ArticlePublic health reports (Washington, D.C. : 1974)
Awareness, Possession, and Use of Take-Home Naloxone Among Illicit Drug Users, Vancouver, British Columbia, 2014-2015.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Trends and correlates of naloxone possession and use among people who inject drugs in Seattle, Washington.The International journal on drug policy · 2025Article
- Naloxone awareness and acquisition: Findings from the 2021‒2022 Canadian Postsecondary Education Alcohol and Drug Use Survey.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Increases in housing rules and surveillance during COVID-19: impacts on overdose and overdose response in a community-based cohort of sex workers who use drugs in Vancouver, BC.Harm reduction journal · 2024Article
- Intention to get naloxone among patients prescribed opioids for chronic pain.Harm reduction journal · 2022Article
- Racial differences in overdose training, naloxone possession, and naloxone administration among clients and nonclients of a syringe services program.Journal of substance abuse treatment · 2021Article
- Predictors of having naloxone in urban and rural Oregon findings from NHBS and the OR-HOPE study.Drug and alcohol dependence · 2021Article
- Article
- Justice involvement patterns, overdose experiences, and naloxone knowledge among men and women in criminal justice diversion addiction treatment.Harm reduction journal · 2019Article
- Naloxone distribution and possession following a large-scale naloxone programme.Addiction (Abingdon, England) · 2019Article
- Lay responder naloxone access and Good Samaritan law compliance: postcard survey results from 20 Indiana counties.Harm reduction journal · 2018Article
- Knowledge and possession of take-home naloxone kits among street-involved youth in a Canadian setting: a cohort study.Harm reduction journal · 2017Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesAlthough take-home naloxone (THN) programs are integral in strategies to prevent overdose deaths among opioid users, the uptake of THN among people who use drugs (PWUD) (including non-opioid users) is unknown. The objectives of this study were to determine awareness, possession, and use of THN among PWUD in Vancouver, Canada, and identify barriers to adopting this strategy.
methodsFrom December 1, 2014, to May 29, 2015, participants in 2 prospective cohort studies of PWUD in Vancouver completed a standardized questionnaire, which asked about awareness, possession, and use of THN; sociodemographic characteristics; and drug use patterns. We conducted multivariable logistic regression analyses to determine factors independently associated with awareness and possession of THN.
resultsOf 1137 PWUD, 727 (64%) reported at least 1 previous overdose ever, and 220 (19%) had witnessed an overdose in the previous 6 months. Although 769 (68%) participants overall reported awareness of THN, only 88 of 392 (22%) opioid users had a THN kit, 18 (20%) of whom had previously administered naloxone. Factors that were positively associated with awareness of THN included witnessing an overdose in the previous 6 months (adjusted odds ratio [aOR] = 2.23; 95% confidence interval [CI], 1.49-3.34; P < .001), possession of THN (aOR = 1.85; 95% CI, 1.11-3.06; P = .02), younger age (aOR = 1.02; 95% CI, 1.01-1.04; P = .003), white race (aOR = 1.67; 95% CI, 1.27-2.19; P < .001), hepatitis C infection (aOR = 1.63; 95% CI, 1.13-2.36; P = .01), residing in Vancouver's Downtown Eastside neighborhood (aOR = 1.93; 95% CI, 1.47-2.53; P < .001), and at least daily heroin injection (aOR = 1.69; 95% CI, 1.09-2.62; P < .02).
conclusionEfforts to improve knowledge of and participation in the THN program may contribute to reduced opioid overdose mortality in Vancouver.
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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.