Injecting drugs alone during an overdose crisis in Vancouver, Canada

Original research
by
Norton, Alexa et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

Injecting drugs alone limits the potential for intervention and has accounted for a significant proportion of overdose deaths, yet the practice remains understudied. We sought to examine the practice of injecting alone among people who inject drugs (PWID) in Vancouver, Canada.

Findings/Key points

Among 1070 PWID who contributed 3307 observations, 931 (87%) reported injecting alone at least once during the study period. In total, there were 729 reports of always injecting alone, 722 usually, 471 sometimes, 513 occasionally, and 872 never. In a multivariable model, factors positively associated with injecting drugs alone included male sex, residence in the Downtown Eastside neighbourhood, binge drug use, and experiencing physical or sexual violence or both. Protective factors included Indigenous ancestry  and being in a relationship.

Design/methods

Two prospective cohorts of PWID

Keywords

About PWUD
Indigenous
Sex/Gender
Injecting drugs
Illegal drugs