2020
DOI: 10.1186/s12954-020-00365-4
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“Am I gonna get in trouble for acknowledging my will to be safe?”: Identifying the experiences of young sexual minority men and substance use in the context of an opioid overdose crisis

Abstract: Background: North America and other parts of the globe are in the midst of a public health emergency related to opioid overdoses and a highly contaminated illicit drug supply. Unfortunately, there is a substantial gap in our understandings about how this crisis affects key populations not conventionally identified within overdose-related surveillance data. This gap is particularly pronounced for gay, bisexual, and other men who have sex with men (sexual minority men)-a population that experiences substance use… Show more

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Cited by 17 publications
(17 citation statements)
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“…The use of criminalized drugs for analgesia also highlights the importance of harm reduction in mitigating the risks of opioid use for WLWH. Based on our findings, we echo calls for expanded “safe supply” services to provide pharmaceutical-grade alternatives to toxic street drugs along with decriminalization to facilitate destigmatization of substance use and remove police-related barriers to healthcare access [ 24 , 28 , 45 , 65 ].…”
Section: Discussionmentioning
confidence: 61%
“…The use of criminalized drugs for analgesia also highlights the importance of harm reduction in mitigating the risks of opioid use for WLWH. Based on our findings, we echo calls for expanded “safe supply” services to provide pharmaceutical-grade alternatives to toxic street drugs along with decriminalization to facilitate destigmatization of substance use and remove police-related barriers to healthcare access [ 24 , 28 , 45 , 65 ].…”
Section: Discussionmentioning
confidence: 61%
“…Varied opinions were also expressed on drug checking service integration with other harm reduction services [ 19 , 35 ]. Olding et al reported challenges associated with offering multiple harm reduction services, including space restrictions, and effectively managing noise and protecting confidentiality for patrons [ 19 ].…”
Section: Resultsmentioning
confidence: 99%
“…In two drug classes (1) depressant and stimulant use, 2) high polysubstance use), opioid use was relatively high. This is concerning due to the ongoing opioid epidemic in the USA, together with overdose risk that is especially pertinent with SGMY who may face additional barriers to harm reduction and treatment services [ 40 ]. In addition, the study findings indicated that participants who identified as transgender were significantly more likely to report opioid use, similar to previous literature with gender minority youth [ 17 , 41 ].…”
Section: Discussionmentioning
confidence: 99%