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Perceived acceptability of and willingness to use syringe vending machines: results of a cross-sectional survey of out-of-service people who inject drugs in Tbilisi, Georgia

Otiashvili, David ; Kirtadze, Irma ; Vardanashvili, Irina ; Tabatadze, Mzia ; Ober, Allison J

Harm reduction journal, 2019-03, Vol.16 (1), p.21-21, Article 21 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Perceived acceptability of and willingness to use syringe vending machines: results of a cross-sectional survey of out-of-service people who inject drugs in Tbilisi, Georgia
Autor: Otiashvili, David ; Kirtadze, Irma ; Vardanashvili, Irina ; Tabatadze, Mzia ; Ober, Allison J
Assuntos: Acceptability ; Accuracy ; Acquired immune deficiency syndrome ; AIDS ; Beliefs, opinions and attitudes ; Buprenorphine ; Care and treatment ; Cross-sectional studies ; Data analysis ; Data processing ; Demographics ; Demography ; Disease prevention ; Drug abuse ; Drug abusers ; Drug use ; Drugs ; Epidemics ; Equipment and supplies ; Harm reduction ; Heroin ; HIV ; HIV tests ; Human immunodeficiency virus ; Information management ; Injection ; Injection drug use ; Medical tests ; Narcotics ; Needle exchange programs ; Privacy ; Psychotropic drugs ; Public health ; Reduction ; Retirement benefits ; Risk reduction ; Self testing ; Self tests ; Stimulants ; Substance use ; Syringe vending machine ; Syringes ; Tbilisi ; Vending industry ; Vending machines
É parte de: Harm reduction journal, 2019-03, Vol.16 (1), p.21-21, Article 21
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: The growing HIV epidemic in Eastern Europe and Central Asia has been driven by high rates of injection drug use. The Republic of Georgia has among the highest injection drug use rates globally, with a prevalence of 2.24%. The reach of evidence-based HIV prevention interventions like needle and syringe programs (NSP) among people who inject drugs (PWID) has remained below rates that could significantly impact the epidemic. Syringe vending machines (SVM) are an effective and cost-effective supplement to standard NSP; if acceptable to PWID, SVM could reach hard-to-reach PWID and cover geographic areas where fixed or mobile NSPs do not operate. The aim of this study was to assess the perceived acceptability of SVM among out-of-service (harm reduction or substance use treatment) PWID in Tbilisi, Georgia. Participants were recruited using respondent-driven sampling (RDS) to participate in cross-sectional, face-to-face interviews. We conducted individual interviews using a structured questionnaire that covered participants' socio-demographics, drug use practices, and perceived acceptability of SVM. Uni-variate analyses were employed for data analysis. The final sample (n = 149) was almost exclusively male with a mean age of 42.2 years and mean years of injection drug use of 14.4 years. Heroin, buprenorphine, and stimulants were the main drugs injected. Eighty-five percent of the sample had never received any harm reduction services, and 30% had never been tested for HIV. Fifteen percent of the sample reported sharing injection equipment with others during last month. All but one participant agreed that PWID would benefit from SVM and 145 (97%) said they would personally use SVM. Ninety percent of those sampled stated that they would use HIV self-tests if available from vending machines. The most highly endorsed features of SVM were provision of free injection equipment, no need to deal with pharmacies, uninterrupted 24/7 access, and availability of HIV self-testing kits. Perceived acceptability of syringe vending machines was extremely high among PWID not currently receiving any harm reduction or treatment services, with strong support indicated for uninterrupted free access to sterile injection equipment, privacy, and anonymity. Introducing SVM in Georgia holds the potential to deliver significant public health benefits by attracting hard-to-reach PWID, reducing unsafe injection behavior, and contributing to HIV testing uptake and linkage to care.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Perceived acceptability of and willingness to use syringe vending machines: results of a cross-sectional survey of out-of-service people who inject drugs in Tbilisi, Georgia

Otiashvili, David ; Kirtadze, Irma ; Vardanashvili, Irina ; Tabatadze, Mzia ; Ober, Allison J

England: BioMed Central Ltd

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