Changes in public order after the opening of a medically supervised safer injecting facility for illicit injection drug users

Wood, Evan; Kerr, Thomas; Small, Will; Li, Kathy; Marsh, David C.; Montaner, Julio S. G.; Tyndall, Mark W.

doi:10.1503/cmaj.1040774

Cited by 226 publications

(194 citation statements)

References 24 publications

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“…This finding also has immediate relevance of SIF operation since these participants may benefit from safer injecting education and since assisted injection is not presently allowed within the SIF [12,16] . It is also interesting that public drug use and shooting gallery use were associated with syringe sharing among SIF users, given that homeless and public drug users may be more likely to use the SIF [17] . This association will have to be explored further in future studies, since reducing wait times at the SIF, extending operating hours and performing outreach into shooting galleries may all be helpful in addressing this concern.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Syringe Sharing Among Users of a Medically Supervised Safer Injecting Facility

Wood¹,

Tyndall²,

Stoltz³

et al. 2005

American J. of Infectious Diseases

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Vancouver, Canada recently opened a medically supervised safer injecting facility (SIF) in an effort to reduce HIV and overdose risk and public injection drug use. We sought to examine factors associated with syringe sharing among SIF users. SIF users were randomly recruited into a prospective cohort of SIF users known as the Scientific Evaluation of Supervised Injecting (SEOSI) cohort. We examined the prevalence and correlates of used syringe borrowing among baseline HIV-negative participants and used syringe lending among baseline HIV-infected participants. Between 22 March 2004 and 22 October 2004, 479 baseline HIV-negative subjects (48 [10%] syringe borrowing events) and 103 baseline HIV-infected participants (17 [16.5%] syringe lending events) were recruited into the cohort. For baseline HIV negative participants, syringe borrowing was positively associated with public drug use (p<0.001) and requiring help injecting (p=0.001), whereas exclusive SIF use was inversely associated with syringe sharing (p=0.019). For baseline HIV-infected participants, syringe lending was positively associated with daily cocaine injection (p=0.022) and shooting gallery use (p=0.007). Although ongoing injection-related HIV risk behavior was reported among some SIF users, rates of syringe sharing were substantially lower than the rate observed previously in this community and it is noteworthy that exclusive SIF use was associated with reduced syringe sharing.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with Syringe Sharing Among Users of a Medically Supervised Safer Injecting Facility

Wood¹,

Tyndall²,

Stoltz³

et al. 2005

American J. of Infectious Diseases

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“…Reduced sightings of injecting and discarded needles/syringes by local residents and businesses were also reported (KPMG, 2010). A number of evaluations of the DCR provision in Vancouver, Canada, also showed positive outcomes, including cleaner injecting practices, reduced injecting in public places, less unsafe syringe disposal and reduced needle sharing (Wood et al, 2004;Petrar et al, 2007). In addition, the facility attracted higher-risk IDUs including public injectors and users at high risk for HIV and overdose .…”

Section: Introductionmentioning

confidence: 99%

“…They may also have ancillary benefits to the local community, such as reducing drug-related litter (IWG, 2006;KPMG;Wood et al, 2004). All DCRs have explicit rules with which the users must comply, such as no sharing of drugs, and no injecting in the neck or groin (Hedrich, 2004).…”

Section: Introductionmentioning

confidence: 99%

Attitudes of intravenous drug users in London towards the provision of drug consumption rooms

Butler

Chapman

Terry

2016

Drugs: Education, Prevention and Policy

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Aims: The study investigated the attitudes of intravenous drug users (IDUs) towards the provision of drug consumption rooms (DCRs) in the UK and their willingness to use DCRs. Methods:Participants were 90 methadone-maintained outpatients recruited from a London clinic. A questionnaire asked about their willingness to use a DCR, their views on various rules commonly-implemented by DCRs, and how they believed DCRs might impact on the drug-taking behaviours of drug users and their peers. Findings: A large majority (89%) expressed willingness to use a DCR and accepted the need for rules such as no drug sharing (84.3%), no assistance with injecting (81.8%), compulsory supervision (76.7%) and compulsory hand washing (92.1%). However, the IDUs were split over whether injection in the neck or groin should be disallowed and whether certain categories of IDUs (e.g. juveniles, pregnant women) should be excluded from DCRs. Majorities thought it unlikely that DCRs would encourage users to try risker drug preparations (76.6%), or encourage non injectors to inject for the first time (74.5%). Conclusions: In a country where DCRs are not available, the study highlights the willingness of IDUs to use a DCR and accept its rules, even for a sample most of whom were not homeless.

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“…Theoretical possibilities of SIF expansion needs to be decided on by the local health authorities on the basis of scientific evidence supporting such expansion (17). Public awareness by the local health policy-makers and doctors regarding SIF will allow the community to be better educated about the benefits of these harm reduction programs and the role they play in reducing crime, drug dealing, public injection, and a host of other social maladies (9,(12)(13)(14)34,(46)(47)(48)(49)(50)(51). Community support is a fundamental part of sustaining the program and it will ultimately help in conceptualizing injection drug use as a health issue, rather than a moral one (11,16,53).…”

Section: Discussionmentioning

confidence: 99%

Examining the potential role of a supervised injection facility in Saskatoon, Saskatchewan, to avert HIV among people who inject drugs

Jozaghi

Jackson

2015

Int J Health Policy Manag

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Background: Research predicting the public health and fiscal impact of Supervised Injection Facilities (SIFs), across different cities in Canada, has reported positive results on the reduction of HIV cases among People Who Inject Drugs (PWID). Most of the existing studies have focused on the outcomes of Insite, located in the Vancouver Downtown Eastside (DTES). Previous attention has not been afforded to other affected areas of Canada. The current study seeks to address this deficiency by assessing the cost-effectiveness of opening a SIF in Saskatoon, Saskatchewan. Methods: We used two different mathematical models commonly used in the literature, including sensitivity analyses, to estimate the number of HIV infections averted due to the establishment of a SIF in the city of Saskatoon, Saskatchewan. Results: Based on cumulative cost-effectiveness results, SIF establishment is cost-effective. The benefit to cost ratio was conservatively estimated to be 1.35 for the first two potential facilities. The study relied on 34% and 14% needle sharing rates for sensitivity analyses. The result for both sensitivity analyses and the base line estimates indicated positive prospects for the establishment of a SIF in Saskatoon. Conclusion:The opening of a SIF in Saskatoon, Saskatchewan is financially prudent in the reduction of tax payers' expenses and averting HIV infection rates among PWID. Keywords: People Who Inject Drugs (PWID), HIV, Cost-Benefit Analysis, Canada Copyright: © 2015 by Kerman University of Medical Sciences Citation: Jozaghi E, Jackson A. Examining the potential role of a supervised injection facility in Saskatoon, Saskatchewan, to avert HIV among people who inject drugs.

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Changes in public order after the opening of a medically supervised safer injecting facility for illicit injection drug users

Cited by 226 publications

References 24 publications

Factors Associated with Syringe Sharing Among Users of a Medically Supervised Safer Injecting Facility

Factors Associated with Syringe Sharing Among Users of a Medically Supervised Safer Injecting Facility

Attitudes of intravenous drug users in London towards the provision of drug consumption rooms

Examining the potential role of a supervised injection facility in Saskatoon, Saskatchewan, to avert HIV among people who inject drugs

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