ArticleFrontiers in public health2025
Access, awareness, and risk: drivers of unsafe sharps disposal and needle reuse in insulin-treated adults in China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Unsafe household sharps disposal and needle reuse among insulin-treated adults pose clinical and public health risks; however, population-based data from China are limited. Methods: We conducted a cross-sectional survey of consecutive insulin-treated outpatients at a tertiary hospital in Enshi, Hubei (February 2023-December 2024). A cross-culturally adapted questionnaire captured 30-day disposal and reuse practices, community-safety incidents, and access determinants. Primary outcomes were unsafe disposal (household trash, public bins, or toilets/sinks) and any needle reuse. Multivariable logistic regression estimated adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: Among 1,810 insulin-treated adults, unsafe sharps disposal was widespread (59.0%; 95% CI: 56.7-61.2%). Disposal methods included loose trash at 43.5%, public bins at 15.9%, and approved containers at 24.7%. Needle reuse was reported by 32.5% (95% CI: 30.4-34.7%); among reusers ( Conclusion: Unsafe disposal and needle reuse are prevalent and exhibit strong socioeconomic gradients. Targeted education, container provision, and accessible take-back programs may improve patient and community safety in China.
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