Perceptions about supervised injection facilities among people who inject drugs in Philadelphia

Harris, Robert S.; Richardson, Jessica; Frasso, Rosemary; Anderson, Evan D.

doi:10.1016/j.drugpo.2017.11.005

Cited by 38 publications

(45 citation statements)

References 35 publications

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“…In the business sample, a greater proportion of people of color endorsed OPS than white respondents, which is in contrast to news reports from local media and was an unexpected finding [29]. Further, the majority of business owners/staff indicated they suspected someone had injected drugs on their premises in the past year and most had called 911 or administered naloxone on someone they suspected was overdosing.…”

Section: Discussioncontrasting

confidence: 64%

“…Harris et al found that PWUD would use an OPS to limit risk of harm, theft, and arrest while also avoiding drug use in a public space where they might be visible to community members [28]. Despite high acceptability among PWUD, news stories in the local media have suggested many Philadelphians are unsupportive of OPS because they are perceived to condone illegal drug use, heighten drug-related crime and violence near the sites, and reflect racial biases [29][30][31]. Additionally, city officials justify not implementing an OPS due to fear of disrupting businesses and ongoing urban renewal initiatives in Kensington [32].…”

Section: Introductionmentioning

confidence: 99%

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Overdose Prevention Site Acceptability among Residents and Businesses Surrounding a Proposed Site in Philadelphia, USA

et al. 2019

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Overdose prevention sites (OPS) are places where people use previously obtained drugs under the supervision of a health professional. They have been proposed in six United States (US) cities, including Philadelphia, to help reduce opioid-related overdose deaths and public injection. Philadelphia has the highest overdose rate among large cities in the US, which has led a local community-based organization to plan the implementation of OPS. Kensington, a neighborhood with the highest drug mortality overdose rates in the city, is a likely site for the proposed OPS. Given the dearth of research systematically assessing public opinion towards OPS prior to implementation, we enrolled 360 residents and 79 business owners/staff in the Kensington neighborhood in a cross-sectional acceptability study. Face-to-face surveys assessed participant characteristics, experiences with drug-related social problems, and OPS acceptability. Using descriptive statistics, we estimated factors associated with favorability towards opening an OPS in the Kensington neighborhood. Ninety percent of residents were in favor of an OPS opening in Kensington. Support was significantly higher among unstably housed individuals and persons who currently use opioids. In the business sample, 63% of owners/staff were in favor of opening an OPS in Kensington. A greater proportion of Asian/Pacific Islanders, Hispanic/Latinx respondents, and non-Hispanic/Latinx Black respondents were in favor of an OPS opening in Kensington compared with white respondents (p < 0.04). While details about implementation are still being considered, results indicate general acceptability among Kensington residents and businesses for an OPS, especially if it can deliver benefits that curb drug-related social problems. Should an OPS be implemented in Philadelphia, it would be important to monitor changes in drug-related social problems and acceptability post implementation.

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Section: Discussioncontrasting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Overdose Prevention Site Acceptability among Residents and Businesses Surrounding a Proposed Site in Philadelphia, USA

et al. 2019

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“…Providing training in safe injection techniques, including cleaning of the injection site, can also lower bacterial infection risk [45,46]. There remains the need for upstream interventions, such as providing harm reduction resources, supervised injecting facilities and opioid substitution therapy, as these are excellent methods to reduce the overall number of infections among PWID [44,47-50]. The results of this study have been used to improve the post-infection review process and develop a pilot with planned evaluation for universal supply for of Chlorhexidine wipes to PWID through NSP.…”

Section: Discussionmentioning

confidence: 99%

Clonal expansion of community-associated meticillin-resistant Staphylococcus aureus (MRSA) in people who inject drugs (PWID): prevalence, risk factors and molecular epidemiology, Bristol, United Kingdom, 2012 to 2017

et al. 2019

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Background: In 2015, Bristol (South West England) experienced a large increase in cases of meticillin-resistant Staphylococcus aureus (MRSA) infection in people who inject drugs (PWID). Aim: We aimed to characterise and estimate the prevalence of MRSA colonisation among PWID in Bristol and test evidence of a clonal outbreak. Methods: PWID recruited through an unlinked-anonymous community survey during 2016 completed behavioural questionnaires and were screened for MRSA. Univariable logistic regression examined associations with MRSA colonisation. Whole-genome sequencing used lineage-matched MRSA isolates, comparing PWID (screening and retrospective bacteraemia samples from 2012-2017) with non-PWID (Bristol screening) in Bristol and national reference laboratory database samples. Results: The MRSA colonisation prevalence was 8.7% (13/149) and was associated with frequently injecting in public places (odds ratio (OR): 5.5; 95% confidence interval (CI):1.34–22.70), recent healthcare contact (OR: 4.3; 95% CI: 1.34–13.80) and injecting in groups of three or more (OR: 15.8; 95% CI: 2.51–99.28). People reporting any one of: injecting in public places, injection site skin and soft tissue infection or hospital contact accounted for 12/13 MRSA positive cases (sensitivity 92.3%; specificity 51.5%). Phylogenetic analysis identified a dominant clade associated with infection and colonisation among PWID in Bristol belonging to ST5-SCCmecIVg. Conclusions: MRSA colonisation in Bristol PWID is substantially elevated compared with general population estimates and there is evidence of clonal expansion, community-based transmission and increased infection risk related to the colonising strain. Targeted interventions, including community screening and suppression therapy, education and basic infection control are needed to reduce MRSA infections in PWID.

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“…Having ever been to prison was reported by 75% of respondents (83% of hepatitis C positive) and 12% reported injecting drugs in prison (30% of hepatitis C positive). Individuals were in prison for a median of four times (range 1-30) and their age at their first prison stay was 18 (range [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Risk Behaviours Analysismentioning

confidence: 99%

Risk behaviours of homeless people who inject drugs during an outbreak of hepatitis C, Northern Ireland, 2016‐2017

Maisa

Semple

Griffiths

et al. 2019

Journal of Viral Hepatitis

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Perceptions about supervised injection facilities among people who inject drugs in Philadelphia

Cited by 38 publications

References 35 publications

Overdose Prevention Site Acceptability among Residents and Businesses Surrounding a Proposed Site in Philadelphia, USA

Overdose Prevention Site Acceptability among Residents and Businesses Surrounding a Proposed Site in Philadelphia, USA

Clonal expansion of community-associated meticillin-resistant Staphylococcus aureus (MRSA) in people who inject drugs (PWID): prevalence, risk factors and molecular epidemiology, Bristol, United Kingdom, 2012 to 2017

Risk behaviours of homeless people who inject drugs during an outbreak of hepatitis C, Northern Ireland, 2016‐2017

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