Evidence map›Paper›PMID 35436936›Full record

ArticleHarm reduction journal2022

Self-reported impacts of the COVID-19 pandemic among people who use drugs: a rapid assessment study in Montreal, Canada.

Nanor Minoyan, Stine Bordier Høj, Camille Zolopa, Dragos Vlad, Julie Bruneau, Sarah Larney

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Nanor MinoyanUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada.
Stine Bordier HøjUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada.
Camille ZolopaUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada.
Dragos VladUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada.
Julie BruneauUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada.
Sarah LarneyUniversité de Montréal Hospital Research Centre (CRCHUM), 900 Rue Saint Denis, Montreal, QC, H2X 0A9, Canada. sarah.larney@umontreal.ca.ORCID 0000-0002-5602-4963
Centre Hospitalier de l’Université de Montréal · CA

Funding

CIHR 442632
6 · The paper itself

Abstract

backgroundPeople who use drugs (PWUD) are at high risk of experiencing indirect harms of measures implemented to curb the spread of COVID-19, given high reliance on services and social networks. This study aimed to document short-term changes in behaviours and health-related indicators among PWUD in Montreal, Canada following declaration of a provincial health emergency in Quebec.

methodsWe administered a structured rapid assessment questionnaire to members of an existing cohort of PWUD and individuals reporting past-year illicit drug use recruited via community services. Telephone and in-person interviews were conducted in May-June and September-December 2020. Participants were asked to report on events and changes since the start of the health emergency (March 13, 2020). Descriptive analyses were performed.

resultsA total of 227 participants were included (77% male, median age = 46, 81% Caucasian). 83% and 41% reported past six-month illicit drug use and injection drug use, respectively. 70% of unstably housed participants reported increased difficulty finding shelter since the start of the health emergency. 48% of opioid agonist treatment recipients had discussed strategies to avoid treatment disruptions with providers; 22% had missed at least one dose. Many participants perceived increased difficulty accessing non-addiction health care services. Adverse changes were also noted in indicators pertaining to income, drug markets, drug use frequency, and exposure to violence; however, many participants reported no changes in these areas. Among persons reporting past six-month injection drug use, 79% tried to access needle-syringe programmes during the health emergency; 93% of those obtained services. 45% tried to access supervised injection sites, of whom 71% gained entry.

conclusionsThis snapshot suggests mixed impacts of the COVID-19 pandemic on PWUD in Montreal in the months following declaration of a provincial health emergency. There were signals of increased exposure to high-risk environments as well as deteriorations in access to health services. Pandemic-related measures may have lasting impacts among vulnerable subgroups; continued monitoring is warranted.

Indexed as

COVID-19Illicit DrugsSubstance-Related DisordersCanadaFemaleHumansMaleMiddle AgedPandemicsSelf ReportIllicit DrugsAccess to health servicesCOVID-19Drug marketsDrug-related harmsHarm reductionPeople who use drugsRapid assessment

Identifiers

PMID35436936
PMCPMC9013973
OpenAlexW4224057144

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.