ArticleDrug and alcohol dependence2011
Injection drug use cessation and use of North America's first medically supervised safer injecting facility.
Article in Drug and alcohol dependence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
60 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic meta-epidemiologic review on nonabstinence-inclusive interventions for substance use: inclusion of race/ethnicity and sex assigned at birth/gender.The American journal of drug and alcohol abuse · 2024Pooled it
- Supervised Injection Facilities as Harm Reduction: A Systematic Review.American journal of preventive medicine · 2021Pooled it
- Public Health and Public Order Outcomes Associated with Supervised Drug Consumption Facilities: a Systematic Review.Current HIV/AIDS reports · 2017Pooled it
- Study assessing the effectiveness of overdose prevention centers through research (SAFER): an overview of the study protocol.Harm reduction journal · 2025Article
- Four decades of overdose prevention centres: lessons for the future from a realist review.Harm reduction journal · 2025Review
- Cannabis use and illicit opioid cessation among people who use drugs living with chronic pain.Drug and alcohol review · 2025Article
- The implementation of safer drug consumption facilities in Scotland: a mixed methods needs assessment and feasibility study for the city of Edinburgh.Harm reduction journal · 2025Article
- Article
- Modeling the impact of a supervised consumption site on HIV and HCV transmission among people who inject drugs in three counties in California, USA.The International journal on drug policy · 2024Article
- Overdose prevention centres as spaces of safety, trust and inclusion: A causal pathway based on a realist review.Drug and alcohol review · 2024Review
- How do we understand the value of drug checking as a component of harm reduction services? A qualitative exploration of client and provider perspectives.Harm reduction journal · 2024Article
- Radical hospitality: Innovative programming to build community and meet the needs of people who use drugs at a government-sanctioned overdose prevention site in San Francisco, California.The International journal on drug policy · 2024Article
- Twenty-one years at the Uniting Medically Supervised Injecting Centre, Sydney: addressing the remaining questions.The Medical journal of Australia · 2022Article
- The estimated costs and benefits of a hypothetical supervised consumption site in Providence, Rhode Island.The International journal on drug policy · 2022Article
- An avoidable crisis.Harm reduction journal · 2022Review
- Substance Use and Overdose in Public Libraries: Results from a Five-State Survey in the US.Journal of community health · 2022Article
- Health impacts of a scale-up of supervised injection services in a Canadian setting: an interrupted time series analysis.Addiction (Abingdon, England) · 2022Article
- The Ontario Integrated Supervised Injection Services Cohort Study of People Who Inject Drugs in Toronto, Canada (OiSIS-Toronto): Cohort Profile.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- Hospital admissions and mortality due to complications of injection drug use in two hospitals in Regina, Canada: retrospective chart review.Harm reduction journal · 2021Article
- Examining Overdose and Homelessness as Predictors of Willingness to Use Supervised Injection Facilities by Services Provided Among Persons Who Inject Drugs.The American journal on addictions · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundVancouver, Canada has a pilot supervised injecting facility (SIF), where individuals can inject pre-obtained drugs under the supervision of medical staff. There has been concern that the program may facilitate ongoing drug use and delay entry into addiction treatment.
methodsWe used Cox regression to examine factors associated with the time to the cessation of injecting, for a minimum of 6 months, among a random sample of individuals recruited from within the Vancouver SIF. In further analyses, we evaluated the time to enrollment in addiction treatment.
resultsBetween December 2003 and June 2006, 1090 participants were recruited. In Cox regression, factors independently associated with drug use cessation included use of methadone maintenance therapy (Adjusted Hazard Ratio [AHR] = 1.57 [95% Confidence Interval [CI]: 1.02-2.40]) and other addiction treatment (AHR = 1.85 [95% CI: 1.06-3.24]). In subsequent analyses, factors independently associated with the initiation of addiction treatment included: regular SIF use at baseline (AHR = 1.33 [95% CI: 1.04-1.72]); having contact with the addiction counselor within the SIF (AHR = 1.54 [95% CI: 1.13-2.08]); and Aboriginal ancestry (AHR = 0.66 [95% CI: 0.47-0.92]).
conclusionsWhile the role of addiction treatment in promoting injection cessation has been well described, these data indicate a potential role of SIF in promoting increased uptake of addiction treatment and subsequent injection cessation. The finding that Aboriginal persons were less likely to enroll in addiction treatment is consistent with prior reports and demonstrates the need for novel and culturally appropriate drug treatment approaches for this population.
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