High
dead-space syringes (HDSS) are believed to confer an elevated risk of acquiring
HIV and other blood-borne infections.
Of 557
IDU, 40% had ever used HDSS, mostly because no other syringe type was available
(72%), or because they were easier to get (20%). Controlling for sex and age at
first injection, use of HDSS was associated with cocaine as the first drug
injected, having been stopped or arrested by police, being deported from the US, and
believing it is illegal to carry syringes.
Use
of HDSS is surprisingly common among IDU in Tijuana. Efforts are needed to
expand coverage of low-dead space syringes through existing syringe exchange
programs. Education is required to increase awareness of the harms associated
with HDSS, and to inform IDU that syringe possession is legal across Mexico.
1University of California , San Diego, La Jolla, CA
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