High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs

Kirsten M.A. Trayner; Norah E. Palmateer; Sharon J. Hutchinson; David J. Goldberg; Samantha J. Shepherd; Rory N. Gunson; Emily J. Tweed; Saket Priyadarshi; Harry Sumnall; Amanda Atkinson; Andrew McAuley

doi:10.1016/j.drugpo.2020.102731

High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs

Kirsten M.A. Trayner^*, Norah E. Palmateer, Sharon J. Hutchinson, David J. Goldberg, Samantha J. Shepherd, Rory N. Gunson, Emily J. Tweed, Saket Priyadarshi, Harry Sumnall, Amanda Atkinson, Andrew McAuley

^*Corresponding author for this work

SHLS School Office

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Abstract

BACKGROUND: To address rising drug-related harms (including significant transmission of HIV) among people who inject drugs (PWID) in Glasgow, officials have proposed the introduction of the UK's first drug consumption room (DCR) in Glasgow city centre. Using a nationally representative sample, this study aimed to determine willingness to use a DCR among PWID nationally, in Glasgow city centre (the proposed DCR location), other Scottish city centres (excluding Glasgow) and the rest of Scotland (excluding city centres).

METHODS: Bio-behavioural survey, of 1469 current PWID (injected in last 6 months) across Scotland during 2017-18. Willingness to use DCRs was examined by drug-related risk behaviours and harms overall in Scotland, and then stratified by Glasgow city centre (n = 219), other Scottish city centres (n = 226) and the rest of Scotland (n = 1024).

RESULTS: The majority of PWID overall in Scotland (75%) were willing to use a DCR; willingness was higher among those recruited in Glasgow city centre (83%) and other Scottish city centres (83%), compared to the rest of Scotland (72%) (p < 0.001). Willingness was greater among PWID who reported (compared to those who did not report) injecting heroin (76%, p = 0.002), cocaine injecting (79%, p = 0.014), homelessness (86%, p < 0.001), public injecting (87%, p < 0.001) and an overdose (80%, p = 0.026). Willingness was found to be associated with a cumulative multiple risk variable: increased from 66% among those with a score of zero to 85% with a score of at least three (p < 0.001).

CONCLUSIONS: The vast majority of PWID at greatest risk of drug-related harm in Glasgow and elsewhere in Scotland would be willing to use a DCR, supporting proposals for the introduction of DCRs nationally.

Original language	English
Article number	102731
Journal	International Journal of Drug Policy
Volume	90
Early online date	22 Apr 2020
DOIs	https://doi.org/10.1016/j.drugpo.2020.102731
Publication status	Published - Apr 2021

Keywords

drug consumption rooms
supervised injection facilities
harm reduction
people who inject drugs

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.drugpo.2020.102731

Trayner, K. M. A. et al (2020) High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs
Crown Copyright © 2020 Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).
Final published version, 455 KBLicence: CC BY

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Trayner, K. M. A., Palmateer, N. E., Hutchinson, S. J., Goldberg, D. J., Shepherd, S. J., Gunson, R. N., Tweed, E. J., Priyadarshi, S., Sumnall, H., Atkinson, A., & McAuley, A. (2021). High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs. International Journal of Drug Policy, 90, [102731]. https://doi.org/10.1016/j.drugpo.2020.102731

Trayner, Kirsten M.A. ; Palmateer, Norah E. ; Hutchinson, Sharon J. ; Goldberg, David J. ; Shepherd, Samantha J. ; Gunson, Rory N. ; Tweed, Emily J. ; Priyadarshi, Saket ; Sumnall, Harry ; Atkinson, Amanda ; McAuley, Andrew. / High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs. In: International Journal of Drug Policy. 2021 ; Vol. 90.

@article{b9e8be6572e24c65b6b288a8d27f203f,

title = "High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs",

abstract = "BACKGROUND: To address rising drug-related harms (including significant transmission of HIV) among people who inject drugs (PWID) in Glasgow, officials have proposed the introduction of the UK's first drug consumption room (DCR) in Glasgow city centre. Using a nationally representative sample, this study aimed to determine willingness to use a DCR among PWID nationally, in Glasgow city centre (the proposed DCR location), other Scottish city centres (excluding Glasgow) and the rest of Scotland (excluding city centres).METHODS: Bio-behavioural survey, of 1469 current PWID (injected in last 6 months) across Scotland during 2017-18. Willingness to use DCRs was examined by drug-related risk behaviours and harms overall in Scotland, and then stratified by Glasgow city centre (n = 219), other Scottish city centres (n = 226) and the rest of Scotland (n = 1024).RESULTS: The majority of PWID overall in Scotland (75%) were willing to use a DCR; willingness was higher among those recruited in Glasgow city centre (83%) and other Scottish city centres (83%), compared to the rest of Scotland (72%) (p < 0.001). Willingness was greater among PWID who reported (compared to those who did not report) injecting heroin (76%, p = 0.002), cocaine injecting (79%, p = 0.014), homelessness (86%, p < 0.001), public injecting (87%, p < 0.001) and an overdose (80%, p = 0.026). Willingness was found to be associated with a cumulative multiple risk variable: increased from 66% among those with a score of zero to 85% with a score of at least three (p < 0.001).CONCLUSIONS: The vast majority of PWID at greatest risk of drug-related harm in Glasgow and elsewhere in Scotland would be willing to use a DCR, supporting proposals for the introduction of DCRs nationally.",

keywords = "drug consumption rooms, supervised injection facilities, harm reduction, people who inject drugs",

author = "Trayner, {Kirsten M.A.} and Palmateer, {Norah E.} and Hutchinson, {Sharon J.} and Goldberg, {David J.} and Shepherd, {Samantha J.} and Gunson, {Rory N.} and Tweed, {Emily J.} and Saket Priyadarshi and Harry Sumnall and Amanda Atkinson and Andrew McAuley",

note = "OA article - removed AAM - ET 7/5/20 Acceptance in SAN",

year = "2021",

month = apr,

doi = "10.1016/j.drugpo.2020.102731",

language = "English",

volume = "90",

journal = "International Journal of Drug Policy",

issn = "0955-3959",

publisher = "Elsevier B.V.",

}

Trayner, KMA, Palmateer, NE , Hutchinson, SJ , Goldberg, DJ, Shepherd, SJ, Gunson, RN, Tweed, EJ, Priyadarshi, S, Sumnall, H, Atkinson, A & McAuley, A 2021, 'High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs', International Journal of Drug Policy, vol. 90, 102731. https://doi.org/10.1016/j.drugpo.2020.102731

High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs. / Trayner, Kirsten M.A.; Palmateer, Norah E.; Hutchinson, Sharon J.; Goldberg, David J.; Shepherd, Samantha J.; Gunson, Rory N.; Tweed, Emily J.; Priyadarshi, Saket; Sumnall, Harry; Atkinson, Amanda; McAuley, Andrew.

In: International Journal of Drug Policy, Vol. 90, 102731, 04.2021.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs

AU - Trayner, Kirsten M.A.

AU - Palmateer, Norah E.

AU - Hutchinson, Sharon J.

AU - Goldberg, David J.

AU - Shepherd, Samantha J.

AU - Gunson, Rory N.

AU - Tweed, Emily J.

AU - Priyadarshi, Saket

AU - Sumnall, Harry

AU - Atkinson, Amanda

AU - McAuley, Andrew

N1 - OA article - removed AAM - ET 7/5/20 Acceptance in SAN

PY - 2021/4

Y1 - 2021/4

N2 - BACKGROUND: To address rising drug-related harms (including significant transmission of HIV) among people who inject drugs (PWID) in Glasgow, officials have proposed the introduction of the UK's first drug consumption room (DCR) in Glasgow city centre. Using a nationally representative sample, this study aimed to determine willingness to use a DCR among PWID nationally, in Glasgow city centre (the proposed DCR location), other Scottish city centres (excluding Glasgow) and the rest of Scotland (excluding city centres).METHODS: Bio-behavioural survey, of 1469 current PWID (injected in last 6 months) across Scotland during 2017-18. Willingness to use DCRs was examined by drug-related risk behaviours and harms overall in Scotland, and then stratified by Glasgow city centre (n = 219), other Scottish city centres (n = 226) and the rest of Scotland (n = 1024).RESULTS: The majority of PWID overall in Scotland (75%) were willing to use a DCR; willingness was higher among those recruited in Glasgow city centre (83%) and other Scottish city centres (83%), compared to the rest of Scotland (72%) (p < 0.001). Willingness was greater among PWID who reported (compared to those who did not report) injecting heroin (76%, p = 0.002), cocaine injecting (79%, p = 0.014), homelessness (86%, p < 0.001), public injecting (87%, p < 0.001) and an overdose (80%, p = 0.026). Willingness was found to be associated with a cumulative multiple risk variable: increased from 66% among those with a score of zero to 85% with a score of at least three (p < 0.001).CONCLUSIONS: The vast majority of PWID at greatest risk of drug-related harm in Glasgow and elsewhere in Scotland would be willing to use a DCR, supporting proposals for the introduction of DCRs nationally.

AB - BACKGROUND: To address rising drug-related harms (including significant transmission of HIV) among people who inject drugs (PWID) in Glasgow, officials have proposed the introduction of the UK's first drug consumption room (DCR) in Glasgow city centre. Using a nationally representative sample, this study aimed to determine willingness to use a DCR among PWID nationally, in Glasgow city centre (the proposed DCR location), other Scottish city centres (excluding Glasgow) and the rest of Scotland (excluding city centres).METHODS: Bio-behavioural survey, of 1469 current PWID (injected in last 6 months) across Scotland during 2017-18. Willingness to use DCRs was examined by drug-related risk behaviours and harms overall in Scotland, and then stratified by Glasgow city centre (n = 219), other Scottish city centres (n = 226) and the rest of Scotland (n = 1024).RESULTS: The majority of PWID overall in Scotland (75%) were willing to use a DCR; willingness was higher among those recruited in Glasgow city centre (83%) and other Scottish city centres (83%), compared to the rest of Scotland (72%) (p < 0.001). Willingness was greater among PWID who reported (compared to those who did not report) injecting heroin (76%, p = 0.002), cocaine injecting (79%, p = 0.014), homelessness (86%, p < 0.001), public injecting (87%, p < 0.001) and an overdose (80%, p = 0.026). Willingness was found to be associated with a cumulative multiple risk variable: increased from 66% among those with a score of zero to 85% with a score of at least three (p < 0.001).CONCLUSIONS: The vast majority of PWID at greatest risk of drug-related harm in Glasgow and elsewhere in Scotland would be willing to use a DCR, supporting proposals for the introduction of DCRs nationally.

KW - drug consumption rooms

KW - supervised injection facilities

KW - harm reduction

KW - people who inject drugs

U2 - 10.1016/j.drugpo.2020.102731

DO - 10.1016/j.drugpo.2020.102731

M3 - Article

C2 - 32331859

VL - 90

JO - International Journal of Drug Policy

JF - International Journal of Drug Policy

SN - 0955-3959

M1 - 102731

ER -

High willingness to use drug consumption rooms among people who inject drugs in Scotland: findings from a national bio-behavioural survey among people who inject drugs

Abstract

Keywords

UN SDGs

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