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Willingness to access an in‐hospital supervised injection facility among hospitalized people who use illicit drugs
Author(s) -
Ti Lianping,
Buxton Jane,
Harrison Scott,
Dobrer Sabina,
Montaner Julio,
Wood Evan,
Kerr Thomas
Publication year - 2015
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.2344
Subject(s) - medicine , odds ratio , confidence interval , harm reduction , logistic regression , psychological intervention , heroin , emergency medicine , family medicine , health care , psychiatry , drug , economics , economic growth , human immunodeficiency virus (hiv)
BACKGROUND Despite the reliance on abstinence‐based drug policies within hospital settings, illicit drug use is common among hospitalized patients with severe drug addiction. Hospitalized patients who use illicit drugs (PWUDs) have been known to resort to high‐risk behavior to conceal their drug use from healthcare providers. Novel interventions with the potential to reduce high‐risk behavior among PWUDs in hospital settings have not been well studied. OBJECTIVE The objective of the study was to examine factors associated with willingness to access an in‐hospital supervised injection facility (SIF). DESIGN Data were derived from participants enrolled in 2 Canadian prospective cohort studies involving PWUDs between June 2013 and November 2013. A cross‐sectional study surveying various sociodemographic characteristics, drug use patterns, and experiences was conducted. SETTING Vancouver, Canada. MEASUREMENTS Bivariable and multivariable logistic regression analyses were used to explore factors significantly associated with willingness to access an in‐hospital SIF. RESULTS Among 732 participants, 499 (68.2%) would be willing to access an in‐hospital SIF. In multivariable analyses, factors positively and significantly associated with willingness to access an in‐hospital SIF included: daily heroin injection (adjusted odds ratio [AOR] = 1.90; 95% confidence interval [CI]: 1.20‐3.11); having used illicit drugs in hospital (AOR = 1.63; 95% CI: 1.18‐2.26); and having recently used an SIF (AOR = 1.53; 95% CI: 1.10‐2.15). CONCLUSIONS Our findings highlight the potential of in‐hospital SIFs to complement existing harm reduction programs that serve PWUD. Moreover, an in‐hospital SIF may minimize the harms associated with high‐risk illicit drug use in the hospital. Journal of Hospital Medicine 2015;10:301–306. © 2015 Society of Hospital Medicine