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Sharing drug checking results in a Canadian setting: a multi-site analysis
Joshua Bird1, Samuel Tobias1, Cameron Grant2
1British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, Canada, V6Z 2A9; School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada, V6T 1Z3.
Over half of drug checking service users share their results, particularly those involved in drug dealing or who use the services frequently. Information is most often shared with friends, family, and drug dealers, enhancing community awareness of drug market conditions.
Area of Science:
- Public Health
- Sociology
- Criminology
Background:
- Drug checking services (DCS) are a harm reduction strategy to mitigate illicit drug-related harms.
- DCS can potentially increase community awareness of drug market dynamics through user-shared results.
- Limited research exists on information-sharing patterns among DCS users.
Purpose of the Study:
- To investigate the patterns of information sharing among individuals using drug checking services.
- To identify factors associated with the sharing of drug checking results.
Main Methods:
- Cross-sectional study at 22 harm reduction sites in British Columbia (March 2021-July 2024).
- Utilized backwards stepwise selection and elastic net regularization for multivariable logistic regression.
- Examined relationships between socio-demographics, drug use, and sharing of drug checking results.
Main Results:
- 516 participants (53% shared results); sharing associated with drug dealing, frequent DCS use, stable employment, and white ethnicity.
- Among those sharing, 66% shared with friends/family, and 28% shared with drug dealers.
- Drug checking results are actively disseminated within social and drug market networks.
Conclusions:
- Over half of DCS users share their results, indicating a key mechanism for information dissemination.
- Sharing is linked to drug dealing, frequent service use, employment, and ethnicity.
- DCS engagement facilitates the spread of drug market information among various actors.
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