Willingness to use a drug consumption room among people who use drugs in Lyon, France, a city with no open scene of drug use (the TRABOUL survey)

Harm Reduction Journal

Brief Report

Damien Thabourey¹  Maira Landulpho¹  Gilles Penavayre¹  Anthony Plasse²  Pierre Pradat³  Marianne Maynard³  Marie Jauffret-Roustide⁴  Faroudja Boutahra⁵  Christophe Icard⁶  Benjamin Rolland⁷  Julia de Ternay⁸  Philippe Lack⁹  François Bailly⁹  Baptiste David⁹  Mathieu Chappuy^1,10 

[1] Association Aria Oppélia, Villeurbanne, France;CAARUD Pause Diabolo, Association le Mas, Lyon, France;Centre de Recherche Clinique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France;Centre d’Étude Des Mouvements Sociaux (Inserm U1276/CNRS UMR 8044/EHESS), Paris, France;British Columbia Center on Substance Use (BCCSU), British Columbia University, Vancouver, Canada;Baldy Center on Law and Social Policy, Buffalo University, Buffalo, USA;SMPR de Corbas, Pôle SMDPL, CH Le Vinatier, Bron, France;Service Universitaire d’Addictologie de Lyon (SUAL), CH Le Vinatier, Bron, France;Service Universitaire d’Addictologie de Lyon (SUAL), Hospices Civils de Lyon, Hôpital Edouard Herriot, Pavillon K, 5 Place d’Arsonval, 69002, Lyon, France;Service Universitaire d’Addictologie de Lyon (SUAL), CH Le Vinatier, Bron, France;Univ. Lyon, UCBL1, INSERM U1028, CNRS UMR5292, CRNL, PSYR2, Lyon, France;Service Universitaire d’Addictologie de Lyon (SUAL), Hospices Civils de Lyon, Hôpital Edouard Herriot, Pavillon K, 5 Place d’Arsonval, 69002, Lyon, France;Univ. Lyon, UCBL1, INSERM U1028, CNRS UMR5292, CRNL, PSYR2, Lyon, France;Service d’Hépatologie et d’Addictologie, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France;Service d’Hépatologie et d’Addictologie, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France;Service Universitaire d’Addictologie de Lyon (SUAL), Hospices Civils de Lyon, Hôpital Edouard Herriot, Pavillon K, 5 Place d’Arsonval, 69002, Lyon, France;Service Universitaire d’Addictologie de Lyon (SUAL), CH Le Vinatier, Bron, France;Service Pharmaceutique, Hospices Civils de Lyon, Lyon, France;

关键词: Drug consumption rooms;    Harm reduction;    People who use drugs;    Opioids;    France;   

DOI  :  10.1186/s12954-023-00887-7

 received in 2023-03-22, accepted in 2023-10-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDrug consumption rooms (DCRs) have been developed in cities with open drug scenes, with the aim to reduce drug-related harm. In Lyon, France's second-largest city, there is no distinct drug use area, which raised doubts regarding the need for a DCR.MethodsWe conducted a face-to-face survey of 264 people who use drugs (PWUDs), recruited in harm reduction or addiction treatment centers, in the streets or in squats. We assess their willingness to use a DCR, and we collected sociodemographic and medical features. Bivariable comparisons and analyses adjusted for sociodemographic parameters explored the association between willing to use a DCR and other variables, thus providing crude (ORs) and adjusted odds ratios (aORs) and 95% confidence intervals (95% CI).ResultsIn total, 193 (73.1%) PWUDs accepted to participate (mean age 38.5 ± 9.3 years; 80.3% men). Among them, 64.2% declared willing to use a DCR. Being treatment-seeker (aOR 0.20, 95% CI [0.08–0.51]; p < 0.001) and not living alone (aOR 0.29; 95% CI [0.10–0.86], p = 0.025) were negatively associated with willing to use a DCR. By contrast, receiving precarity social insurance (aOR 4.12; 95% CI [1.86–9.14], p < 0.001), being seropositive for hepatitis C (aOR 3.60; 95% CI [1.20–10.84], p = 0.022), being cannabis user (aOR 2.45; 95% CI [1.01–5.99], p = 0.049), and reporting previous problems with residents (aOR 5.99; 95% CI [2.16–16.58], p < 0.001) or with the police (aOR = 4.85; 95% CI [1.43–16.39], p = 0.011) were positively associated.ConclusionsPWUDs, especially the most precarious ones, largely supported the opening of a DCR in Lyon, a city with no open drug scene.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1