ArticleSubstance abuse treatment, prevention, and policy2011
Public crack cocaine smoking and willingness to use a supervised inhalation facility: implications for street disorder.
Article in Substance abuse treatment, prevention, and policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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
18 citing papers in PubMed.
- Characterizing changes to harm reduction site operations in British Columbia following the implementation of the decriminalization of drugs: Findings from a provincial survey.Harm reduction journal · 2025Article
- Using illicit drugs alone in Vancouver, Canada: a gender-based analysis.Substance abuse treatment, prevention, and policy · 2025Article
- Navigating the nexus between British Columbia's public consumption and decriminalization policies of illegal drugs.Health research policy and systems · 2024Article
- Supervised smoking facility access, harm reduction practices, and substance use changes during the COVID-19 pandemic: a community-engaged cross-sectional study.Harm reduction journal · 2023Article
- The "goldfish bowl": a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting.Harm reduction journal · 2022Article
- Hoots and harm reduction: a qualitative study identifying gaps in overdose prevention among women who smoke drugs.Harm reduction journal · 2021Article
- 'Resurgent', 'twin' or 'silent' epidemic? A select data overview and observations on increasing psycho-stimulant use and harms in North America.Substance abuse treatment, prevention, and policy · 2021Article
- Supervised inhalation is an important part of supervised consumption services.Canadian journal of public health = Revue canadienne de sante publique · 2019Article
- Methadone maintenance therapy and viral suppression among HIV-infected opioid users: The impacts of crack and injection cocaine use.Drug and alcohol dependence · 2016Article
- Risky and rushed public crack cocaine smoking: the potential for supervised inhalation facilities.BMC public health · 2016Article
- High prevalence of risky income generation among street-involved youth in a Canadian setting.The International journal on drug policy · 2016Article
- "We need somewhere to smoke crack": An ethnographic study of an unsanctioned safer smoking room in Vancouver, Canada.The International journal on drug policy · 2015Article
- The impact of engagement in street-based income generation activities on stimulant drug use cessation among people who inject drugs.Drug and alcohol dependence · 2014Article
- Willingness to engage in peer-delivered HIV voluntary counselling and testing among people who inject drugs in a Canadian setting.Journal of epidemiology and community health · 2014Article
- A drug use survey among clients of harm reduction sites across British Columbia, Canada, 2012.Harm reduction journal · 2014Article
- Controlling chaos: the perceptions of long-term crack cocaine users in vancouver, british columbia, Canada.Journal of addiction · 2013Article
- Difficulty accessing crack pipes and crack pipe sharing among people who use drugs in Vancouver, Canada.Substance abuse treatment, prevention, and policy · 2011Article
- Factors Associated With the Use of Supervised Consumption Facilities Among Women Who Inject Drugs in a Canadian Setting.Journal of addiction medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe health risks of crack cocaine smoking in public settings have not been well described. We sought to identify factors associated with public crack smoking, and assess the potential for a supervised inhalation facility to reduce engagement in this behavior, in a setting planning to evaluate a medically supervised crack cocaine smoking facility.
methodsData for this study were derived from a Canadian prospective cohort of injection drug users. Using multivariate logistic regression we identified factors associated with smoking crack cocaine in public areas. Among public crack smokers we then identified factors associated with willingness to use a supervised inhalation facility.
resultsAmong our sample of 623 people who reported crack smoking, 61% reported recently using in public locations. In multivariate analysis, factors independently associated with public crack smoking included: daily crack cocaine smoking; daily heroin injection; having encounters with police; and engaging in drug dealing. In sub analysis, 71% of public crack smokers reported willingness to use a supervised inhalation facility. Factors independently associated with willingness include: female gender, engaging in risky pipe sharing; and having encounters with police.
conclusionWe found a high prevalence of public crack smoking locally, and this behavior was independently associated with encounters with police. However, a majority of public crack smokers reported being willing to use a supervised inhalation facility, and individuals who had recent encounters with police were more likely to report willingness. These findings suggest that supervised inhalation facilities offer potential to reduce street-disorder and reduce encounters with police.
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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.