A cross-sectional national survey assessing self-reported drug intake behavior, contact with the primary sector and drug treatment among service users of Danish drug consumption rooms

Eva Charlotte Toth*, Jette Tegner, Sigurd Mørk Rønbøl Lauridsen, Nanna Kappel

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Drug consumption rooms (DCRs) have been implemented worldwide as a harm-reducing strategy. In 2012, Denmark passed legislation allowing establishment of DCRs. The aim of this study was to identify characteristics and gain knowledge of the way service users use the DCRs including bridge building to specialized health care. Associations between nationality, opioid substitution treatment (OST), drug intake method, and response to staff advice on harm-reducing education was investigated, as well as service user's reasons for using the DCRs, and their perceptions of safety and trust in the DCRs.

METHODS: A survey questionnaire sampled 154 participants of DCRs. Convenience sampling was used. Key variables covered demographics, drug intake mode, educational advice received in the DCR, and opinions about and role of the DCRs for the service users.

RESULTS: Only 10 % of the participants were under the age of 30, 30 % between 30 and 39 years, 36 % between 40 and 49 years, and 24 % age 50 or more. A total of 60 % of the participants had encountered drugs before they were 19 years old. Female participants were 25 %, and 73 % were Danish citizens, 8 % were non-Danish EU citizens, and 18 % were non-EU citizens. As drug intake method, 63 % injected drugs in a vein, 7 % sniffed, and 37 % smoked. Of drugs used in the DCR, 49 % used cocaine, 41 % heroin, 16 % a mix of heroin and cocaine, and 16 % used methadone. Participants who smoked drugs made significantly less use of drug rehabilitation than participants who sniffed or injected drugs. There was a similar rate of advice on OST across nationality. Participants accepted staff education on hygienic measures and safe injection practices and found it useful. Participants felt safe and trusted staff and bridge building to specialized health care took place in the DCR.

CONCLUSIONS: Staff of Danish DCRs educate service users on health related issues and harm-reducing interventions. A subgroup who smoke and a subgroup of nationality other than Danish are underserved and have less likely been in OST. More research on these groups is needed.

OriginalsprogEngelsk
TidsskriftHarm reduction journal
Vol/bind13
Udgave nummer1
Sider (fra-til)13-27
ISSN1477-7517
DOI
StatusUdgivet - 7. okt. 2016
Udgivet eksterntJa

Fingeraftryk

Drug Users
Cross-Sectional Studies
Pharmaceutical Preparations
Heroin
Delivery of Health Care
Education
Methadone
Denmark
Legislation

Citer dette

@article{8e486f846d504505a246cae54c2715f1,
title = "A cross-sectional national survey assessing self-reported drug intake behavior, contact with the primary sector and drug treatment among service users of Danish drug consumption rooms",
abstract = "BACKGROUND: Drug consumption rooms (DCRs) have been implemented worldwide as a harm-reducing strategy. In 2012, Denmark passed legislation allowing establishment of DCRs. The aim of this study was to identify characteristics and gain knowledge of the way service users use the DCRs including bridge building to specialized health care. Associations between nationality, opioid substitution treatment (OST), drug intake method, and response to staff advice on harm-reducing education was investigated, as well as service user's reasons for using the DCRs, and their perceptions of safety and trust in the DCRs.METHODS: A survey questionnaire sampled 154 participants of DCRs. Convenience sampling was used. Key variables covered demographics, drug intake mode, educational advice received in the DCR, and opinions about and role of the DCRs for the service users.RESULTS: Only 10 {\%} of the participants were under the age of 30, 30 {\%} between 30 and 39 years, 36 {\%} between 40 and 49 years, and 24 {\%} age 50 or more. A total of 60 {\%} of the participants had encountered drugs before they were 19 years old. Female participants were 25 {\%}, and 73 {\%} were Danish citizens, 8 {\%} were non-Danish EU citizens, and 18 {\%} were non-EU citizens. As drug intake method, 63 {\%} injected drugs in a vein, 7 {\%} sniffed, and 37 {\%} smoked. Of drugs used in the DCR, 49 {\%} used cocaine, 41 {\%} heroin, 16 {\%} a mix of heroin and cocaine, and 16 {\%} used methadone. Participants who smoked drugs made significantly less use of drug rehabilitation than participants who sniffed or injected drugs. There was a similar rate of advice on OST across nationality. Participants accepted staff education on hygienic measures and safe injection practices and found it useful. Participants felt safe and trusted staff and bridge building to specialized health care took place in the DCR.CONCLUSIONS: Staff of Danish DCRs educate service users on health related issues and harm-reducing interventions. A subgroup who smoke and a subgroup of nationality other than Danish are underserved and have less likely been in OST. More research on these groups is needed.",
keywords = "Adult, Cross-Sectional Studies, Denmark, Drug Overdose/prevention & control, Drug and Narcotic Control/methods, Female, Harm Reduction, Humans, Male, Middle Aged, Primary Health Care, Self Report, Substance Abuse Treatment Centers/methods, Substance-Related Disorders/therapy, Surveys and Questionnaires, Young Adult",
author = "Toth, {Eva Charlotte} and Jette Tegner and Lauridsen, {Sigurd M{\o}rk R{\o}nb{\o}l} and Nanna Kappel",
year = "2016",
month = "10",
day = "7",
doi = "10.1186/s12954-016-0115-0",
language = "English",
volume = "13",
pages = "13--27",
journal = "Harm reduction journal",
issn = "1477-7517",
publisher = "BioMed Central",
number = "1",

}

A cross-sectional national survey assessing self-reported drug intake behavior, contact with the primary sector and drug treatment among service users of Danish drug consumption rooms. / Toth, Eva Charlotte; Tegner, Jette; Lauridsen, Sigurd Mørk Rønbøl; Kappel, Nanna.

I: Harm reduction journal, Bind 13, Nr. 1, 07.10.2016, s. 13-27.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - A cross-sectional national survey assessing self-reported drug intake behavior, contact with the primary sector and drug treatment among service users of Danish drug consumption rooms

AU - Toth, Eva Charlotte

AU - Tegner, Jette

AU - Lauridsen, Sigurd Mørk Rønbøl

AU - Kappel, Nanna

PY - 2016/10/7

Y1 - 2016/10/7

N2 - BACKGROUND: Drug consumption rooms (DCRs) have been implemented worldwide as a harm-reducing strategy. In 2012, Denmark passed legislation allowing establishment of DCRs. The aim of this study was to identify characteristics and gain knowledge of the way service users use the DCRs including bridge building to specialized health care. Associations between nationality, opioid substitution treatment (OST), drug intake method, and response to staff advice on harm-reducing education was investigated, as well as service user's reasons for using the DCRs, and their perceptions of safety and trust in the DCRs.METHODS: A survey questionnaire sampled 154 participants of DCRs. Convenience sampling was used. Key variables covered demographics, drug intake mode, educational advice received in the DCR, and opinions about and role of the DCRs for the service users.RESULTS: Only 10 % of the participants were under the age of 30, 30 % between 30 and 39 years, 36 % between 40 and 49 years, and 24 % age 50 or more. A total of 60 % of the participants had encountered drugs before they were 19 years old. Female participants were 25 %, and 73 % were Danish citizens, 8 % were non-Danish EU citizens, and 18 % were non-EU citizens. As drug intake method, 63 % injected drugs in a vein, 7 % sniffed, and 37 % smoked. Of drugs used in the DCR, 49 % used cocaine, 41 % heroin, 16 % a mix of heroin and cocaine, and 16 % used methadone. Participants who smoked drugs made significantly less use of drug rehabilitation than participants who sniffed or injected drugs. There was a similar rate of advice on OST across nationality. Participants accepted staff education on hygienic measures and safe injection practices and found it useful. Participants felt safe and trusted staff and bridge building to specialized health care took place in the DCR.CONCLUSIONS: Staff of Danish DCRs educate service users on health related issues and harm-reducing interventions. A subgroup who smoke and a subgroup of nationality other than Danish are underserved and have less likely been in OST. More research on these groups is needed.

AB - BACKGROUND: Drug consumption rooms (DCRs) have been implemented worldwide as a harm-reducing strategy. In 2012, Denmark passed legislation allowing establishment of DCRs. The aim of this study was to identify characteristics and gain knowledge of the way service users use the DCRs including bridge building to specialized health care. Associations between nationality, opioid substitution treatment (OST), drug intake method, and response to staff advice on harm-reducing education was investigated, as well as service user's reasons for using the DCRs, and their perceptions of safety and trust in the DCRs.METHODS: A survey questionnaire sampled 154 participants of DCRs. Convenience sampling was used. Key variables covered demographics, drug intake mode, educational advice received in the DCR, and opinions about and role of the DCRs for the service users.RESULTS: Only 10 % of the participants were under the age of 30, 30 % between 30 and 39 years, 36 % between 40 and 49 years, and 24 % age 50 or more. A total of 60 % of the participants had encountered drugs before they were 19 years old. Female participants were 25 %, and 73 % were Danish citizens, 8 % were non-Danish EU citizens, and 18 % were non-EU citizens. As drug intake method, 63 % injected drugs in a vein, 7 % sniffed, and 37 % smoked. Of drugs used in the DCR, 49 % used cocaine, 41 % heroin, 16 % a mix of heroin and cocaine, and 16 % used methadone. Participants who smoked drugs made significantly less use of drug rehabilitation than participants who sniffed or injected drugs. There was a similar rate of advice on OST across nationality. Participants accepted staff education on hygienic measures and safe injection practices and found it useful. Participants felt safe and trusted staff and bridge building to specialized health care took place in the DCR.CONCLUSIONS: Staff of Danish DCRs educate service users on health related issues and harm-reducing interventions. A subgroup who smoke and a subgroup of nationality other than Danish are underserved and have less likely been in OST. More research on these groups is needed.

KW - Adult

KW - Cross-Sectional Studies

KW - Denmark

KW - Drug Overdose/prevention & control

KW - Drug and Narcotic Control/methods

KW - Female

KW - Harm Reduction

KW - Humans

KW - Male

KW - Middle Aged

KW - Primary Health Care

KW - Self Report

KW - Substance Abuse Treatment Centers/methods

KW - Substance-Related Disorders/therapy

KW - Surveys and Questionnaires

KW - Young Adult

U2 - 10.1186/s12954-016-0115-0

DO - 10.1186/s12954-016-0115-0

M3 - Journal article

C2 - 27717366

VL - 13

SP - 13

EP - 27

JO - Harm reduction journal

JF - Harm reduction journal

SN - 1477-7517

IS - 1

ER -