The effect of needle and syringe program on injecting drug users’ use of non-sterile syringe and needle behaviour in Palembang, South Sumatera Province, Indonesia
HIV/AIDS has become one of international public health problem. An effective method to spread HIV/AIDS is through shared needle and syringe among Injecting Drug Users (IDUs). Many studies have been undertaken to know the effect of Needle and Syringe Program (NSP) to reduce the risk behaviours of...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universiti Kebangsaan Malaysia
2011
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| Online Access: | http://journalarticle.ukm.my/3554/ http://journalarticle.ukm.my/3554/ http://journalarticle.ukm.my/3554/1/special%2520issue%25202011_27.pdf |
| Summary: | HIV/AIDS has become one of international public health problem. An
effective method to spread HIV/AIDS is through shared needle and
syringe among Injecting Drug Users (IDUs). Many studies have been
undertaken to know the effect of Needle and Syringe Program (NSP) to
reduce the risk behaviours of IDUs in sharing needle and syringe
among IDUs. NSP has been implemented in Palembang since 2009.
However, there is no previous research to examine IDUs behaviours in
using non sterile injection and syringe in Palembang.Therefore, a
research is needed to be undertaken to know the effect of NSP on
IDUs’ behaviours in using sterile needle an syringe.To identify association between seeking behaviours of NSP on IDUs’
behaviours in using sterile needle and syringe.This was a case control study with respondents recruited using
snowball and purposive technique. Simple and multiple logistic
regression tests were performed using statistics program (Stata version
10) to identify main association between NSP access status and
behaviours of using non-sterile needle and syringe. Some possible
confounders were also explored. Odds ratio, 95 % Confidence interval
and P value were reported.There were 121 IDUs, consisting of 41 IDUs in cases group (High risk
group to use non sterile injection and syringe) and 80 IDUs in control
group (low risk group to use non sterile injection and syringe). Mostly,
respondents were male with senior high school education level and
single status. Crude odds ratio indicated that IDUs accessing NPSs had
an odds of 1.07 to share needle and syringe among IDUs compared to
IDUS without accessing NSPs (OR=1.07, 95 % CI = 0.49-2.31),
p=0.87). After OR was adjusted by knowledge about the spread and
prevention of HIV/AIDS, IDUs’ Attitude towards Harm Reduction,
education level, age, length of using Injectig, and income level, IDUs
accessing NSPS tend to minimize their behaviours to share needle and
syringe compared to IDUs in NSPs group by 29 % (odd ratio, 0.69, 95
% CI = 0.23-2.06, p=0.51). P value showed that there is weak evidence
against the null hypotesis of no association between IDUs accessing
NSPs and risk behavior of using non-sterile needle and syringe.
Previous studies indicated that IDUS using NSPs tend to reduce the use
of shared needle and syringe, and tend to wash their needle and syringe
before another IDUs use them again (Gibson, 2001, Wodak A &
Cooney A 2006). Therefore, NSP increase awareness of IDUs to
prevent the spread of HIV/AIDS.Availability of NSP appeared to reduce the use of shared or non-sterile
syringe or needle in this study, although the association was not
significant. One of the reasons could be the free access of needle and syringe in pharmacy could be one confounding factors that contributed
to this non significant association. Further research with bigger sample
size and qualitative research to explore more in-depth information
about IDUs’ behaviours in using non-sterile injection and syringe is
recommended. |
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