ArticleHarm reduction journal2022
Everywhere and for everyone: proportionate universalism as a framework for equitable access to community drug checking.
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.
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Who cites it
12 citing papers in PubMed.
- Interpol review of forensic drug chemistry, 2022-2025.Forensic science international. Synergy · 2026Review
- Drug sellers' use of a drug checking service amid the overdose crisis in British Columbia, Canada.Addiction (Abingdon, England) · 2026Article
- From trash to results: shortcomings and benefits of paraphernalia-based drug checking in Finland.Harm reduction journal · 2025Article
- 'It'd Be Nice to Know if You're About to Have Drain Cleaner': A Qualitative Study of Preferred Drug Checking Service Features to Inform the Design of CheQpoint, Queensland's First Fixed-Site Drug Checking Service.Drug and alcohol review · 2025Article
- Community-based drug checking at syringe service programs in New York City observe an increasing prevalence of xylazine from 2021 through 2024.Harm reduction journal · 2025Article
- Implementing community drug checking in smaller urban communities: a qualitative study exploring contextual factors to consider.Harm reduction journal · 2025Article
- Utilization of drug checking services in Austria: a cross-sectional online survey.Harm reduction journal · 2025Article
- Implementation opportunities and challenges to piloting a community-based drug-checking intervention for sexual and gender minority men in Vancouver, Canada: a qualitative study.Harm reduction journal · 2024Article
- Planning and implementing community-based drug checking services in Scotland: a qualitative exploration using the consolidated framework for implementation research.Substance abuse treatment, prevention, and policy · 2024Article
- Comment on Rose et al.: the need for responsible collection and reporting of demographic data in drug checking research.Harm reduction journal · 2024Article
- 'It's not going to be a one size fits all': a qualitative exploration of the potential utility of three drug checking service models in Scotland.Harm reduction journal · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIllicit drug overdoses have reached unprecedented levels, exacerbated by the COVID-19 pandemic. Responses are needed that address the increasingly potent and unpredictable drug supply with better reach to a wide population at risk for overdose. Drug checking is a potential response offered mainly within existing harm reduction services, but strategies are needed to increase reach and improve equitable delivery of drug checking services.
methodsThe purpose of this qualitative study was to explore how to extend the reach of drug checking services to a wide population at risk of overdose. We conducted 26 in-depth interviews with potential service users to identify barriers to service use and strategies to increase equitable delivery of drug checking services. Our analysis was informed by theoretical perspectives on equity, and themes were developed relevant to equitable delivery through attention to quality dimensions of service use: accessibility, appropriateness, effectiveness, safety, and respect.
resultsBarriers to equitable service delivery included criminalization and stigma, geographic and access issues, and lack of cultural appropriateness that deter service use for a broad population with diverse needs. Strategies to enhance equitable access include 1ocating services widely throughout communities, integrating drug checking within existing health care services, reframing away from risk messaging, engaging peers from a broad range of backgrounds, and using discrete methods of delivery to help create safer spaces and better reach diverse populations at risk for overdose.
conclusionsWe propose proportionate universalism in drug checking as a guiding framework for the implementation of community drug checking as an equity-oriented harm reduction intervention and as a population health response. Both a universal equity-oriented approach and multiple tailored approaches are required to facilitate drug checking services that maximize reach and appropriateness to respond to diverse needs.
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