Barriers to Needle Return in Harm Reduction Programs

摘要

Needle exchange programs are intended to reduce spread of infectious disease by decreasing reuse of needles by individuals who inject drugs. However, failure to return needles can cause friction with local communities. The purpose of this study was to identify perceived barriers to needle return. Participants were 192 individuals who were recruited from needle exchange programs. Participants completed and returned a brief survey including free-response questions about barriers to needle return. Results suggested several barriers to needle return, including both individual and structural issues. Participants largely advocated for use of incentives and stricter regulations to encourage higher rates of needle return. These results suggest some initial steps that programs can take to increase needle return rates, such as working with participants to reduce problems with needle storage and maintenance.