Articles
Page 7 of 28
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Citation: Harm Reduction Journal 2023 20:57
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Gendered perspectives on women’s anabolic–androgenic steroid (AAS) usage practices
The masculinizing effects from anabolic–androgenic steroid (AAS) appear to be different between men and women, leading to calls for more gender-specific information regarding women and AAS use. This study soug...
Citation: Harm Reduction Journal 2023 20:56 -
Correction: ‘We don’t live in a harm reduction world, we live in a prohibition world’: tensions arising in the design of drug alerts
Citation: Harm Reduction Journal 2023 20:55 -
Attitudes and experiences with fentanyl contamination of methamphetamine: exploring self-reports and urine toxicology among persons who use methamphetamine and other drugs
There are growing concerns about illicitly manufactured fentanyl (IMF) contamination of methamphetamine. This study aims to characterize the lay views and experiences with IMF-contaminated methamphetamine (IMF...
Citation: Harm Reduction Journal 2023 20:54 -
Safer opioid supply: qualitative program evaluation
As the overdose crisis in Canada continues to escalate in severity, novel interventions and programs are required. Safer Supply programs offer pharmaceutical-grade medication to people who use drugs to replace...
Citation: Harm Reduction Journal 2023 20:53 -
Utilization of mental health services in relation to the intention to reduce chemsex behavior among clients from an integrated sexual health services center in Taiwan
The intention of chemsex-practicing gay and bisexual men and other men who have sex with men (GBMSM) to reduce their drug use is an important factor for the utilization of harm reduction services. This study a...
Citation: Harm Reduction Journal 2023 20:52 -
“As long as that place stays open, I’ll stay alive”: Accessing injectable opioid agonist treatment during dual public health crises
Since the onset of the COVID-19 pandemic, overdose rates in North America have continued to rise, with more than 100,000 drug poisoning deaths in the past year. Amidst an increasingly toxic drug supply, the pa...
Citation: Harm Reduction Journal 2023 20:51 -
HIV and HCV among drug users and people living in prisons in Germany 2022: WHO elimination targets as reflected in practice
People who inject drugs (PWID) and prisoners are considered key populations at risk for human immunodeficiency virus (HIV) and/or Hepatitis C Virus (HCV). In 2016, the Joint United Nations Program on HIV/AIDS ...
Citation: Harm Reduction Journal 2023 20:50 -
Women who use drugs: engagement in practices of harm reduction care
Harm reduction services that employ or are operated by people who use drugs are an effective means of mitigating overdose risks and other drug-related harms. However, stereotypes portraying people who use crim...
Citation: Harm Reduction Journal 2023 20:49 -
Assessing feasibility of a modified same-day test-and-treat model for hepatitis C among rural people who inject drugs
Despite advancements in hepatitis C virus (HCV) treatment, low uptake among hard-to-reach populations remains a global issue. The current study aimed to assess the feasibility of a modified same-day test-and-t...
Citation: Harm Reduction Journal 2023 20:48 -
Descriptive study: the novel “full spectrum people-with-opioid-use-disorder care model”
People with Opioid Use Disorder (PWOUD) represent an underserved and marginalized population for whom treatment gaps exist. Low-barrier programs like mobile care units and street outreach programs have yielded...
Citation: Harm Reduction Journal 2023 20:47 -
Baseline characteristics of people experiencing homelessness with a recent drug overdose in the PHOENIx pilot randomised controlled trial
Drug-related deaths in Scotland are the highest in Europe. Half of all deaths in people experiencing homelessness are drug related, yet we know little about the unmet health needs of people experiencing homele...
Citation: Harm Reduction Journal 2023 20:46 -
The effect of different types of migration on symptoms of anxiety or depression and experience of violence among people who use or inject drugs in Kachin State, Myanmar
Evidence on the social determinants of mental health conditions and violence among people who inject or use drugs (PWUD) is limited, particularly in conflict-affected countries. We estimated the prevalence of ...
Citation: Harm Reduction Journal 2023 20:45 -
A method of diamorphine (heroin) administration for harm reduction
As societal attitudes toward narcotics have changed, harm reduction strategies have emerged which make it safer to inject intravenous drugs. Diamorphine (heroin) is commonly sold as its free base—better known ...
Citation: Harm Reduction Journal 2023 20:44 -
First results of the French OCTOPUS survey among festival attendees: a latent class analysis
Illicit substance use has constantly evolved over the years, particularly in the party scene. Monitoring these changes is essential to adapt harm reduction strategies. The OCTOPUS survey was implemented to enh...
Citation: Harm Reduction Journal 2023 20:43 -
Is use of opioid agonist treatment associated with broader primary healthcare use among men with recent injecting drug use histories following release from prison? A prospective cohort study
A precipitous decline in health status among people recently released from prison is common. In Victoria, Australia, opioid agonist treatment (OAT) in the community involves frequent contact with primary care,...
Citation: Harm Reduction Journal 2023 20:42 -
Differences in drug use behaviors that impact overdose risk among individuals who do and do not use fentanyl test strips for drug checking
Opioid-involved overdose continues to rise, largely explained by fentanyl adulteration of the illicit opioid supply. Fentanyl test strips are a novel drug checking tool that can be used by people who use drugs...
Citation: Harm Reduction Journal 2023 20:41 -
The acceptability of overdose alert and response technologies: introducing the TPOM-ODART framework
Opioids were implicated in approximately 88,000 fatal overdoses (OD) globally. However, in principle all opioid OD are reversible with the timely administration of naloxone hydrochloride. Despite the widesprea...
Citation: Harm Reduction Journal 2023 20:40 -
Point-of-care community drug checking technologies: an insider look at the scientific principles and practical considerations
Drug checking is increasingly being explored outside of festivals and events to be an ongoing service within communities, frequently integrated within responses to illicit drug overdose. The choice of instrume...
Citation: Harm Reduction Journal 2023 20:39 -
A mixed-methods analysis of risk-reduction strategies adopted by syringe services program participants and non-syringe services program participants in New York City
Since the emergence of fentanyl in the drug market, syringe services programs (SSPs) have been at the forefront of providing life-saving tools such as naloxone and fentanyl test strips to people who use drugs ...
Citation: Harm Reduction Journal 2023 20:38 -
Opioid overdose prevention education in Texas during the COVID-19 pandemic
Distribution of naloxone and training on its proper use are evidence-based strategies for preventing opioid overdose deaths. In-person naloxone training was conducted in major metropolitan areas and urban cent...
Citation: Harm Reduction Journal 2023 20:37 -
Ultrasound-guided phlebotomy in primary care for people who inject drugs
Persons who inject drugs (PWID) commonly experience venous degradation as a complication of prolonged injection, which makes routine phlebotomy difficult. Clients may decline care due to the perceived lack of ...
Citation: Harm Reduction Journal 2023 20:36 -
Vaping among Norwegians who smoke or formerly smoked: reasons, patterns of use, and smoking cessation activity
The majority of Norwegians who use e-cigarettes are adults who have smoked. Little is known about vaping reasons and -patterns in this group. The aim of this paper was to study vaping prevalence, patterns, and...
Citation: Harm Reduction Journal 2023 20:35 -
A realist review of best practices and contextual factors enhancing treatment of opioid dependence in Indigenous contexts
The objective of this study was to examine international literature to identify best practices for treatment of opioid dependence in Indigenous contexts.
Citation: Harm Reduction Journal 2023 20:34 -
A scoping review of implementation considerations for harm reduction vending machines
Community-based harm reduction vending machines (HRVM) are not new to the field of public health; numerous countries have implemented them in response to the needs of people who use drugs over the last three d...
Citation: Harm Reduction Journal 2023 20:33 -
“The new normal has become a nonstop crisis”: a qualitative study of burnout among Philadelphia’s harm reduction and substance use disorder treatment workers during the COVID-19 pandemic
The COVID-19 pandemic worsened the ongoing overdose crisis in the United States (US) and caused significant mental health strain and burnout among health care workers (HCW). Harm reduction, overdose prevention...
Citation: Harm Reduction Journal 2023 20:32 -
Patient experiences of methadone treatment changes during the first wave of COVID-19: a national community-driven survey
During COVID-19, the Substance Abuse and Mental Health Services Administration (SAMHSA) allowed Methadone Maintenance Treatment (MMT) programs to relax in-person MMT requirements to reduce COVID-19 exposure. T...
Citation: Harm Reduction Journal 2023 20:31 -
Co-designing drug alerts for health and community workers for an emerging early warning system in Victoria, Australia
Alerts about changes in unregulated drug markets may be useful for supporting health and community workers to anticipate, prevent, and respond to unexpected adverse drug events. This study aimed to establish f...
Citation: Harm Reduction Journal 2023 20:30 -
“It’s just another tool on my toolbelt”: New York state law enforcement officer experiences administering naloxone
Although naloxone is widely acknowledged as a life-saving intervention and a critical tool for first responders, there remains a need to explore how law enforcement officers have adapted to a shifting scope of...
Citation: Harm Reduction Journal 2023 20:29 -
Contraception use among individuals with substance use disorder increases tenfold with patient-centered, mobile services: a quasi-experimental study
Individuals with substance use disorders (SUD) have disproportionately high rates of unintended pregnancy. Reducing harm associated with this risk and its biopsychosocial consequences requires evidence-based, ...
Citation: Harm Reduction Journal 2023 20:28 -
A simplified point-of-service model for hepatitis C in people who inject drugs in South Africa
Globally, 9% of people who inject drugs (PWID), a key hepatitis C-infected population, reside in sub-Saharan Africa. In South Africa, hepatitis C seroprevalence in PWID is high. It is almost 84% in Pretoria an...
Citation: Harm Reduction Journal 2023 20:27 -
How do contextual factors influence naloxone distribution from syringe service programs in the USA: a cross-sectional study
Naloxone is a medication that can quickly reverse an opioid overdose. Syringe service programs (SSPs) are community-based prevention programs that provide a range of evidence-based interventions in the USA, in...
Citation: Harm Reduction Journal 2023 20:26 -
“There’s absolutely no downside to this, I mean, except community opposition:” A qualitative study of the acceptability of vending machines for harm reduction
Vending machines for harm reduction (VMHR) are an innovative approach to deliver life-saving materials, information, and treatment for hard-to-reach populations, particularly for persons who inject drugs. The ...
Citation: Harm Reduction Journal 2023 20:25 -
Racial/ethnic disparities in opioid overdose prevention: comparison of the naloxone care cascade in White, Latinx, and Black people who use opioids in New York City
Drug overdose mortality is rising precipitously among Black people who use drugs. In NYC, the overdose mortality rate is now highest in Black (38.2 per 100,000) followed by the Latinx (33.6 per 100,000) and wh...
Citation: Harm Reduction Journal 2023 20:24 -
Puff, Puff, Don’t Pass: harm reduction for cannabis use during a viral respiratory pandemic
Prior to the COVID-19 pandemic, cannabis use social practices often involved sharing prepared cannabis (joints/blunts/cigarettes) and cannabis-related paraphernalia. Previous studies have demonstrated that sha...
Citation: Harm Reduction Journal 2023 20:23 -
Motives for alcohol use, risky drinking patterns and harm reduction practices among people who experience homelessness and alcohol dependence in Montreal
People experiencing homelessness are disproportionately affected by harms related to alcohol use. Indeed, their alcohol dependence is associated with numerous physical and mental health problems along with str...
Citation: Harm Reduction Journal 2023 20:22 -
SARS-CoV-2 antibody prevalence, correlates, and access to harm reduction services among people who inject drugs living with and without HIV and their partners in Kenya
In sub-Saharan Africa many people who inject drugs (PWID) are living with undiagnosed or untreated HIV and experience high levels of poverty and conditions that can contribute to worse outcomes from SARS-CoV-2...
Citation: Harm Reduction Journal 2023 20:21 -
‘I’m not going to leave someone to die’: carriage of naloxone by police in Scotland within a public health framework: a qualitative study of acceptability and experiences
Scotland has one of the highest rates of drug-related deaths (DRDs) per capita in Europe, the majority of which involve opioids. Naloxone is a medication used to reverse opioid-related overdoses. In efforts to...
Citation: Harm Reduction Journal 2023 20:20 -
Legal sourcing of ten cannabis products in the Canadian cannabis market, 2019–2021: a repeat cross-sectional study
One of the objectives of cannabis legalization in Canada is to transition consumers from the illegal to the legal market. Little is known about how legal sourcing varies across different cannabis product types...
Citation: Harm Reduction Journal 2023 20:19 -
Factors associated with receptive injection equipment sharing among people who inject drugs: findings from a multistate study at the start of the COVID-19 pandemic
Receptive injection equipment sharing (i.e., injecting with syringes, cookers, rinse water previously used by another person) plays a central role in the transmission of infectious diseases (e.g., HIV, viral h...
Citation: Harm Reduction Journal 2023 20:18 -
Harm reduction behaviors are associated with carrying naloxone among patients on methadone treatment
Despite the widespread availability of naloxone, US opioid overdose rates continue to rise. The “Cascade of Care” (CoC) is a public health approach that identifies steps in achieving specific outcomes and has ...
Citation: Harm Reduction Journal 2023 20:17 -
Pre-exposure prophylaxis (PrEP) for HIV prevention among people who inject drugs: a global mapping of service delivery
The World Health Organization (WHO) recommends oral pre-exposure prophylaxis (PrEP) for all people at substantial risk of HIV as part of combination prevention. The extent to which this recommendation has been...
Citation: Harm Reduction Journal 2023 20:16 -
Need for integration of hepatitis C (HCV) services in community-based settings for people who inject drugs: results from a global values and preferences survey
To inform the development of updated World Health Organization (WHO) guidelines on simplified service delivery for HCV infection, a global survey was undertaken among people affected or infected by HCV. The ob...
Citation: Harm Reduction Journal 2023 20:15 -
Multi-level influences on increased overdose risk behaviors during the COVID-19 pandemic among people who use drugs in Rhode Island: a qualitative investigation
The ongoing COVID-19 pandemic has disproportionately affected structurally vulnerable populations including people who use drugs (PWUD). Increased overdose risk behaviors among PWUD during the pandemic have be...
Citation: Harm Reduction Journal 2023 20:14 -
“I feel like marijuana is the only drug that wouldn’t kill me”: perceptions of cannabis use in previously incarcerated Black men who have sex with other men
Fragmented state laws have impacted cannabis uptake and perceptions in the USA. Little research has explored the attitudes, beliefs, and social network influences of young Black men who have sex with men (BMSM...
Citation: Harm Reduction Journal 2023 20:13 -
The effects of COVID-19 on New York State’s Drug User Health Hubs and syringe service programs: a qualitative study
Syringe service programs (SSPs) deliver critical harm reduction services to people who inject drugs (PWID). Some SSPs in New York State received enhanced funding to provide additional services to combat opioid...
Citation: Harm Reduction Journal 2023 20:12 -
Criminalization and coercion: sexual encounters with police among a longitudinal cohort of women who exchange sex in Baltimore, Maryland
The criminalization of sex work and drug use creates unequal power dynamics easily exploited by police. Women who exchange sex (WES) in settings around the globe have reported coerced sex and sexual assault by...
Citation: Harm Reduction Journal 2023 20:11 -
North Carolina pharmacists’ willingness to sell fentanyl test strips: a survey study
Although fentanyl test strips (FTS) can accurately determine the presence of fentanyl in unregulated substances, access to FTS remains limited. This study aimed to examine North Carolina community pharmacists’...
Citation: Harm Reduction Journal 2023 20:10 -
Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia
Gay, bisexual and other men who have sex with men (GBMSM) are overrepresented in cohorts of people who inject drugs. GBMSM’s substance use is usually explored in the context of its contribution to sexual risk....
Citation: Harm Reduction Journal 2023 20:9 -
Ups and downs of addiction harm reduction in Iran: key insights and implications for harm reduction policy and policing
Drug use is a critical behavioral disorder or a delinquency behavior (in the judiciary system's words) that comes with a burden at multiple levels: individual, community, public, and global. These social struc...
Citation: Harm Reduction Journal 2023 20:8