ArticleHarm reduction journal2016
Declining trends in the rates of assisted injecting: a prospective cohort study.
Article in Harm reduction journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Characteristics of People Who Inject Drugs Approached for Injection Assistance in Rural Kentucky.Journal of studies on alcohol and drugs · 2026Article
- An evolutionary concept analysis: stigma among women living with hepatitis C.BMC public health · 2024Article
- Factors associated with injury and blood-borne infection risk when providing assisted injection among people who inject drugs.The International journal on drug policy · 2021Article
- Women in the 2019 hepatitis C cascade of care: findings from the British Columbia Hepatitis Testers cohort study.BMC women's health · 2021Article
- Assisted injection provider practices and motivations in Los Angeles and San Francisco California 2016-18.The International journal on drug policy · 2021Article
- Assisted injection within supervised injection services: Uptake and client characteristics among people who require help injecting in a Canadian setting.The International journal on drug policy · 2020Article
- Peer-to-peer injection: Demographic, drug use, and injection-related risk factors.The International journal on drug policy · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAssisted injecting has been associated with increased risk of blood-borne infections, overdose, and other harms among people who inject drugs (PWID), particularly women. Given the changing availability of relevant harm reduction interventions in Vancouver, Canada, in recent years, we conducted a gender-based analysis to examine changes in rates and correlates of assisted injecting over time among active PWID.
methodsUsing data from a prospective cohort of PWID in Vancouver, we employed gender-stratified multivariable generalized estimating equations to examine trends in assisted injecting and identify the correlates during two periods: June 2006-November 2009 and December 2009-May 2014.
resultsAmong 1119 participants, 376 (33.6 %) were females. Rates of assisted injecting declined between 2006 and 2014 among males (21.9 to 13.8%) and females (37.0 to 25.6%). In multivariable analyses, calendar year of interview also remained independently and negatively associated with assisted injecting among males (adjusted odds ratio [AOR] 0.95, 95% confidence interval [CI] 0.92-0.99) and females (AOR 0.93, 95% CI 0.89-0.97). Syringe borrowing remained independently associated with assisted injecting throughout the study period among females (AOR 1.53, 95% CI 1.10-2.11 during 2006-2009; AOR 2.15, 95% CI 1.24-3.74 during 2009-2014) and during 2009-2014 among males (AOR 1.88, 95% CI 1.02-3.48).
conclusionsOur findings demonstrate assisted injecting has significantly decreased for both males and females over the past decade. Nevertheless, rates of assisted injecting remain high, especially among women, and are associated with high-risk behavior, indicating a need to provide safer assisted injecting services to these vulnerable sub-populations of PWID.
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