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RACE AND THE ENFORCEMENT OF DRUG DELIVERY LAWS IN ...

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When approaching clients, surveyors first asked whether the client had already<br />

completed the survey. Clients who had not already completed the survey were<br />

given the full survey that includes questions about recent drug transactions.<br />

Those who had already completed the survey were asked to complete a much<br />

shorter survey that did not include questions about drug transactions; these data<br />

were primarily intended to address questions pertaining to public health<br />

concerns. Thus, questions regarding drug transactions were asked only of needle<br />

exchangers who had not already completed the survey; any particular needle<br />

exchange client did not provide information about recent drug transactions more<br />

than once.<br />

All needle exchangers were asked about their race/ethnicity, age and gender.<br />

Those completing the survey for the first time were also asked about the drug(s)<br />

present in the needle(s) just exchanged, whether or not they obtained (each of)<br />

those drugs in Seattle and the race/ethnicity of the person from whom they had<br />

obtained those drugs. Respondents completing the full version of the survey<br />

were also asked about “other drugs” (i.e. drugs other than those found in the<br />

needles they exchanged) they had recently obtained, the location of those<br />

transactions and the race/ethnicity of the person from whom they obtained those<br />

drugs. 57 A second “wave” of the survey, administered at the downtown, Capitol<br />

Hill and University District syringe exchange facilities in 2008, was designed to<br />

provide more detailed information regarding the geographic location of recent<br />

drug transactions. The results of the “second wave” of the survey are described<br />

in Part III of this report. All needle exchange survey results described in the<br />

report were obtained from the “first wave” of the survey conducted in 2007<br />

unless otherwise indicated.<br />

The results of the survey indicate that many of the estimated 15,000–18,000 King<br />

County IDUs are homeless or unstably housed, and therefore unlikely to be<br />

included in general population surveys. 58 According to the results of the 2007–<br />

2008 Seattle-King County Needle Exchange Survey, only 37.6 percent of those<br />

exchanging needles at one of the seven King County syringe exchange facilities<br />

57<br />

This is important, as there is reason to believe that people exchanging needles downtown are<br />

more likely to exchange small numbers of needles more frequently; those exchanging needles<br />

at other facilities are more likely to exchange larger numbers of syringes less frequently.<br />

Moreover, people of color are most likely to exchange needles downtown (Kris Nyrop, former<br />

director of Street Outreach Services, personal communication, 2008). A more complete<br />

discussion of the possible racial/ethnic biases in the survey is provided in the subsequent<br />

section.<br />

58 Other drug users may also be under-represented in general surveys. However, there does not<br />

appear to have been any research that assesses this possibility in Seattle.<br />

26

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