Availability, accessibility, and coverage of needle and syringe programs in prisons in the European Union

Article


Moazen, B., Dolan, K., Moghaddam, S., Lotfizadeh, M., Duke, K., Neuhann, F., Stöver, H. and Jahn, A. 2020. Availability, accessibility, and coverage of needle and syringe programs in prisons in the European Union. Epidemiologic Reviews. 42 (1), pp. 19-26. https://doi.org/10.1093/epirev/mxaa003
TypeArticle
TitleAvailability, accessibility, and coverage of needle and syringe programs in prisons in the European Union
AuthorsMoazen, B., Dolan, K., Moghaddam, S., Lotfizadeh, M., Duke, K., Neuhann, F., Stöver, H. and Jahn, A.
Abstract

Needle and syringe programs (NSPs) are among the most effective interventions to control infection transmission among people who inject drugs in prisons. This review aimed to evaluate the availability, accessibility, and coverage of NSP in prisons in the European Union countries. In line with the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” criteria, four databases of peer-reviewed publications (PubMed/Medline, ISI Web of Science, EBSCO, and ScienceDirect), and 53 databases for grey literature were systematically searched to collect data published from January 2008 to August 2018. A total of 23,969 documents (17,297 papers and 6,672 grey documents) were identified, of them 26 were included into the study. In 2018, imprisonment rates in 28 EU countries ranged between 51 per 100,000 in Finland and 235 per 100,000 in Lithuania. Only four countries namely Germany (in one prison), Luxemburg (no coverage data were found), Romania (available in more than 50% of prisons), and Spain (in all prisons) have needle and syringe programs in prisons. Portugal stopped the program after a six-months pilot phase. Despite the protective impact of the prison-based NSP on infection transmission, only four EU countries distribute sterile syringes among people who inject drugs in prisons, and coverage of the program within these countries is very low. Since most prisoners will eventually return to the community, lack of NSP in EU prisons is not only a threat to the health of prisoners but also endangers public health.

Keywordsacquired immunodeficiency syndrome; European Union; hepatitis; HIV; needle and syringe programs; prisons
PublisherOxford University Press (OUP)
JournalEpidemiologic Reviews
ISSN0193-936X
Electronic1478-6729
Publication dates
Online11 Sep 2020
Print31 Jan 2020
Publication process dates
Deposited16 Sep 2020
Submitted20 Jan 2020
Accepted08 Sep 2020
Output statusPublished
Accepted author manuscript
File Access Level
Open
Copyright Statement

This is a pre-copyedited, author-produced version of an article accepted for publication in Epidemiologic Reviews following peer review. The version of record "Babak Moazen, Kate Dolan, Sahar Saeedi Moghaddam, Masoud Lotfizadeh, Karen Duke, Florian Neuhann, Heino Stöver, Albrecht Jahn, Availability, Accessibility, and Coverage of Needle and Syringe Programs in Prisons in the European Union, Epidemiologic Reviews, Volume 42, Issue 1, 2020, Pages 19–26" is available online at: URL:https://academic.oup.com/epirev/advance-article-abstract/doi/10.1093... and DOI https://doi.org/10.1093/epirev/mxaa003

Digital Object Identifier (DOI)https://doi.org/10.1093/epirev/mxaa003
Web of Science identifierWOS:000634636900003
LanguageEnglish
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