Requiring help injecting among people who inject drugs in Toronto, Canada: Characterising the need to address sociodemographic disparities and substance‐use specific patterns.
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| Title: | Requiring help injecting among people who inject drugs in Toronto, Canada: Characterising the need to address sociodemographic disparities and substance‐use specific patterns. |
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| Authors: | Mitra, Sanjana (AUTHOR), Kolla, Gillian (AUTHOR), Bardwell, Geoff (AUTHOR), Wang, Rick (AUTHOR), Sniderman, Ruby (AUTHOR), Mason, Kate (AUTHOR), Werb, Dan (AUTHOR), Scheim, Ayden (AUTHOR) |
| Source: | Drug & Alcohol Review. Jul2022, Vol. 41 Issue 5, p1062-1070. 9p. 3 Charts. |
| Subjects: | Bloodborne infections, Odds ratio, Logistic regression analysis, Harm reduction, Regression analysis |
| Geographic Terms: | Toronto (Ont.), Canada |
| Abstract: | Introduction: Those requiring help injecting are at an elevated risk of injection‐related injury and blood‐borne infections and are thus a priority group for harm reduction programs. As supervised consumption services (SCS) are scaled‐up across Canada, information on those who require help injecting is necessary to inform equitable service uptake. We characterised the sociodemographic, structural and drug use correlates of needing help injecting among a cohort of people who inject drugs in Toronto, Canada. Methods: A cross‐sectional baseline survey was administered between November 2018 and March 2020. Unadjusted and multivariable logistic regression models examined associations with requiring help injecting in the past 6 months. A gender‐stratified sub‐analysis described characteristics of receiving help among those requiring it. Results: Of 701 participants (31.0% cisgender women), 294 (41.9%) needed recent help injecting. In unadjusted analyses, being a racialised, non‐Indigenous person (odds ratio [OR] 1.79, 95% confidence interval [CI] 1.13–2.86) or a cisgender woman (OR 1.72, 95% CI 1.24–2.39) were associated with needing help. In multivariable analyses, requiring assistance was associated with needing frequent help preparing drugs (adjusted OR [AOR] 9.52, 95% CI 4.78–21.28), fewer years since first injection (AOR for 1 year increase: 0.97, 95% CI 0.95–0.99) and injecting stimulants. Among those who required help, cisgender women reported needing assistance more often than cisgender men (P = 0.009). Discussion and Conclusions: Over two‐fifths of the sample required help injecting; requiring assistance was associated with sociodemographic indicators and substance use‐specific patterns. Findings highlight the need to scale‐up educational resources for those who receive or provide help injecting, as well as SCS that accommodate onsite injection assistance. [ABSTRACT FROM AUTHOR] |
| Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 157776414 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Requiring help injecting among people who inject drugs in Toronto, Canada: Characterising the need to address sociodemographic disparities and substance‐use specific patterns. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Mitra%2C+Sanjana%22">Mitra, Sanjana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kolla%2C+Gillian%22">Kolla, Gillian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bardwell%2C+Geoff%22">Bardwell, Geoff</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Rick%22">Wang, Rick</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sniderman%2C+Ruby%22">Sniderman, Ruby</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mason%2C+Kate%22">Mason, Kate</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Werb%2C+Dan%22">Werb, Dan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scheim%2C+Ayden%22">Scheim, Ayden</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Drug+%26+Alcohol+Review%22">Drug & Alcohol Review</searchLink>. Jul2022, Vol. 41 Issue 5, p1062-1070. 9p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Bloodborne+infections%22">Bloodborne infections</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Toronto+%28Ont%2E%29%22">Toronto (Ont.)</searchLink><br /><searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: Those requiring help injecting are at an elevated risk of injection‐related injury and blood‐borne infections and are thus a priority group for harm reduction programs. As supervised consumption services (SCS) are scaled‐up across Canada, information on those who require help injecting is necessary to inform equitable service uptake. We characterised the sociodemographic, structural and drug use correlates of needing help injecting among a cohort of people who inject drugs in Toronto, Canada. Methods: A cross‐sectional baseline survey was administered between November 2018 and March 2020. Unadjusted and multivariable logistic regression models examined associations with requiring help injecting in the past 6 months. A gender‐stratified sub‐analysis described characteristics of receiving help among those requiring it. Results: Of 701 participants (31.0% cisgender women), 294 (41.9%) needed recent help injecting. In unadjusted analyses, being a racialised, non‐Indigenous person (odds ratio [OR] 1.79, 95% confidence interval [CI] 1.13–2.86) or a cisgender woman (OR 1.72, 95% CI 1.24–2.39) were associated with needing help. In multivariable analyses, requiring assistance was associated with needing frequent help preparing drugs (adjusted OR [AOR] 9.52, 95% CI 4.78–21.28), fewer years since first injection (AOR for 1 year increase: 0.97, 95% CI 0.95–0.99) and injecting stimulants. Among those who required help, cisgender women reported needing assistance more often than cisgender men (P = 0.009). Discussion and Conclusions: Over two‐fifths of the sample required help injecting; requiring assistance was associated with sociodemographic indicators and substance use‐specific patterns. Findings highlight the need to scale‐up educational resources for those who receive or provide help injecting, as well as SCS that accommodate onsite injection assistance. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Drug & Alcohol Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=157776414 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/dar.13473 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1062 Subjects: – SubjectFull: Bloodborne infections Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: Logistic regression analysis Type: general – SubjectFull: Harm reduction Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Toronto (Ont.) Type: general – SubjectFull: Canada Type: general Titles: – TitleFull: Requiring help injecting among people who inject drugs in Toronto, Canada: Characterising the need to address sociodemographic disparities and substance‐use specific patterns. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Mitra, Sanjana – PersonEntity: Name: NameFull: Kolla, Gillian – PersonEntity: Name: NameFull: Bardwell, Geoff – PersonEntity: Name: NameFull: Wang, Rick – PersonEntity: Name: NameFull: Sniderman, Ruby – PersonEntity: Name: NameFull: Mason, Kate – PersonEntity: Name: NameFull: Werb, Dan – PersonEntity: Name: NameFull: Scheim, Ayden IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 09595236 Numbering: – Type: volume Value: 41 – Type: issue Value: 5 Titles: – TitleFull: Drug & Alcohol Review Type: main |
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