%0 Journal Article %J Addiction (Abingdon, England) %D 2004 %T Sterile syringe access conditions and variations in HIV risk among drug injectors in three cities. %A Bluthenthal, Ricky N %A Malik, Mohammed Rehan %A Grau, Lauretta E %A Singer, Merrill %A Marshall, Patricia %A Heimer, Robert %K Adult %K California %K Chicago %K Connecticut %K Female %K HIV Infections %K Humans %K Male %K Middle Aged %K Multivariate Analysis %K Needle Sharing %K Needle-Exchange Programs %K Pharmacies %K Police %K Risk Factors %K Socioeconomic Factors %K Substance Abuse, Intravenous %N 9 %P 1136-46 %R 10.1111/j.1360-0443.2010.03149.x %V 99 %X Better sterile syringe access should be associated with a lower likelihood of syringe re-use and receptive syringe sharing, although few empirical studies have examined gradients in syringe access using both individual and ecological data. In this study, we compare syringe re-use and receptive syringe sharing among injection drug users (IDUs) with syringe exchange program (SEP) and legal over-the-counter pharmacy access with limits on syringes that can be purchased, exchanged or possessed to IDUs with no pharmacy sales but unlimited syringe access through SEPs. We address three questions: (1) Does residing in an area with no legal syringe possession increase the likelihood of police contact related to possessing drug paraphernalia? (2) Among direct SEP users, is use of more permissive SEPs associated with less likelihood of syringe re-use and receptive syringe sharing? (3) Among non-SEP users, is residing in an area with pharmacy access associated with lower likelihood of syringe re-use and receptive syringe sharing? %8 2004 Sep