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In 2015, Kentucky legalized syringe service programs (SSPs) to provide low-threshold access to harm reduction services including syringe exchange, naloxone distribution, and linkage to care. The Behavioral Model for Vulnerable Populations (Gelberg et al., 2000) was used to investigate factors associated with SSP utilization among people who inject drugs involved in the CLS in Kentucky. One traditional predisposing factor (high school education\/GED), one vulnerable need factor (injection drug use in the six months prior to incarceration), two traditional enabling factors (access to public transportation, incarceration after SSPs legalized for one year), and one vulnerable enabling (having used naloxone on someone else) were associated with SSP utilization. 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