Objectives. This study evaluated the usefulness of vending machines in prov
iding injection drug users with access to sterile syringes in Marseille, Fr
ance.
Methods. Self-administered questionnaires were offered to 485 injection dru
g users obtaining syringes from 32 pharmacies, 4 needle exchange programs,
and 3 vending machines.
Results. Of the 343 respondents (response rate = 70.7%), 21.3% used the ven
ding machines as their primary source of syringes. Primary users of vending
machines were more likely than primary users of other sources to be younge
r than 30 years, to report no history of drug maintenance treatment, and to
report no sharing of needles or injection paraphernalia.
Conclusions. Vending machines may be an appropriate strategy for providing
access to syringes for younger injection drug users, who have typically avo
ided needle exchange programs and pharmacies.