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Abstract

Background: Increased utilisation of needle–syringe programs (NSP) by men who inject performance andimage-enhancing drugs (PIEDs) has been reported. While fewer in number, people who inject PIEDspossess distinct service and knowledge needs compared to other NSP clients.Methods: Using standardised data from 26 NSP outlets through the Queensland NSP Minimum Data Set(QNSPMDS), trends in occasions of services among males intending to inject PIEDs were assessed usingmultilevel mixed-effects negative binomial regression, adjusting for month, year, and age, and clusteringby site.Results: Compared to 2007, PIEDs-related occasions of service increased from 2008 until 2013 (3% and 13%of all occasions of service involving males in 2007 and 2015, respectively). While accounting for thefewest occasions of service, the Northern region experienced the greatest rate of occasion of serviceincrease (2015 IRR 7.46, 95%CI: 6.11, 9.12). Similarly higher rates were seen among males aged Conclusion: NSP settings provide an opportunity to engage with this unique population, providingimportant education on injection-related injuries and diseases, including blood-borne viruses, andgreater linkage to primary care.

Item Type:	Article
Authors/Creators:	Jacka, B and Peacock, A and Degenhardt, L and Bruno, R and Clare, P and Kemp, R and Dev, A and Larance, B
Keywords:	steroids; performance and image enhancing drugs
Journal or Publication Title:	The International journal on drug policy
Publisher:	International Journal on Drug Policy
ISSN:	0955-3959
DOI / ID Number:	10.1016/j.drugpo.2017.05.048
Copyright Information:	© 2017 Elsevier B.V
Related URLs:	Google Scholar: Bruno, R UTAS Profile: Bruno, R
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