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Article ; Online: Program Adaptations to Provide Harm Reduction Services During the COVID-19 Pandemic: A Qualitative Study of Syringe Services Programs in the U.S.

Frost, Madeline C / Sweek, Elsa W / Austin, Elizabeth J / Corcorran, Maria A / Juarez, Alexa M / Frank, Noah D / Prohaska, Stephanie M / LaKosky, Paul A / Asher, Alice K / Broz, Dita / Jarlais, Don C Des / Williams, Emily C / Glick, Sara N

AIDS and behavior

2021  Volume 26, Issue 1, Page(s) 57–68

Abstract: ... SSPs' experiences adapting their services and the challenges posed by COVID-19. We conducted qualitative ... including reduced reach of services, suspended HIV/hepatitis C testing, high COVID-19 risk among PWUD, and ... Syringe services programs (SSPs) are essential to preventing injection drug use-related infections ...

Abstract Syringe services programs (SSPs) are essential to preventing injection drug use-related infections and overdose death among people who use drugs (PWUD). The novel coronavirus (COVID-19) pandemic initially impeded SSPs' operations. To effectively support these programs, information is needed regarding SSPs' experiences adapting their services and the challenges posed by COVID-19. We conducted qualitative interviews with leadership and staff from a sample of 31 U.S. SSPs. Respondents discussed urgent concerns including reduced reach of services, suspended HIV/hepatitis C testing, high COVID-19 risk among PWUD, and negative impacts of isolation on overdose and mental health. They also noted opportunities to improve future services for PWUD, including shifting to evidence-based distribution practices and maintaining regulatory changes that increased access to opioid use disorder medications post-pandemic. Findings can inform efforts to support SSPs in restoring and expanding services, and provide insight into SSPs' role in engaging PWUD during the COVID-19 response and future emergencies.
MeSH term(s) COVID-19 ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Harm Reduction ; Humans ; Needle-Exchange Programs ; Pandemics ; SARS-CoV-2 ; Substance Abuse, Intravenous/epidemiology ; Syringes
Language English
Publishing date 2021-06-10
Publishing country United States
Document type Journal Article
ZDB-ID 1339885-4
ISSN 1573-3254 ; 1090-7165
ISSN (online) 1573-3254
ISSN 1090-7165
DOI 10.1007/s10461-021-03332-7
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