Why the FUSS (Fentanyl Urine Screen Study)? A cross-sectional survey to characterize an emerging threat to people who use drugs in British Columbia, Canada
| Autor: | Geoffrey McKee, Ashraf Amlani, Geetha Raghukumar, Noren Khamis, Erica S Tsang, Jane A. Buxton |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Narcotics medicine.medical_specialty Cross-sectional study Substance-Related Disorders Overdose Medicine (miscellaneous) Fentanyl Heroin Young Adult Naloxone Surveys and Questionnaires medicine Prevalence Humans Psychiatry Survey Harm reduction British Columbia business.industry Public health Research Public Health Environmental and Occupational Health Odds ratio Middle Aged Substance Abuse Detection Opioids Psychiatry and Mental health Cross-Sectional Studies Emergency medicine Female business Oxycodone People who use drugs medicine.drug |
| Zdroj: | Harm Reduction Journal |
| ISSN: | 1477-7517 |
| Popis: | Background Fentanyl-detected illicit drug overdose deaths in British Columbia (BC) recently increased dramatically from 13 deaths in 2012 to 90 deaths in 2014, signaling an emerging public health concern. Illicit fentanyl is sold as pills or powders, often mixed with other substances like heroin or oxycodone; reports from coroners suggested that fentanyl was frequently taken unknowingly by people who use drugs. This study aimed to assess the prevalence and characteristics of fentanyl use among clients accessing harm reduction (HR) services in BC. Methods Participants attending HR services at 17 sites across BC were invited to complete an anonymous questionnaire describing drugs they have used within the last 3 days and provide a urine sample to test for fentanyl. Data from eligible participants were analyzed using descriptive, bivariate, and multivariate statistical methods. Results Surveys from 17 HR sites were received, resulting in analysis of responses from 242 eligible participants. Most participants used multiple substances (median = 3), with crystal meth (59 %) and heroin (52 %) use most frequently reported. Seventy participants (29 %) tested positive for fentanyl, 73 % of whom did not report using fentanyl. Controlling for age, gender, and health authority, reported use of fentanyl (odds ratio (OR) = 6.13, 95 % confidence interval (CI) = [2.52, 15.78], p |
| Databáze: | OpenAIRE |
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