NCJ Number
139571
Journal
Criminal Justice Journal Volume: 14 Issue: 1 Dated: (Summer 1992) Pages: 11-28
Date Published
1992
Length
18 pages
Annotation
This paper examines the controversy surrounding the practice of allowing intravenous drug users (IVDU's) to exchange used injection equipment for sterile needles and syringes as a means of reducing the spread of HIV (human immunodeficiency virus) among the IVDU population.
Abstract
The discussion begins with an examination of the relationship between intravenous drug use and the AIDS crisis. This is followed by a summary of various arguments that have been used by proponents and critics of exchange programs. The paper next reviews some of the efforts in various nations, including the United States, to control AIDS among IVDU's by providing sterile injection equipment. Following this summary, the author examines the empirical evidence to date regarding controversies associated with needle and syringe exchange programs. This assessment is supplemented by a discussion of various methodological problems that plague much of the research in this area. The author concludes that many of the criticisms raised by opponents of needle/syringe exchange programs are not supported by the research to date. The evidence indicates that intravenous drug users are interested in receiving sterile injection equipment and these programs can be a bridge to treatment. The data also indicate that such programs do contribute to a reduction in certain high-risk behaviors among needle-users without contributing to an increase in illicit drug use. 81 footnotes