Using the socioecological model to guide service delivery improvements to the prison needle exchange program in Canada: insights from multi-level stakeholders
Several multi-level modifiable barriers to improving PNEP uptake in Canadian federal prisons were shared among key stakeholders. Structural changes to PNEP delivery, including supervised/safe injecting sites and peer-led programs, were proposed as solution-driven enablers to increasing PNEP uptake among incarcerated people who inject drugs. These data will inform Canadian efforts to expand PNEP provision.
Authors
- Andrew R. Lloyd (ORCID: https://orcid.org/0000-0001-6277-8887)
- Behzad Hajarizadeh (ORCID: https://orcid.org/0000-0003-2212-2028)
- Lise Lafferty (ORCID: https://orcid.org/0000-0002-8533-2957)
- Frederick L. Altice (ORCID: https://orcid.org/0000-0002-7860-693X)
- Mark A Stoove (ORCID: https://orcid.org/0000-0003-2887-1409)
- Nadine Kronfli (ORCID: https://orcid.org/0000-0003-2724-0496)
- Frédéric Leone (ORCID: https://orcid.org/0000-0001-6394-2909)
Institutions
- Burnet Institute (AU)
- La Trobe University (AU)
- McGill University Health Centre (CA)
- UNSW Sydney (AU)
- Yale University (US)
- University of Malaya (MY)
- McGill University (CA)
- Monash University (AU)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-10-29
- DOI
- https://doi.org/10.1186/s12889-025-24935-y
- Citations
- 3
- Primary Topic
- HIV, Drug Use, Sexual Risk
- Type
- article
- Field-Weighted Citation Impact
- 4.06
Funders
- Canadian Institutes of Health Research
- Medical Research Council
- National Health and Medical Research Council