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Factors associated with drug checking service utilization among people who use drugs in a Canadian setting

BACKGROUND: The United States and Canada are amidst an opioid overdose crisis, with the Canadian province of British Columbia (BC) among the hardest hit. In response, drug checking services (DCS) have been introduced in this setting as a novel pilot harm reduction intervention though little is known...

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Autores principales: Long, Viseth, Arredondo, Jaime, Ti, Lianping, Grant, Cameron, DeBeck, Kora, Milloy, M-J, Lysyshyn, Mark, Wood, Evan, Kerr, Thomas, Hayashi, Kanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737352/
https://www.ncbi.nlm.nih.gov/pubmed/33317553
http://dx.doi.org/10.1186/s12954-020-00454-4
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author Long, Viseth
Arredondo, Jaime
Ti, Lianping
Grant, Cameron
DeBeck, Kora
Milloy, M-J
Lysyshyn, Mark
Wood, Evan
Kerr, Thomas
Hayashi, Kanna
author_facet Long, Viseth
Arredondo, Jaime
Ti, Lianping
Grant, Cameron
DeBeck, Kora
Milloy, M-J
Lysyshyn, Mark
Wood, Evan
Kerr, Thomas
Hayashi, Kanna
author_sort Long, Viseth
collection PubMed
description BACKGROUND: The United States and Canada are amidst an opioid overdose crisis, with the Canadian province of British Columbia (BC) among the hardest hit. In response, drug checking services (DCS) have been introduced in this setting as a novel pilot harm reduction intervention though little is known about usage rates. Therefore, we sought to identify factors associated with drug checking uptake among people who use drugs (PWUD) in Vancouver, BC. METHODS: Data were derived from three ongoing prospective cohort studies of PWUD in Vancouver between June and November 2018. Multivariable logistic regression was used to determine factors associated with self-reported DCS utilization in the past 6 months among participants at high risk of fentanyl exposure (i.e., those self-reporting illicit opioid use or testing positive for fentanyl via urine drug screen). RESULTS: Among 828 eligible participants, including 451 (55%) males, 176 (21%) reported recent use of DCS. In multivariable analyses, factors significantly associated with DCS utilization included: homelessness (Adjusted Odds Ratio [AOR] 1.47; 95% Confidence Interval [CI] 1.01–2.13) and involvement in drug dealing (AOR 1.59; 95% CI 1.05–2.39). CONCLUSIONS: In our sample of PWUD, uptake of DCS was low, although those who were homeless, a sub-population known to be at a heightened risk of overdose, were more likely to use the services. Those involved in drug dealing were also more likely to use the services, which may imply potential for improving drug market safety. Further evaluation of drug checking is warranted.
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spelling pubmed-77373522020-12-17 Factors associated with drug checking service utilization among people who use drugs in a Canadian setting Long, Viseth Arredondo, Jaime Ti, Lianping Grant, Cameron DeBeck, Kora Milloy, M-J Lysyshyn, Mark Wood, Evan Kerr, Thomas Hayashi, Kanna Harm Reduct J Research BACKGROUND: The United States and Canada are amidst an opioid overdose crisis, with the Canadian province of British Columbia (BC) among the hardest hit. In response, drug checking services (DCS) have been introduced in this setting as a novel pilot harm reduction intervention though little is known about usage rates. Therefore, we sought to identify factors associated with drug checking uptake among people who use drugs (PWUD) in Vancouver, BC. METHODS: Data were derived from three ongoing prospective cohort studies of PWUD in Vancouver between June and November 2018. Multivariable logistic regression was used to determine factors associated with self-reported DCS utilization in the past 6 months among participants at high risk of fentanyl exposure (i.e., those self-reporting illicit opioid use or testing positive for fentanyl via urine drug screen). RESULTS: Among 828 eligible participants, including 451 (55%) males, 176 (21%) reported recent use of DCS. In multivariable analyses, factors significantly associated with DCS utilization included: homelessness (Adjusted Odds Ratio [AOR] 1.47; 95% Confidence Interval [CI] 1.01–2.13) and involvement in drug dealing (AOR 1.59; 95% CI 1.05–2.39). CONCLUSIONS: In our sample of PWUD, uptake of DCS was low, although those who were homeless, a sub-population known to be at a heightened risk of overdose, were more likely to use the services. Those involved in drug dealing were also more likely to use the services, which may imply potential for improving drug market safety. Further evaluation of drug checking is warranted. BioMed Central 2020-12-14 /pmc/articles/PMC7737352/ /pubmed/33317553 http://dx.doi.org/10.1186/s12954-020-00454-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Long, Viseth
Arredondo, Jaime
Ti, Lianping
Grant, Cameron
DeBeck, Kora
Milloy, M-J
Lysyshyn, Mark
Wood, Evan
Kerr, Thomas
Hayashi, Kanna
Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title_full Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title_fullStr Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title_full_unstemmed Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title_short Factors associated with drug checking service utilization among people who use drugs in a Canadian setting
title_sort factors associated with drug checking service utilization among people who use drugs in a canadian setting
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737352/
https://www.ncbi.nlm.nih.gov/pubmed/33317553
http://dx.doi.org/10.1186/s12954-020-00454-4
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