ArticleSubstance abuse treatment, prevention, and policy2011
Difficulty accessing crack pipes and crack pipe sharing among people who use drugs in Vancouver, Canada.
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 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The utilization and delivery of safer smoking practices and services: a narrative synthesis of the literature.Harm reduction journal · 2023Pooled it
- Innovation, respiration and drug paraphernalia policy: a mixed methods study of crack pipe practice and respiratory harm in England.Harm reduction journal · 2026Article
- Crack-cocaine use practices, harms and respiratory problems: an analysis of gender differences using data from a cross-sectional survey in England.BMC public health · 2026Article
- Article
- Longitudinal trajectories of substance use disorder treatment use: A latent class growth analysis using a national cohort in Chile.Addiction (Abingdon, England) · 2024Article
- Safe inhalation pipe provision (SIPP): protocol for a mixed-method evaluation of an intervention to improve health outcomes and service engagement among people who use crack cocaine in England.Harm reduction journal · 2024Article
- Heroin pipe distribution to reduce high-risk drug consumption behaviors among people who use heroin: a pilot quasi-experimental study.Harm reduction journal · 2022Article
- Towards cross-Canada monitoring of the unregulated street drug supply.BMC public health · 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
- Drug use during a pandemic: Convergent risk of novel coronavirus and invasive bacterial and viral infections among people who use drugs.The International journal on drug policy · 2020Article
- An urgent impetus for action: safe inhalation interventions to reduce COVID-19 transmission and fatality risk among people who smoke crack cocaine in the United Kingdom.The International journal on drug policy · 2020Article
- Declining rates of health problems associated with crack smoking during the expansion of crack pipe distribution in Vancouver, Canada.BMC public health · 2017Article
- Risky and rushed public crack cocaine smoking: the potential for supervised inhalation facilities.BMC public health · 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
- Crack pipe sharing among street-involved youth in a Canadian setting.Drug and alcohol review · 2015Article
- High-Intensity Drug Use and Health Service Access Among Street-Involved Youth in a Canadian Setting.Substance use & misuse · 2015Article
- A cost-benefit/cost-effectiveness analysis of an unsanctioned supervised smoking facility in the Downtown Eastside of Vancouver, Canada.Harm reduction journal · 2014Article
- A cross-sectional study of public attitudes towards safer drug use practices in British Columbia, Canada.Substance abuse treatment, prevention, and policy · 2013Article
- Controlling chaos: the perceptions of long-term crack cocaine users in vancouver, british columbia, Canada.Journal of addiction · 2013Article
- Police confrontations among street-involved youth in a Canadian setting.The International journal on drug policy · 2013Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundCrack pipe sharing can increase health risks among people who use drugs, yet the reasons for sharing these pipes have not been well described. Therefore, we sought to identify the prevalence and correlates of crack pipe sharing among a community-recruited sample of people who use illicit drugs in Vancouver, a setting where crack pipes are provided at low or no cost.
findingsData for this study were derived from two prospective cohorts of people who use drugs: the Vancouver Injection Drug Users Study (VIDUS) and the AIDS Care Cohort to evaluate Exposure to Survival Services (ACCESS). Multivariate logistic regression was used to identify factors independently associated with crack pipe sharing. Among 503 crack users, 238 (47.3%) participants reported having shared a crack pipe in the previous six months. Having acquired a mouthpiece in the last six months (adjusted odds ratio [AOR] = 1.91; 95% confidence interval [CI]: 1.31 - 2.79) and difficulty finding new pipes (AOR = 2.19; 95%CI: 1.42 - 3.37) were positively associated with pipe sharing. Binge drug use (AOR = 1.39; 95%CI: 0.96 - 2.02) was marginally associated with sharing pipes. DISCUSSION: There was a high prevalence of crack pipe sharing in a setting where crack pipes are distributed at low or no cost. Difficulty accessing crack pipes was independently and positively associated with this behavior. These findings suggest that additional efforts are needed to discourage crack pipe sharing as well as increase access to crack pipes.
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