Evidence map›Paper›PMID 33583679›Full record

ArticleThe International journal on drug policy2021

"I probably got a minute": Perceptions of fentanyl test strip use among people who use stimulants.

Megan K Reed, Alexis M Roth, Loni P Tabb, Ali K Groves, Stephen E Lankenau

Open access · greenAbstract read
In one paragraph

Article in The International journal on drug policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
9.8field-weighted citation impact, top 1% of its field
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

41 citing papers in PubMed, 66 citations in OpenAlex.

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  7. The Donovan Memorial Lecture: 'Fentanyl-Plus': A New Era of Fentanyl Polydrug Combinations in the North American Overdose Crisis.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
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  15. Harm Reduction as a Form of 'Wrap-Around' Care: The Nursing Role.International journal of mental health nursing · 2025
    Review
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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

5 authors at 2 institutions in 1 country.

Megan K ReedThomas Jefferson University, Department of Emergency Medicine, 1025 Walnut Street, College Building, Philadelphia, PA 19107, United States. Electronic address: megan.k.reed@jefferson.edu.
Alexis M RothDrexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States.
Loni P TabbDrexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States.
Ali K GrovesDrexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States.
Stephen E LankenauDrexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States.
Drexel University · USThomas Jefferson University · US

Funding

Addressing overdose risk among recently incarcerated people living with HIV/AIDSR36DA043393 · NIDA · DREXEL UNIVERSITY · PI REED, MEGAN · 2017 to 2018
$98k
NIDA NIH HHS R36 DA043393
6 · The paper itself

Abstract

backgroundFentanyl dominates the heroin supply in many regions of the United States. One harm reduction response has been the distribution of fentanyl test strips to people who use heroin to test for the presence of fentanyl. Reports increasingly indicate that fentanyl contamination is occurring in the illicit stimulant market, but whether people who use stimulants would use fentanyl test strips is unknown.

methodsBetween January 2019 and January 2020, fifteen people in Philadelphia, PA who reported stimulant use completed a semi-structured interview with questions about their perceptions of fentanyl and willingness to use fentanyl test strips. Data were coded and analyzed for thematic content using constructs from the Health Belief Model and risk environment theory.

resultsParticipants primarily reported using crack cocaine or crack cocaine/heroin, while some used methamphetamine, powder cocaine, or prescription opioids. All were aware of fentanyl and believed they were susceptible to a fentanyl overdose as stimulant users. Participants perceived benefits of using test strips but reported barriers, such as the unpredictable nature of buying or using drugs and not wanting to delay drug use to test. Structural conditions impeded participant actions to reduce overdose risk if their drugs tested positive for fentanyl.

conclusionFentanyl test strips were a desired harm reduction tool by many participants who used stimulants. In addition to providing access to the strips, programs should tailor overdose prevention education to these clients by acknowledging susceptibility, amplifying benefits, and addressing drug-specific barriers to use of fentanyl test strips.

Indexed as

Drug OverdoseFentanylAnalgesics, OpioidHumansPerceptionPhiladelphiaUnited StatesAnalgesics, OpioidFentanylDrug checkingFentanylFentanyl test stripsOverdose preventionStimulants

Identifiers

PMID33583679
PMCPMC8217094
OpenAlexW3130146050

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.