4099.0: Tuesday, November 14, 2000 - Board 5

Abstract #9218

Characteristics of injection drug users who utilize tuberculosis services at sites of the Baltimore City needle exchange program

Elise D. Riley, MPH, Epidemiology, Johns Hopkins School of Public Health, 627 N. Washington St., 3rd Floor, Baltimore, MD 21205, 410-614-4412, eriley@jhsph.edu, David Vlahov, PhD, Center for urban epidemiologic studies, New York Academy of Medicine, 1216 Fifth Ave, New York, NY 10029-5293, Peter Beilenson, MD, MPH, Baltimore City Health Department, 210 Guilford Ave., 3rd Floor, Baltimore, MD 21202, and Richard E. Chaisson, MD, MPH, Internal Medicine, Johns Hopkins School of Medicine, 1830 Monument St., Room 455, Baltimore, MD 21205.

OBJECTIVE: To compare characteristics of Baltimore needle exchange participants who requested tuberculosis services from a site of needle exchange. METHODS: Demographic and drug use data were collected on needle exchange program participants upon enrollment. Between June 1997 and May 1998, tuberculosis-specific data were collected on participants who requested TB services from a site of NEP. Descriptive statistics and inferences were based on three outcome variables: 1) requested a tuberculin skin test, 2) returned for a skin test reading, and 3) tested tuberculin positive. RESULTS: Among 691 contacts with NEP exchangers, the current TB service placed 296 tests and experienced an 83% return rate for tuberculin skin test reading. After controlling for significant covariates, increasing frequency of NEP visits during the study period was associated with requesting TB services and returning for skin test reading. Among those who returned for skin test reading, smoking duration and problems getting food in the past year due to a lack of money were associated with a positive test. CONCLUSIONS: These data suggest that utilization of a TB service and high return rates can be achieved among Baltimore NEP participants. The rapport developed with frequent exchangers may facilitate return visits for tuberculosis screening at sites of NEP. In addition, traditional poverty-related TB risk factors may need to be refined in IDU populations in order to be relevant. More extensive health services appear to be warranted at sites of the Baltimore NEP.

Learning Objectives: Participants of this session will be offered perspective with which to consider development of health services targeted toward injection drug users

Keywords: Tuberculosis, Needle Exchange Programs

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA