ArticleThe International journal on drug policy2020
Supervised injection facility use and exposure to violence among a cohort of people who inject drugs: A gender-based analysis.
Article in The International journal on drug policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Complex trauma and perceived barriers to treatment among people accessing a supervised injecting facility.European journal of psychotraumatology · 2025Article
- "Street sweeps": The municipal government-enforced confiscation of personal belongings among unstably housed people who use drugs in Vancouver, Canada.Public health · 2025Article
- Exploring housing instability through a gender lens among people who inject drugs in Montreal, Canada.Drug and alcohol review · 2025Article
- Facilitating access to supervised smoking facilities: a qualitative study.Harm reduction journal · 2025Article
- Four decades of overdose prevention centres: lessons for the future from a realist review.Harm reduction journal · 2025Review
- Article
- 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
- Characterizing Use of Supervised Consumption Services among Street-involved Youth and Young Adults in the Context of an Overdose Crisis.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Prevalence of alcohol and other drug detections in non-transport injury events.Emergency medicine Australasia : EMA · 2024Article
- Experiences of violence during the COVID-19 pandemic among people who use drugs in a Canadian setting: a gender-based cross-sectional study.BMC public health · 2023Article
- The effect of different types of migration on symptoms of anxiety or depression and experience of violence among people who use or inject drugs in Kachin State, Myanmar.Harm reduction journal · 2023Article
- "Stigma is where the harm comes from": Exploring expectations and lived experiences of hepatitis C virus post-treatment trajectories among people who inject drugs.The International journal on drug policy · 2021Article
- A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone.Harm reduction journal · 2021Article
- "I want to get better, but…": identifying the perceptions and experiences of people who inject drugs with respect to evolving hepatitis C virus treatments.International journal for equity in health · 2021Article
- Peer-assisted injection as a harm reduction measure in a supervised consumption service: a qualitative study of client experiences.Harm reduction journal · 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
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSupervised injection facilities (SIFs) have been established in many settings, in part to reduce risks associated with injecting in public, including exposure to violence. However, the relationship between SIF use and experiencing violence has not yet been thoroughly evaluated. We sought to longitudinally examine the gender-specific relationship between SIF use and exposure to violence among people who inject drugs (PWID) in a Canadian setting.
methodsData were drawn from two prospective cohort studies of PWID in Vancouver, Canada, between December 2005 and December 2016. Semi-annually, participants completed questionnaires that elicited data concerning sociodemographic characteristics, behavioural patterns, violent encounters and health service utilization. We used multivariable generalized estimating equations (GEE) to estimate the independent association between exclusively injecting drugs at a SIF and experiencing physical or sexual violence among men and women PWID, respectively.
resultsOf 1930 PWID followed for a median of four years, 679 (35.2%) were women and the median age was 41 years at baseline. In total, 353 (52.0%) women and 694 (55.5%) men reported experiencing at least one incident of violence during follow-up. In multivariable analyses, exclusive SIF use was associated with decreased odds of experiencing violence among men after adjusting for potential confounders (Adjusted Odds Ratio [AOR] = 0.64; 95% confidence interval [CI]: 0.46-0.89). Exclusive SIF use was not significantly associated with experiencing violence among women in adjusted analyses (AOR = 0.97; 95% CI: 0.57-1.66).
conclusionIn light of the recent expansion of SIFs in Canada, our finding of a protective association between exclusive SIF use and exposure to violence among men is encouraging. The fact that we did not observe a significant association between SIF use and experiencing violence among women highlights the need for social-structural interventions that are more responsive to the specific needs of women PWID in relation to violence prevention.
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