Effect of an Unsanctioned Safe Consumption Site in the United States on Syringe Sharing, Rushed Injections, and Isolated Injection Drug Use: A Longitudinal Cohort Analysis
| Autor: | Lynn Wenger, Barrot H. Lambdin, Erica N Browne, Peter J. Davidson, Alex H. Kral, Leslie W Suen |
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| Rok vydání: | 2022 |
| Předmět: |
Consumption (economics)
medicine.medical_specialty business.industry Syringes Targeted sampling Repeated measures design HIV Infections United States Injection drug use Cohort Studies symbols.namesake Infectious Diseases Syringe sharing Emergency medicine symbols medicine Humans Needle Sharing Pharmacology (medical) Poisson regression Longitudinal cohort Substance Abuse Intravenous business Generalized estimating equation |
| Zdroj: | JAIDS Journal of Acquired Immune Deficiency Syndromes. 89:172-177 |
| ISSN: | 1525-4135 |
| DOI: | 10.1097/qai.0000000000002849 |
| Popis: | Background HIV and other medical complications of drug use, including overdose, are rising among people who inject drugs (PWID) in the United States (US). Risk of complications and mortality increase with injection behaviors such as syringe sharing, rushing injections, and injecting in isolated places. Studies suggest safe consumption sites (SCS) reduce high-risk injection behaviors by offering sterile syringes and a safe, supervised space to consume drugs, though this has yet to be evaluated in the US. Setting An unsanctioned SCS in an undisclosed US location. Methods From 2018 to 2019, we recruited PWID using targeted sampling methods (N=494) and conducted interviews at baseline, 6-, and 12-months. We sought to determine associations of past-month SCS use with past-month receptive syringe sharing, rushed injections, and injections in isolated places. We analyzed data using inverse probability of treatment weighted Poisson regression models. Generalized estimating equations accounted for repeated measures. Results Fifty-two (11%) participants had past-month SCS use. Participants with past-month SCS use had decreased rates of receptive syringe sharing (IRR 0.17, 95%CI 0.03-1.02) and injecting in an isolated location (IRR 0.77 95%CI 0.54-1.27) compared to those without past-month SCS use, though results were not statistically conclusive. Rate of rushed injections was only slightly lower (IRR 0.94, 95%CI 0.70-1.30). Conclusion SCS may show benefit in reducing high-risk injection practices, and legal sanctioning of an SCS may offer further advantages. SCS implementation should be considered to help reduce the spread of HIV, overdose mortality, and prevent other medical complications of injection drug use. |
| Databáze: | OpenAIRE |
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