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Published on: July 10, 2017
Impact of SHIELD Police Training on Knowledge of Syringe Possession Laws and Related Arrests in Tijuana, Mexico
Pieter Baker1, Leo Beletsky1, Richard Garfein1
1Pieter Baker and Javier A. Cepeda are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Leo Beletsky is with the Bouvé College of Health Sciences and School of Law, Northeastern University, Boston, MA. Richard Garfein and Steffanie A. Strathdee are with the Department of Medicine, University of California, San Diego. Eileen Pitpitan and Eyal Oren are with the Graduate School of Public Health, San Diego State University, San Diego, CA.
Abstract:
Between 2015 and 2018, we provided training for 1806 municipal police officers in Tijuana, Mexico, in an effort to improve their knowledge and behaviors related to HIV and injection drug use. Correct knowledge of syringe possession laws improved from 56% before training to 94% after training and was sustained at 24 months (75%). Knowledge improvement was associated with decreases in arrests for syringe possession over time (adjusted odds ratio [AOR] = 0.87; 95% confidence interval [CI] = 0.85, 0.90). Officers with correct knowledge had significantly lower odds of reporting arrests (AOR = 0.63; 95% CI = 0.44, 0.89). Training was associated with sustained improvements in knowledge and practices that advance public health. (Am J Public Health. 2022;112(6):860-864. https://doi.org/10.2105/AJPH.2021.306702).
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