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American Journal of Public Health, Vol. 84, Issue 12 1991-1994, Copyright © 1994 by American Public Health Association

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

E H Kaplan, K Khoshnood and R Heimer

Yale School of Management, New Haven, CT 06520-8200.

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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The evaluation of needle exchange programs.
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AJPH 1994 84: 1889-1891. [PDF]  



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Copyright © 1994 by the American Public Health Association