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Accessing Medical Care After a Needlestick Injury: First Responders’ Perception of HIV Risk and Attitudes Toward Syringe Service Programs

  • Gregory CarterEmail author
  • Carrie Lawrence
  • Brennan Woodward
  • Anita Ohmit
Original Paper

Abstract

First responders have an increased risk of occupational exposure to HIV as the result of a needlestick injury (NSI) because of the chaotic prehospital environment in which they provide care. Approximately 2.3 of every 1000 first responders (0.23%) who are exposed to HIV via a NSI risk seroconversion if left untreated. Participants completed a 28-question online survey examining level of concern about HIV, thoughts about injection drug use, number of accidental NSIs, and medical services received after a needlestick. First, all data were analyzed descriptively. Second, a multiple linear regression model was used to explore the level of concern about HIV as a function of the predictor variables. Nearly half of the respondents worked as paramedics (n = 141, 23.5%) or emergency medical technicians (n = 154, 25.7%), followed by 15.5% (n = 93) and 11.3% (n = 62) who indicated their primary first responder affiliation as “firefighter” or “police,” respectively. The majority of the study population identified as male (75%, n = 450); 24.8% identified as female (n = 149). Slightly more first responders reported receiving no medical services after a needlestick (9.8%, n = 59) than received an HIV screening (9.5%, n = 57), and only 3.2% (n = 19) of those who experienced a needlestick reported receiving post-exposure prophylaxis. The results suggest that perceived risk of HIV infection via needlestick ultimately influences follow-up medical screening. Greater concern about HIV is significantly associated with HIV screening and willingness to obtain post-exposure prophylaxis. Future research should examine the impact of continued HIV education and policies outlining medical evaluation and other post-exposures procedures.

Keywords

HIV First responders Needlestick injury Syringe exchange 

Notes

Acknowledgements

The authors would like to thank Jennifer Holmes, ELS of Medical Editing Services for providing editorial support in accordance with Good Publication Practice (GPP3) guidelines (https://www.ismpp.org/gpp3).

Funding

This work was supported by grant funding from the Indiana Minority Health Coalition.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Indiana University School of Nursing BloomingtonBloomingtonUSA
  2. 2.Indiana University School of Public Health BloomingtonBloomingtonUSA
  3. 3.Indiana Minority Health CoalitionIndianapolisUSA

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