Trends in crime and the introduction of a needle exchange program

M. A. Marx, B. Crape, R. S. Brookmeyer, B. Junge, C. Latkin, D. Vlahov, S. A. Strathdee

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Objectives. This study sought to determine whether introduction of a needle exchange program would be associated with increased crime rates. Methods. Trends in arrests were compared in program and nonprogram areas before and after introduction of a needle exchange program in Baltimore. Trends were modeled and compared via Poisson regression. Results. No significant differences in arrest trends emerged. Over the study period, increases in category-specific arrests in program and nonprogram areas, respectively, were as follows: drug possession, 17.7% and 13.4%; economically motivated offenses, 0.0% and 20.7%; resistance to police authority, 0.0% and 5.3%; and violent offenses, 7.2% and 8.0%. Conclusions. The lack of association of overall and type-specific arrest data with program implementation argues against the role of needle exchange programs in increasing crime rates.

Original languageEnglish (US)
Pages (from-to)1933-1936
Number of pages4
JournalAmerican journal of public health
Issue number12
StatePublished - 2000

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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