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Laws prohibiting over-the-counter syringe sales to injection drug users: Relations to population density, HIV prevalence, and HIV incidence

Author

Listed:
  • Friedman, S.R.
  • Perils, T.
  • Des Jarlais, D.C.

Abstract

Objectives. This study sought to assess relations of laws prohibiting over-the-counter syringe sales (anti-OTC laws) to population prevalence of injection drug users and HIV prevalence or incidence among 96 US metropolitan areas. Methods. A cross-sectional analysis was used. Results. Metropolitan areas with anti-OTC laws had a higher mean HIV prevalence (13.8% vs 6.7%) than other metropolitan areas (pseudo-P>.001). In 83 metropolitan areas with HIV prevalence of less than 20%, anti-OTC laws were associated with HIV incidence rates of 1% or greater (pseudo-P>.001 ). Population proportions of injection drug users did not vary by presence of anti-OTC laws. Conclusions. Anti-OTC laws are not associated with lower population proportions of injection drug users. Laws restricting syringe access are associated with HIV transmission and should be re pealed.

Suggested Citation

  • Friedman, S.R. & Perils, T. & Des Jarlais, D.C., 2001. "Laws prohibiting over-the-counter syringe sales to injection drug users: Relations to population density, HIV prevalence, and HIV incidence," American Journal of Public Health, American Public Health Association, vol. 91(5), pages 791-793.
    • Handle: RePEc:aph:ajpbhl:2001:91:5:791-793_0
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    Cited by:

    1. Umedjon Ibragimov & Stephanie Beane & Samuel R Friedman & Kelli Komro & Adaora A Adimora & Jessie K Edwards & Leslie D Williams & Barbara Tempalski & Melvin D Livingston & Ronald D Stall & Gina M Wing, 2019. "States with higher minimum wages have lower STI rates among women: Results of an ecological study of 66 US metropolitan areas, 2003-2015," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-18, October.
    2. Hannah L F Cooper & Sabriya Linton & Mary E Kelley & Zev Ross & Mary E Wolfe & Yen-Tyng Chen & Maria Zlotorzynska & Josalin Hunter-Jones & Samuel R Friedman & Don C Des Jarlais & Barbara Tempalski & E, 2016. "Risk Environments, Race/Ethnicity, and HIV Status in a Large Sample of People Who Inject Drugs in the United States," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-21, March.
    3. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.

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