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Police encounters among needle exchange clients in Baltimore: Drug law enforcement as a structural determinant of health

Author

Listed:
  • Beletsky, L.
  • Cochrane, J.
  • Sawyer, A.L.
  • Serio-Chapman, C.
  • Smelyanskaya, M.
  • Han, J.
  • Robinowitz, N.
  • Sherman, S.G.

Abstract

Objectives. We piloted a monitoring mechanism to document police encounters around programs targeting people who inject drugs (PWID), and assessed their demographic predictors at 2 Baltimore, Maryland, needle exchange program (NEP) sites. Methods. In a brief survey, 308 clients quantified, characterized, and sited recent police encounters. Multivariate linear regression determined encounter predictors, and we used geocoordinate maps to illustrate clusters. Results. Within the past 6 months, clients reported a median of 3 stops near NEP sites (interquartile range [IQR] = 0-7.5) and a median of 1 arrest in any location (IQR = 0-2). Three respondents reported police referral to the NEP. Being younger (P = .009), being male (P = .033), and making frequent NEP visits (P = .02) were associated with reported police stops. Among clients reporting arrest or citation for syringe possession, Whites were significantly less likely than non- Whites to report being en route to or from an NEP (P

Suggested Citation

  • Beletsky, L. & Cochrane, J. & Sawyer, A.L. & Serio-Chapman, C. & Smelyanskaya, M. & Han, J. & Robinowitz, N. & Sherman, S.G., 2015. "Police encounters among needle exchange clients in Baltimore: Drug law enforcement as a structural determinant of health," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 1872-1879.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302681_6
    DOI: 10.2105/AJPH.2015.302681
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