The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil

Detalhes bibliográficos
Autor(a) principal: Lurie, Peter
Data de Publicação: 2001
Outros Autores: Andrade, Tarcísio Matos de, Medina, Maria Guadalupe, Anderson, Kim, Dourado, Maria Inês Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14560
Resumo: Texto completo: acesso restrito. p. 51-64
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spelling Lurie, PeterAndrade, Tarcísio Matos deMedina, Maria GuadalupeAnderson, KimDourado, Maria Inês CostaLurie, PeterAndrade, Tarcísio Matos deMedina, Maria GuadalupeAnderson, KimDourado, Maria Inês Costa2014-02-10T12:42:37Z20011090-7165http://repositorio.ufba.br/ri/handle/ri/14560v. 5, n. 1Texto completo: acesso restrito. p. 51-64By 1998, 21% of cumulative AIDS cases in Brazil had occurred among injection drug users (IDUs). After a protracted political battle, the first needle exchange program (NEP) in South America opened in Salvador, Bahia. This paper uses a variety of quantitative and qualitative data sources to describe the opening of the NEP and the impact upon it of a crack cocaine epidemic that swept the region shortly after the NEP opened. Quantitative data sources include 3 cross-sectional studies conducted in various districts of Salvador before and after the NEP opened, and process measures from the NEP. Qualitative data sources include participant observation in Pelourinho, a heavy drug-use area of Salvador, the field notes of outreach workers, and newspaper articles from the most widely read local newspaper. The initial cross-sectional study demonstrated a 58% HIV seroprevalence and a similar percentage of IDUs reported needle-sharing. These data were used to support the need for a local NEP, which ultimately opened in March 1995. Use of the NEP in Pelourinho dropped precipitously with the arrival of a crack cocaine epidemic, documented clearly in the newspaper and outreach workers' field notes. The data permit an analysis of when the epidemic arrived and the geographical spread of the drug through Salvador. They also clearly document how drug users switched from cocaine injection to crack in large numbers and how the NEP was forced to adapt to these changes in drug-use patterns. Reductions in injection risk behavior are documented in Pelourinho, but are difficult to ascribe with certainty to the NEP because of the limited numbers of persons still injecting and the consequent selection bias. There are now 30 NEPs throughout Brazil.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-02-10T12:42:36Z No. of bitstreams: 1 Peter Lurie.pdf: 101954 bytes, checksum: 16d38e99d0110646db593422ec268af4 (MD5)Made available in DSpace on 2014-02-10T12:42:37Z (GMT). No. of bitstreams: 1 Peter Lurie.pdf: 101954 bytes, checksum: 16d38e99d0110646db593422ec268af4 (MD5) Previous issue date: 2001http://dx.doi.org 10.1023/A:1009559405477reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAInjection drug useBrazilCrackNeedle exchangePreventionThe Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-BrazilAIDS and Behaviorinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALPeter Lurie.pdfPeter Lurie.pdfapplication/pdf101954https://repositorio.ufba.br/bitstream/ri/14560/1/Peter%20Lurie.pdf16d38e99d0110646db593422ec268af4MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14560/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTPeter Lurie.pdf.txtPeter Lurie.pdf.txtExtracted texttext/plain66259https://repositorio.ufba.br/bitstream/ri/14560/3/Peter%20Lurie.pdf.txt31b07489ff01cc27de93a8c692ab8ff4MD53ri/145602022-07-05 14:03:35.923oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:35Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
dc.title.alternative.pt_BR.fl_str_mv AIDS and Behavior
title The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
spellingShingle The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
Lurie, Peter
Injection drug use
Brazil
Crack
Needle exchange
Prevention
title_short The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
title_full The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
title_fullStr The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
title_full_unstemmed The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
title_sort The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
author Lurie, Peter
author_facet Lurie, Peter
Andrade, Tarcísio Matos de
Medina, Maria Guadalupe
Anderson, Kim
Dourado, Maria Inês Costa
author_role author
author2 Andrade, Tarcísio Matos de
Medina, Maria Guadalupe
Anderson, Kim
Dourado, Maria Inês Costa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lurie, Peter
Andrade, Tarcísio Matos de
Medina, Maria Guadalupe
Anderson, Kim
Dourado, Maria Inês Costa
Lurie, Peter
Andrade, Tarcísio Matos de
Medina, Maria Guadalupe
Anderson, Kim
Dourado, Maria Inês Costa
dc.subject.por.fl_str_mv Injection drug use
Brazil
Crack
Needle exchange
Prevention
topic Injection drug use
Brazil
Crack
Needle exchange
Prevention
description Texto completo: acesso restrito. p. 51-64
publishDate 2001
dc.date.issued.fl_str_mv 2001
dc.date.accessioned.fl_str_mv 2014-02-10T12:42:37Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14560
dc.identifier.issn.none.fl_str_mv 1090-7165
dc.identifier.number.pt_BR.fl_str_mv v. 5, n. 1
identifier_str_mv 1090-7165
v. 5, n. 1
url http://repositorio.ufba.br/ri/handle/ri/14560
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org 10.1023/A:1009559405477
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
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collection Repositório Institucional da UFBA
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