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However, research on NSIs among police officers is limited, especially in low\u2010 and middle\u2010income countries. Despite the legality of syringe possession in Mexico, half of people who inject drugs (PWID) in Tijuana report extrajudicial syringe\u2010related arrests and confiscation by police, which has been associated with needle\u2010sharing and HIV infection. We assessed the prevalence and correlates of NSIs among Tijuana police officers to inform efforts to improve occupational safety and simultaneously reduce HIV risks among police and PWID.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Tijuana's Department of Municipal Public Safety (SSPM) is among Mexico's largest. Our binational, multi\u2010sectoral team analyzed de\u2010identified data from SSPM's 2014 anonymous self\u2010administered occupational health survey. The prevalence of NSI and syringe disposal practices was determined. Logistic regression with robust variance estimation via generalized estimating equations identified factors associated with ever having an occupational NSI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately one\u2010quarter of the Tijuana police force was given the occupational health survey (<jats:italic>N<\/jats:italic>=503). Respondents were predominantly male (86.5%) and \u226435 years old (42.6%). Nearly one in six officers reported ever having a NSI while working at SSPM (15.3%), of whom 14.3% reported a NSI within the past year. Most participants reported encountering needles\/syringes while on duty (<jats:italic>n<\/jats:italic>=473, 94%); factors independently associated with elevated odds of NSIs included frequently finding syringes that contain drugs (adjusted odds ratio (AOR): 2.98; 95% confidence interval (CI): 1.56\u20135.67) and breaking used needles (AOR: 2.25; 95% CI: 1.29\u20133.91), while protective factors included being willing to contact emergency services in case of NSIs (AOR: 0.39; 95% CI: 0.22\u20130.69), and wearing needle\u2010stick resistant gloves (AOR: 0.43; 95% CI: 0.19\u20130.91).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tijuana police face an elevated and unaddressed occupational NSI burden associated with unsafe syringe\u2010handling practices, exposing them to substantial risk of HIV and other blood\u2010borne infections. These findings spurred the development and tailoring of training to reduce NSI by modifying officer knowledge, attitudes and enforcement practices (e.g. syringe confiscation) \u2013 factors that also impact HIV transmission among PWID and other members of the community.<\/jats:p><\/jats:sec>","DOI":"10.7448\/ias.19.4.20874","type":"journal-article","created":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T11:22:24Z","timestamp":1468840944000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Prevalence and correlates of needle\u2010stick injuries among active duty police officers in Tijuana, Mexico"],"prefix":"10.1002","volume":"19","author":[{"given":"Mar\u00eda Luisa","family":"Mittal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo","family":"Beletsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efra\u00edn","family":"Pati\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Abramovitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresita","family":"Rocha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Arredondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnulfo","family":"Ba\u00f1uelos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gudelia","family":"Rangel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffanie A","family":"Strathdee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60743-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300254"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02051.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"BeletskyL WagnerKD ArredondoJ PalinkasL Rodr\u00edguezCM KalicN et al.Implementing Mexico's \u201cNarcomenudeo\u201d drug law reform a mixed methods assessment of early experiences among people who inject drugs. 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