ArticleHarm reduction journal2008
Opportunities to learn and barriers to change: crack cocaine use in the Downtown Eastside of Vancouver.
Article in Harm reduction journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- The utilization and delivery of safer smoking practices and services: a narrative synthesis of the literature.Harm reduction journal · 2023Pooled it
- Do crack smoking practices change with the introduction of safer crack kits?Canadian journal of public health = Revue canadienne de sante publiqueTrial
- Innovation, respiration and drug paraphernalia policy: a mixed methods study of crack pipe practice and respiratory harm in England.Harm reduction journal · 2026Article
- Not all screens are created equal: examination of surface features and other physical properties of commonly used screen materials for smoking drugs.Harm reduction journal · 2023Article
- Combining respondent-driven sampling with a community-based participatory action study of people who smoke drugs in two cities in British Columbia, Canada.Harm reduction journal · 2021Article
- Willingness to use an in-hospital supervised inhalation room among people who smoke crack cocaine in Vancouver, Canada.Drug and alcohol review · 2018Article
- Declining trends in exposures to harmful policing among people who inject drugs in Vancouver, Canada.Journal of the International AIDS Society · 2016Article
- Crack pipe sharing among street-involved youth in a Canadian setting.Drug and alcohol review · 2015Article
- Willingness to access peer-delivered HIV testing and counseling among people who inject drugs in Bangkok, Thailand.Journal of community health · 2013Article
- Yet they failed to do so: recommendations based on the experiences of NAOMI research survivors and a call for action.Harm reduction journal · 2013Article
- Factors associated with difficulty accessing crack cocaine pipes in a Canadian setting.Drug and alcohol review · 2012Article
- Reducing widespread pipe sharing and risky sex among crystal methamphetamine smokers in Toronto: do safer smoking kits have a potential role to play?Harm reduction journal · 2012Article
- Smoked cocaine in socially-depressed areas.Harm reduction journal · 2010Article
- Surviving crack: a qualitative study of the strategies and tactics developed by Brazilian users to deal with the risks associated with the drug.BMC public health · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2004, a team comprised of researchers and service providers launched the Safer Crack Use, Outreach, Research and Education (SCORE) project in the Downtown Eastside of Vancouver, British Columbia, Canada. The project was aimed at developing a better understanding of the harms associated with crack cocaine smoking and determining the feasibility of introducing specific harm reduction strategies. Specifically, in partnership with the community, we constructed and distributed kits that contained harm reduction materials. We were particularly interested in understanding what people thought of these kits and how the kits contents were used. To obtain this information, we conducted 27 interviews with women and men who used crack cocaine and received safer crack kits. Four broad themes were generated from the data: 1) the context of crack use practices; 2) learning/transmission of harm reduction education; 3) changing practice; 4) barriers to change. This project suggests that harm reduction education is most successful when it is informed by current practices with crack use. In addition it is most effectively delivered through informal interactions with people who use crack and includes repeated demonstrations of harm reduction equipment by peers and outreach workers. This paper also suggests that barriers to harm reduction are systemic: lack of safe housing and private space shape crack use practices.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.