Evidence map›Paper›PMID 40325941›Full record

ArticleSubstance use & misuse2025

Substance Use Monitoring Among People Who Use Drugs Using a Novel Assay to Test Dried Blood Spot Specimens.

Kaitlin A Zinsli, Alex J Krotulski, Melissa F Fogarty, Devin Kress, Barry K Logan, Anthony Morgan, Jeremy Beckford, Brandon L Guthrie, Judith I Tsui, Don C Des Jarlais and 2 more

Abstract read
In one paragraph

Article in Substance use & misuse, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Kaitlin A ZinsliDepartment of Epidemiology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-3569-0641
Alex J KrotulskiCenter for Forensic Science Research and Education, Fredric Rieders Family Foundation, Horsham, Pennsylvania, USA.ORCID 0000-0003-1775-1882
Melissa F FogartyCenter for Forensic Science Research and Education, Fredric Rieders Family Foundation, Horsham, Pennsylvania, USA.
Devin KressCenter for Forensic Science Research and Education, Fredric Rieders Family Foundation, Horsham, Pennsylvania, USA.
Barry K LoganCenter for Forensic Science Research and Education, Fredric Rieders Family Foundation, Horsham, Pennsylvania, USA.ORCID 0000-0003-2400-4711
Anthony MorganAllergy and Infectious Disease, University of Washington, Seattle, WA, USA.ORCID 0000-0003-3076-7256
Jeremy BeckfordDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Brandon L GuthrieDepartment of Epidemiology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-2059-3291
Judith I TsuiGeneral Internal Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0003-0877-5399
Don C Des JarlaisDepartment of Epidemiology, School of Global Public Health, New York University, New York, NY, USA.ORCID 0000-0002-0157-8168
Sara N GlickAllergy and Infectious Disease, University of Washington, Seattle, WA, USA.ORCID 0000-0003-2076-3083
Project NEXUS Survey GroupNever Share Syringe Service Program, Ellensburg, WA; North Carolina Harm Reduction Coalition, Wilmington, NC; Yale Syringe Services Program, New Haven, CT; Vivent Health, Madison, WI; Safer Alternatives through Networking and Education (SANE), Sacramento, CA; Open Aid Alliance, Missoula, MT.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Training in Equity and Structural Solutions in Addictions (TESSA)T32DA057920 · NIDA · UNIVERSITY OF WASHINGTON · PI GEETANJALI CHANDER, Judith Tsui · 2023 to 2026
$1.3M
NIAID NIH HHS P30 AI027757NIDA NIH HHS T32 DA057920
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe development of comprehensive strategies to understand emerging trends in substance use is necessary to design effective prevention and harm reduction strategies for people who use drugs (PWUD). Dried blood spots (DBS) can be used as a non-conventional drug testing approach that meets Food and Drug Administration (FDA) accuracy and precision guidelines. DESIGN, SETTING, AND

participantsFrom July 2021 to July 2022, 1,559 PWUD were enrolled at six US syringe service programs (SSP) in Sacramento, California, Ellensburg, Washington, and Missoula, Montana ("Western"), Madison, Wisconsin, New Haven, Connecticut, and Wilmington, North Carolina ("Eastern"). MEASURES: Participants completed a survey on demographic and behavioral characteristics and provided DBS specimens. A novel toxicology assay coupling liquid chromatography and tandem mass spectrometry was developed and used to identify the presence/absence of fentanyl, methamphetamine, xylazine, cocaine, and heroin, along with their metabolites. In this cross-sectional analysis, we describe the prevalence of each substance stratified by SSP.

resultsAmong 1,345 PWUD, methamphetamine was more prevalent in the Western versus Eastern state SSPs (95% vs. 33%). The Eastern state SSPs saw higher prevalence of cocaine, fentanyl, heroin, and xylazine than the Western state SSPs (86% vs. 24%; 41% vs. 11%; 20% vs. 17%; 20% vs. 6%, respectively). Testing positive for more than one substance was common (50%).

conclusionsThese results confirm existing regional differences in substance use. Further research is needed on the logistical implications of DBS and in which public health and research settings they may be useful.

Indexed as

Dried Blood Spot TestingDrug UsersSubstance Abuse DetectionSubstance-Related DisordersAdultChromatography, LiquidCocaineCross-Sectional StudiesFemaleFentanylHumansMaleMethamphetamineMiddle AgedTandem Mass SpectrometryUnited StatesCocaineFentanylMethamphetaminedried blood spotsdrug testingpeople who use drugsSubstance usesurveillancesyringe service programs

Identifiers

PMID40325941
PMCPMC12187533

What OpenQuestion holds

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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.