Don C. Des Jarlais, Jonathan Feelemyer, and Kamyar Arasteh are with the School of Global Public Health, New York University, New York, NY. Paul LaKosky and Kathryn Szymanowski are with the Dave Purchase Project/North American Syringe Exchange Network/Tacoma Needle Exchange, Tacoma, WA.
Am J Public Health. 2020 Apr;110(4):517-519. doi: 10.2105/AJPH.2019.305515. Epub 2020 Feb 20.
To report on the expansion of syringe service programs (SSPs) in the United States from 2015 to 2018. We obtained data from records of the Buyers' Club of the Dave Purchase Project/North American Syringe Exchange Network (NASEN), including the number of US SSPs and the numbers of sterile syringes purchased by programs. We conducted a subset analysis of states with high numbers of counties defined as "vulnerable" by the Centers for Disease Control and Prevention. SSP participation in the Buyers' Club increased from 141 in 2015 to 292 in 2018, with an increase in syringes purchased from 42 million to 88 million. In addition to these large increases in numbers of programs and in syringes purchased, there were also indications of instability among new programs in vulnerable states. There have been substantial increases in the number of programs established and the number of syringes distributed in response to the opioid epidemic. Ensuring high-quality services in these new programs will be critical to successfully addressing the current epidemic.
报告 2015 年至 2018 年美国注射器服务项目（SSP）的扩展情况。我们从 Dave Purchase Project/North American Syringe Exchange Network（NASEN）的买家俱乐部记录中获取数据，包括美国 SSP 的数量和项目购买的无菌注射器数量。我们对疾病预防控制中心定义为“脆弱”的高数量县的州进行了子组分析。买家俱乐部的 SSP 参与度从 2015 年的 141 个增加到 2018 年的 292 个，购买的注射器从 4200 万支增加到 8800 万支。除了这些项目数量和购买的注射器数量的大幅增加外，脆弱州的新计划也出现了不稳定的迹象。为应对阿片类药物流行，新设立的项目数量和分发的注射器数量都有了实质性的增加。确保这些新项目提供高质量的服务对于成功应对当前的流行至关重要。
