016/s0740-5472(97)00193-1

Cited by 8 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ethnography was part of a larger study examining the feasibility, acceptance and e ectiveness of tuberculosis screening and directly observed preventive therapy among active drug users (Perlman et al, 1997a(Perlman et al, , 1997bPaone et al, 1998). The study recruited active drug users at both a legally-sanctioned New York City syringe exchange (the Lower East Side Needle Exchange Program, LESNEP) and an inpatient drug detoxi®cation facility (the Bernstein Detoxi®cation Facility of Beth Israel Medical Center) located in the same area of the city (Perlman et al, 1997a(Perlman et al, , 1997bPaone et al, 1998).…”

Section: Methodsmentioning

confidence: 99%

Doing a shotgun: a drug use practice and its relationship to sexual behaviors and infection risk

Perlman

Henman

Kochems

et al. 1999

Social Science & Medicine

Self Cite

View full text Add to dashboard Cite

There has been a rise in the frequency with which inhalational routes such as smoking are used for illicit drug use. A growing population of new inhalational drug users augments the pool of individuals at risk for transition to injection drug use. Further, illicit drug smoking has been implicated in the transmission of a variety of pathogens by the respiratory route, and crack smoking has been associated with an increased risk of HIV infection, particularly through the exchange of high-risk sex for drugs. Shotguns are an illicit drug smoking practice in which smoked drugs are exhaled or blown by one user into the mouth of another user. We conducted a series of ethnographic observations to attempt to characterize more fully the practice of shotgunning, the range of associated behaviors, and the settings and contexts in which this practice occurs. Shotguns may be seen as a form of drug use which has close ties to sexual behaviors, and which has both pragmatic and interpersonal motivations, combining in a single phenomenon the potential direct and indirect risk of disease transmission by sexual, blood borne and respiratory routes. These data support the need to develop and evaluate comprehensive risk reduction interventions, which take into consideration the relationships between interpersonal and sexual behaviors and speci®c forms of drug use. #

show abstract

Section: Methodsmentioning

confidence: 99%

Doing a shotgun: a drug use practice and its relationship to sexual behaviors and infection risk

Perlman

Henman

Kochems

et al. 1999

Social Science & Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…The majority of studies describing models of TB care for PWID were conducted in North America (n = 23) with a small number of examples from Europe (n = 5) and Asia (n = 1) ( Table 7; Batki et al, 2002;Chaisson et al, 2001;Dhingra et al, 2008;Duarte et al, 2011;FitzGerald et al, 1999;Golub et al, 2008;Gourevitch et al, 1999Gourevitch et al, , 1996Graham et al, 1996;Jansa et al, 1998;Juan et al, 2006;Lifson et al, 1997;Lorvick et al, 1999;Malotte et al, 2001Malotte et al, , 1999Malotte et al, , 1998Marco et al, 1998;O'Connor et al, 1999;Paone et al, 1998;Perlman et al, 2003Perlman et al, , 1997Riley et al, 2002;Rusen et al, 1999;Ruutel et al, 2011;Salomon et al, 1999;Scholten et al, 2003;Smirnoff et al, 1998;Snyder et al, 1999;Swaminathan et al, 2007). These interventions can broadly be grouped into six categories ( Fig.…”

Section: Models Of Tb Care For Pwidmentioning

confidence: 99%

Tuberculosis, injecting drug use and integrated HIV-TB care: A review of the literature

Grenfell¹,

Leite²,

Garfein³

et al. 2013

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…Among those respondents who had used exchange services, the average number of services utilized was between 1 and 2. Of the total sample (N ¼ 43), 39% (17) were in the Active Involvement category.…”

Section: Category I : Active Involvementmentioning

confidence: 99%

“…In fact, NEPs have often been described as facilitating access to community-based services, including drug-user treatment. [10][11][12][13][14] Many NEPs also provide general medical services, [15] HIV or hepatitis C testing, [1,16] or specific medical services such as TB screening [17] Section 6-20D, despite Pennsylvania Commonwealth law prohibiting possession of nonprescription hypodermic syringes. Since 1992, PPP's primary source of funding has been the City of Philadelphia Health Department.…”

Section: Introductionmentioning

confidence: 99%

Bridge to Services: Drug Injectors' Awareness and Utilization of Drug User Treatment and Social Service Referrals, Medical Care, and Hiv Testing Provided by Needle Exchange Programs

Porter

Metzger

Scotti

2002

Substance Use & Misuse

View full text Add to dashboard Cite

Using qualitative interviews conducted in 1999, we examine awareness and use of drug user treatment and social service referrals, medical care, and HIV testing provided by needle exchange programs (NEPs) among injectors who use NEPs (N=26) and injectors who get their syringes from other sources (N=20). A four-category typology of NEP service knowledge and use emerges from these interviews: "Active involvement--use of services; "Stepping stone"--no use of services but knowledge that specific services are available; "Vague awareness"--nonspecific knowledge of service availability: and "Unaware:--no awareness of the service provision function of NEPs. We describe patterns of distribution of respondents among these categories and suggest policy implications.

show abstract

Organizational Issues in Conducting Tuberculosis Screening at a Syringe Exchange Program

Cited by 8 publications

References 12 publications

Doing a shotgun: a drug use practice and its relationship to sexual behaviors and infection risk

Doing a shotgun: a drug use practice and its relationship to sexual behaviors and infection risk

Tuberculosis, injecting drug use and integrated HIV-TB care: A review of the literature

Bridge to Services: Drug Injectors' Awareness and Utilization of Drug User Treatment and Social Service Referrals, Medical Care, and Hiv Testing Provided by Needle Exchange Programs

Contact Info

Product

Resources

About