Evidence map›Paper›PMID 33008431›Full record

ArticleSubstance abuse treatment, prevention, and policy2020

Preferences and acceptability of law enforcement initiated referrals for people who inject drugs: a mixed methods analysis.

Gabriella K Olgin, Annick Bórquez, Pieter Baker, Erika Clairgue, Mario Morales, Arnulfo Bañuelos, Jaime Arredondo, Alicia Harvey-Vera, Steffanie Strathdee, Leo Beletsky and 1 more

Abstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Gabriella K OlginDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Annick BórquezDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Pieter BakerDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Erika ClairgueDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Mario MoralesSchool of Government and Public Policy, University of Arizona, Tucson, AZ, USA.
Arnulfo BañuelosDepartment of Planning and Special Projects, Secretaría de Seguridad Pública Municipal, Tijuana, Mexico.
Jaime ArredondoCentro de Investigación y Docencia Económica, Aguascalientes, Mexico.
Alicia Harvey-VeraDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Steffanie StrathdeeDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Leo BeletskyDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA.
Javier A CepedaDivision of Infectious Diseases and Global Public Health, University of California,San Diego, La Jolla, CA, USA. jcepeda2@jhu.edu.ORCID 0000-0003-0304-3172

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SONIA JAIN · 1994 to 2026
$78.4M
Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Impact of Drug Policy Reform on the HIV Risk Environment among IDUs in TijuanaR37DA019829 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2010 to 2019
$6.7M
Police Training to Reduce Occupational Needlesticks and HIV among Substance UsersR01DA039073 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BELETSKY, LEO, STRATHDEE, STEFFANIE A. · 2015 to 2019
$3.2M
Real-time prediction of emerging drug use epidemics in the United StatesDP2DA049295 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BORQUEZ, ANNICK · 2019 to 2019
$2.4M
MODELING THE IMPACT OF A POLICE EDUCATION PROGRAM ON HIV INCIDENCE AMONG PEOPLE WHO INJECT DRUGSK01DA043421 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CEPEDA, JAVIER · 2017 to 2021
$941k
NCATS NIH HHS UL1 TR001442NIAID NIH HHS P30 AI036214NIDA NIH HHS DP2 DA049295NIDA NIH HHS DP2DA049295NIDA NIH HHS K01 DA043421NIDA NIH HHS K01DA043421NIDA NIH HHS R01 DA039073NIDA NIH HHS R01DA039073NIDA NIH HHS R37DA019829NIDA NIH HHS T32 DA023356
6 · The paper itself

Abstract

backgroundLaw enforcement officers (LEOs) come into frequent contact with people who inject drugs (PWID). Through service referrals, LEOs may facilitate PWID engagement in harm reduction, substance use treatment, and other health and supportive services. Little is known about PWID and LEO attitudes and concerns about service referrals, however. The objective of this mixed-methods study was to examine the alignment of service referral preferences and acceptability among PWID and LEOs in Tijuana, Mexico.

methodsWe assessed service referral preferences and perceived likelihood of participation in health and social services, integrating data from structured questionnaires with 280 PWID and 306 LEOs, contextualized by semi-structured interviews and focus groups with 15 PWID and 17 LEOs enrolled in two parallel longitudinal cohorts in Tijuana, Mexico.

resultsAmong potential service referral options, both PWID (78%) and LEOs (88%) most frequently cited assistance with drug- and alcohol-use disorders. Over half of PWID and LEOs supported including harm reduction services such as syringe service programs, overdose prevention, and HIV testing. The majority of PWID supported LEO referrals to programs that addressed basic structural needs (e.g. personal care [62%], food assistance [61%], housing assistance [58%]). However, the proportion of LEOs (30-45%) who endorsed these service referrals was significantly lower (p <  0.01). Regarding referral acceptability, 71% of PWID reported they would be very likely or somewhat likely to make use of a referral compared to 94% of LEOs reporting that they thought PWID would always or sometimes utilize them. These results were echoed in the qualitative analysis, although practical barriers to referrals emerged, whereby PWID were less optimistic that they would utilize referrals compared to LEOs.

conclusionsWe identified strong support for LEO service referrals among both LEO and PWID respondents, with the highest preference for substance use treatment. LEO referral programs offer opportunities to deflect PWID contact with carceral systems while facilitating access to health and social services. However, appropriate investments and political will are needed to develop an evidence-based (integrated) service infrastructure.

Indexed as

AdultAttitudeFemaleHarm ReductionHumansInterviews as TopicLaw EnforcementMaleMexicoMiddle AgedPatient CompliancePatient PreferenceReferral and ConsultationSocioeconomic FactorsSubstance Abuse, IntravenousHarm reductionLaw enforcementPeople who inject drugsReferral

Identifiers

PMID33008431
PMCPMC7530855

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Registered trials

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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.