Injecting Alone: Practices and Preferences among People Who Inject Drugs in New York City

References

• Ahmad, F. B., Cisewski, J. A., Rossen, L. M., & Sutton, P. (2021). Provisional drug overdose death counts. Retrieved from https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
   Google Scholar
• Ahmad, N. J., Allen, S. T., White, R. H., Schneider, K. E., O’Rourke, A., Perdue, M., Babcock, C., Kilkenny, M. E., & Sherman, S. G. (2021). Correlates of recent nonfatal overdose among people who inject drugs in West Virginia. Harm Reduction Journal, 18(1), 22. https://doi.org/10.1186/s12954-021-00470-y
   PubMed Web of Science ®Google Scholar
• Alliance, D. P. (n.d.). Supervised consumption sites. Retrieved from https://drugpolicy.org/issues/supervised-consumption-services
   Google Scholar
• APA. (2013). Diagnostic and statistical manual of mental disorders (5 ed.). American Psychiatric Publishing.
   Google Scholar
• Bardwell, G., Boyd, J., Kerr, T., & McNeil, R. (2018). Negotiating space & drug use in emergency shelters with peer witness injection programs within the context of an overdose crisis: A qualitative study. Health & Place, 53, 86–93. https://doi.org/10.1016/j.healthplace.2018.07.011
   PubMed Web of Science ®Google Scholar
• Belzak, L., & Halverson, J. (2018). The opioid crisis in Canada: A national perspective. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 38(6), 224–233. https://doi.org/10.24095/hpcdp.38.6.02
   PubMed Web of Science ®Google Scholar
• Boyd, J., Collins, A. B., Mayer, S., Maher, L., Kerr, T., & McNeil, R. (2018). Gendered violence and overdose prevention sites: A rapid ethnographic study during an overdose epidemic in Vancouver, Canada. Addiction (Abingdon, England), 113(12), 2261–2270. https://doi.org/10.1111/add.14417
   PubMed Web of Science ®Google Scholar
• Bristowe, S. K., Ghosh, S. M., Trew, M., & Rittenbach, K. (2021). Virtual overdose response for people who use opioids alone: Protocol for a feasibility and clinical trial study. JMIR Research Protocols, 10(5), e20183. https://doi.org/10.2196/20183
   PubMed Web of Science ®Google Scholar
• CDC. (2021a, July 14). Drug overdose deaths up 29.4% in 2020. Retrieved from https://www.aha.org/news/headline/2021-07-14-cdc-drug-overdose-deaths-294-2020
   Google Scholar
• CDC. (2021b). Overdose deaths accelerating during COVID-19. Retrieved from Atlanta, Georgia: https://www.cdc.gov/media/releases/2020/p1218-overdose-deaths-covid-19.html
   Google Scholar
• Coalition, N. H. R. (2020). Training guide: Getting off right. Retrieved from https://harmreduction.org/issues/safer-drug-use/injection-safety-manual/preparing-equipment/
   Google Scholar
• Colledge, S., Peacock, A., Leung, J., Larney, S., Grebely, J., Hickman, M., Cunningham, E., Trickey, A., Stone, J., Vickerman, P., & Degenhardt, L. (2019). The prevalence of non-fatal overdose among people who inject drugs: A multi-stage systematic review and meta-analysis. The International Journal on Drug Policy, 73, 172–184. https://doi.org/10.1016/j.drugpo.2019.07.030
   PubMed Web of Science ®Google Scholar
• Dayton, L., Mazhnaya, A., Schneider, K. E., Kong, X., Winiker, A., Davey-Rothwell, M., Tobin, K. E., & Latkin, C. A. (2021). Trends in overdose experiences and prevention behaviors among people who use opioids in Baltimore, MD, 2017–2019. Drug and Alcohol Dependence. 221, 108650. https://doi.org/10.1016/j.drugalcdep.2021.108650
   PubMed Web of Science ®Google Scholar
• Degenhardt, L., Peacock, A., Colledge, S., Leung, J., Grebely, J., Vickerman, P., Stone, J., Cunningham, E. B., Trickey, A., Dumchev, K., Lynskey, M., Griffiths, P., Mattick, R. P., Hickman, M., & Larney, S. (2017). Global prevalence of injecting drug use and sociodemographic characteristics and prevalence of HIV, HBV, and HCV in people who inject drugs: A multistage systematic review. The Lancet. Global Health, 5(12), e1192–e1207. https://doi.org/10.1016/S2214-109X(17)30375-3
   PubMed Web of Science ®Google Scholar
• Elliott, L., Crasta, D., Khan, M., Roth, A., Green, T., Kolodny, A., & Bennett, A. S. (2021). Validation of the opioid overdose risk behavior scale, version 2 (ORBS-2). Drug and Alcohol Dependence. 223, 108721. https://doi.org/10.1016/j.drugalcdep.2021.108721
   PubMed Web of Science ®Google Scholar
• Gates, P. (2015). The effectiveness of helplines for the treatment of alcohol and illicit substance use. Journal of Telemedicine and Telecare, 21(1), 18–28. https://doi.org/10.1177/1357633X14555643
   PubMed Web of Science ®Google Scholar
• Gjersing, L., & Helle, M. K. (2021). Injecting alone is more common among men, frequent injectors and polysubstance users in a sample of people who inject drugs. Substance Use & Misuse., 56(14), 2214–2220. https://doi.org/10.1080/10826084.2021.1981388
   PubMed Web of Science ®Google Scholar
• Hagan, H., Campbell, J. V., Thiede, H., Strathdee, S. A., Ouellet, L., Latka, M., Hudson, S., & Garfein, R. S. (2007). Injecting alone among young adult IDUs in five US cities: Evidence of low rates of injection risk behavior. Drug and Alcohol Dependence, 91(Suppl 1), S48–S55. https://doi.org/10.1016/j.drugalcdep.2007.02.002
   PubMed Web of Science ®Google Scholar
• Hayashi, K., Wood, E., Dong, H., Buxton, J. A., Fairbairn, N., DeBeck, K., Milloy, M. -J., & Kerr, T. (2021). Awareness of fentanyl exposure and the associated overdose risks among people who inject drugs in a Canadian setting. Drug and Alcohol Review, 40(6), 964–973. https://doi.org/10.1111/dar.13261
   PubMed Web of Science ®Google Scholar
• Hunter, K., Park, J. N., Allen, S. T., Chaulk, P., Frost, T., Weir, B. W., & Sherman, S. G. (2018). Safe and unsafe spaces: Non-fatal overdose, arrest, and receptive syringe sharing among people who inject drugs in public and semi-public spaces in Baltimore City. International Journal on Drug Policy. 57, 25–31. https://doi.org/10.1016/j.drugpo.2018.03.026
   PubMed Web of Science ®Google Scholar
• Koester, S., Glanz, J., & Barón, A. (2005). Drug sharing among heroin networks: Implications for HIV and hepatitis B and C prevention. AIDS and Behavior, 9(1), 27–39. https://doi.org/10.1007/s10461-005-1679-y
   PubMed Web of Science ®Google Scholar
• Kral, A. H., & Davidson, P. J. (2017). Addressing the nation’s opioid epidemic: Lessons from an unsanctioned supervised injection site in the U.S. American Journal of Preventive Medicine, 53(6), 919–922. https://doi.org/10.1016/j.amepre.2017.06.010
   PubMed Web of Science ®Google Scholar
• Latkin, C. A., Dayton, L., Davey-Rothwell, M. A., & Tobin, K. E. (2019). Fentanyl and drug overdose: Perceptions of fentanyl risk, overdose risk behaviors, and opportunities for intervention among people who use opioids in Baltimore, USA. Substance Use & Misuse, 54(6), 998–1006. https://doi.org/10.1080/10826084.2018.1555597
   PubMed Web of Science ®Google Scholar
• Leon, C., Cardoso, L., Mackin, S., Bock, B., & Gaeta, J. M. (2018). The willingness of people who inject drugs in Boston to use a supervised injection facility. Substance Abuse, 39(1), 95–101. https://doi.org/10.1080/08897077.2017.1365804
   PubMed Web of Science ®Google Scholar
• Lewis, C. (2021, December 17). A look inside NYC’s supervised drug-injection sites, The first in the nation. Gothamist. Retrieved from https://gothamist.com/news/inside-nycs-supervised-drug-injection-sites-the-first-in-the-nation
   Google Scholar
• Mars, S. G., Ondocsin, J., & Ciccarone, D. (2018a). Sold as heroin: Perceptions and use of an evolving drug in Baltimore, MD. Journal of Psychoactive Drugs, 50(2), 167–176. https://doi.org/10.1080/02791072.2017.1394508
   PubMed Web of Science ®Google Scholar
• Mars, S. G., Ondocsin, J., & Ciccarone, D. (2018b). Toots, tastes and tester shots: User accounts of drug sampling methods for gauging heroin potency. Harm Reduction Journal, 15(1), 26. https://doi.org/10.1186/s12954-018-0232-z
   PubMed Web of Science ®Google Scholar
• Mateu-Gelabert, P., Guarino, H., Zibbell, J. E., Teubl, J., Fong, C., Goodbody, E., Edlin, B., Salvati, C., & Friedman, S. R. (2020). Prescription opioid injection among young people who inject drugs in New York City: A mixed-methods description and associations with hepatitis C virus infection and overdose. Harm Reduction Journal, 17(1), 22. https://doi.org/10.1186/s12954-020-00367-2
   PubMed Web of Science ®Google Scholar
• McCrae, K., Hayashi, K., Bardwell, G., Nosova, E., Milloy, M. J., Wood, E., & Ti, L. (2020). The effect of injecting alone on the use of drug checking services among people who inject drugs. The International Journal on Drug Policy, 79, 102756. https://doi.org/10.1016/j.drugpo.2020.102756
   PubMed Web of Science ®Google Scholar
• McKnight, C., & Des Jarlais, D. C. (2018). Being “hooked up” during a sharp increase in the availability of illicitly manufactured fentanyl: Adaptations of drug using practices among people who use drugs (PWUD) in New York City. The International Journal on Drug Policy, 60, 82–88. https://doi.org/10.1016/j.drugpo.2018.08.004
   PubMed Web of Science ®Google Scholar
• neverusealone.com. Never use alone. Retrieved from neverusealone.com
   Google Scholar
• Notta, D., Black, B., Chu, T., Joe, R., & Lysyshyn, M. (2019). Changing risk and presentation of overdose associated with consumption of street drugs at a supervised injection site in Vancouver, Canada. Drug and Alcohol Dependence, 196, 46–50. https://doi.org/10.1016/j.drugalcdep.2018.12.016
   PubMed Web of Science ®Google Scholar
• O’Rourke, A., White, R. H., Park, J. N., Rodriguez, K., Kilkenny, M. E., Sherman, S. G., & Allen, S. T. (2019). Acceptability of safe drug consumption spaces among people who inject drugs in rural West Virginia. Harm Reduction Journal, 16(1), 51. https://doi.org/10.1186/s12954-019-0320-8
   PubMed Web of Science ®Google Scholar
• Papamihali, K., Yoon, M., Graham, B., Karamouzian, M., Slaunwhite, A. K., Tsang, V., Young, S., & Buxton, J. A. (2020). Convenience and comfort: Reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada. Harm Reduction Journal, 17(1), 90. https://doi.org/10.1186/s12954-020-00436-6
   PubMed Web of Science ®Google Scholar
• Peltz, J. (2022, March 9). A look inside the 1st official ‘safe injection sites’ in US. Associate Press. Retrieved from https://apnews.com/article/inside-nyc-supervised-drug-injection-sites-7ad93117d1566fda53909c0f70984d1b
   Google Scholar
• PHSA. (2020). New Lifeguard app launched to help prevent overdoses [Press release]. Retrieved from http://www.phsa.ca/about/news-stories/news-releases/2020-news/new-lifeguard-app-launched-to-help-prevent-overdoses
   Google Scholar
• Rhodes, T., Kimber, J., Small, W., Fitzgerald, J., Kerr, T., Hickman, M., & Holloway, G. (2006). Public injecting and the need for ‘safer environment interventions’ in the reduction of drug-related harm. Addiction (Abingdon, England), 101(10), 1384–1393. https://doi.org/10.1111/j.1360-0443.2006.01556.x
   PubMed Web of Science ®Google Scholar
• SAFE, P. (2021). Survival strategies while using drugs alone from people who use drugs. Project SAFE. Retrieved from https://www.vitalstrategies.org/wp-content/uploads/PWUD-ServiceProvider-Guide-07142021.pdf
   Google Scholar
• Siegler, A., Huxley-Reicher, Z., Maldjian, L., Jordan, R., Oliver, C., Jakubowski, A., & Kunins, H. V. (2017). Naloxone use among overdose prevention trainees in New York City: A longitudinal cohort study. Drug and Alcohol Dependence, 179, 124–130. https://doi.org/10.1016/j.drugalcdep.2017.06.029
   PubMed Web of Science ®Google Scholar
• Siegler, A., Tuazon, E., Bradley O’Brien, D., & Paone, D. (2014). Unintentional opioid overdose deaths in New York City, 2005-2010: A place-based approach to reduce risk. The International Journal on Drug Policy, 25(3), 569–574. https://doi.org/10.1016/j.drugpo.2013.10.015
   PubMed Web of Science ®Google Scholar
• Strike, C., & Watson, T. M. (2019). Losing the uphill battle? Emergent harm reduction interventions and barriers during the opioid overdose crisis in Canada. The International Journal on Drug Policy, 71, 178–182. https://doi.org/10.1016/j.drugpo.2019.02.005
   PubMed Web of Science ®Google Scholar
• Wainwright, J. J., Mikre, M., Whitley, P., Dawson, E., Huskey, A., Lukowiak, A., & Giroir, B. P. (2020). Analysis of drug test results before and after the US declaration of a national emergency concerning the COVID-19 outbreak. JAMA, 324(16), 1674–1677. https://doi.org/10.1001/jama.2020.17694
   PubMed Web of Science ®Google Scholar
• Wallace, B., Pagan, F., & Pauly, B. B. (2019). The implementation of overdose prevention sites as a novel and nimble response during an illegal drug overdose public health emergency. The International Journal on Drug Policy, 66, 64–72. https://doi.org/10.1016/j.drugpo.2019.01.017
   PubMed Web of Science ®Google Scholar
• Wells, J. (2020, January 20). New hotline for opioid users aimed at reducing overdose deaths. The Hamilton Spectator. Retrieved from https://www.thespec.com/news/hamilton-region/2020/01/20/new-hotline-for-opioid-users-aimed-at-reducing-overdose-deaths.html
   Google Scholar
• Winiker, A. K., Tobin, K. E., Gicquelais, R. E., Owczarzak, J., & Latkin, C. (2020). “When you’re getting high… You just don’t want to be around anybody.” A qualitative exploration of reasons for injecting alone: Perspectives from young people who inject drugs. Substance Use & Misuse, 55(13), 2079–2086. https://doi.org/10.1080/10826084.2020.1790008
   PubMed Web of Science ®Google Scholar
• Wood, E., Kerr, T., Small, W., Li, K., Marsh, D. C., Montaner, J. S., & Tyndall, M. W. (2004). Changes in public order after the opening of a medically supervised safer injecting facility for illicit injection drug users. Canadian Medical Association Journal, 171(7), 731–734. https://doi.org/10.1503/cmaj.1040774
   PubMed Web of Science ®Google Scholar
• Wood, E., Tyndall, M. W., Spittal, P. M., Li, K., Kerr, T., Hogg, R. S., … Schechter, M. T. (2001). Unsafe injection practices in a cohort of injection drug users in Vancouver: Could safer injecting rooms help? CMAJ, 165(4), 405–410.
   PubMed Web of Science ®Google Scholar