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Journal of Public Health Advance Access published online on January 17, 2007
Journal of Public Health, doi:10.1093/pubmed/fdl090
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© The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Article

Changes in injecting practices associated with the use of a medically supervised safer injection facility

Jo-Anne Stoltz 1 *, Evan Wood 2, Will Small 1, Kathy Li 1, Mark Tyndall 2, Julio Montaner 2, and Thomas Kerr 1

1 Clinical Activities, British Columbia Centre of Excellence in HIV/AIDS, Vancouver, Canada
2 Clinical Activities, British Columbia Centre of Excellence in HIV/AIDS, Vancouver, Canada; Faculty of Medicine, University of British Columbia, Vancouver, Canada

* To whom correspondence should be addressed.
Jo-Anne Stoltz, E-mail: jstoltz{at}cfenet.ubc.ca


  Abstract

Injection drug users (IDUs) are vulnerable to serious health complications resulting from unsafe injection practices. We examined whether the use of a supervised safer injection facility (SIF) promoted change in injecting practices among a representative sample of 760 IDUs who use a SIF in Vancouver, Canada. Consistent SIF use was compared with inconsistent use on a number of self-reported changes in injecting practice variables. More consistent SIF use is associated with positive changes in injecting practices, including less reuse of syringes, use of sterile water, swabbing injection sites, cooking/filtering drugs, less rushed injections, safe syringe disposal and less public injecting.

Keywords: epidemiology, HIV/AIDS, prevention, substance abuse.
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