Health Outcomes for Clients of Needle and Syringe Programs in Prisons

(1)

Article

Reference

Health Outcomes for Clients of Needle and Syringe Programs in Prisons

LAZARUS, Jeffrey V, et al.

Abstract

High levels of drug dependence have been observed in the prison population globally, and the sharing of injecting drug equipment in prisons has contributed to higher prevalence of bloodborne diseases in prisoners than in the general population. Few prison needle and syringe programs (PNSPs) exist. We conducted a systematic review to assess evidence regarding health outcomes of PNSPs. We searched peer-reviewed databases for data relating to needle and syringe programs in prisons. The search methodology was conducted in accordance with accepted guidelines. Five studies met review inclusion criteria, and all presented evidence associating PNSPs with one or more health benefits, but the strength of the evidence was low. The outcomes for which the studies collectively demonstrated the strongest evidence were prevention of human immunodeficiency virus and viral hepatitis. Few negative consequences from PNSPs were observed, consistent with previous evidence assessments. More research is needed on PNSP effectiveness, and innovative study designs are needed to overcome methodological limitations of previous research. Until [...]

LAZARUS, Jeffrey V, et al . Health Outcomes for Clients of Needle and Syringe Programs in Prisons. Epidemiologic Reviews , 2018, vol. 40, no. 1, p. 96-104

DOI : 10.1093/epirev/mxx019 PMID : 29659780

Available at:

http://archive-ouverte.unige.ch/unige:155749

Disclaimer: layout of this document may differ from the published version.

1 / 1

(2)

1

Web Appendix 1: Search String

MEDLINE via Ovid (searched 26 January 2016) 1 Needle-Exchange Programs/

2 ((needle$ or syringe$) adj3 (exchange$ or provi$ or distribu$ or program$)).tw.

3 1 or 2 4 Prisons/

5 Prisoners/

6 (prison$ or jail$ or penitentiar$ or (correction$ adj3 (facilit$ or institution$)) or custody or detainee$

or incarcerat$).tw.

7 4 or 5 or 6 8 3 and 7 9 exp Animals/

10 Humans/

11 9 not 10 12 8 not 11 Result: 294 records

Embase via Ovid (searched 26 January 2016)

1 Preventive Health Service/ and (needle$ or syringe$).af.

3 1 or 2 4 Prisons/

5 Prisoners/

or incarcerat$).tw.

7 4 or 5 or 6 8 3 and 7 9 exp Animal/

10 Human/

PsycINFO via Ovid (searched 26 January 2016) 1 needle exchange programs/

2 needle sharing/

4 1 or 2 or 3

5 exp correctional institutions/

6 incarceration/

7 prisoners/

or incarcerat$).tw.

9 5 or 6 or 7 or 8 10 4 and 9 11 exp animals/

12 limit 11 to human 13 11 not 12 14 10 not 13 Result: 111 records

CINAHL via EBSCOhost (searched 25 January 2016) 1 MH "Needle Exchange Programs"

(3)

2

2 (TI needle* or AB needle* or TI syringe* or AB syringe*) W4 (TI exchange* OR AB exchange* or TI provi* or AB provi* or TI distribu* or AB distribu* or TI program* or AB program*)

3 1 or 2

4 MH "Correctional Facilities"

5 MH "Prisoners"

6 TI prison* or AB prison* or TI jail* or AB jail* or TI penitentiar* or AB penitentiar* or ((TI correction* or AB correction*) W4 (TI facilit* or AB facilit* or TI institution* or AB institution*)) or TI custody or AB custody or TI detainee* or AB detainee* or TI incarcerat* or AB incarcerat*)

7 4 or 5 or 6 8 3 and 7 9 MH "Animals+"

10 MH "Human"