Historique
Article de Périodique
Supervised injection services: What has been demonstrated? A systematic literature review (2014)
Auteur(s) :
POTIER, C. ;
LAPREVOTE, V. ;
DUBOIS-ARBER, F. ;
COTTENCIN, O. ;
ROLLAND, B.
Année
2014
Page(s) :
48-68
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
SALLE DE CONSOMMATION A MOINDRE RISQUE
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
INJECTION
;
USAGER
;
ACCES AUX SOINS
;
OPINION
Résumé :
Background: Supervised injection services (SISs) have been developed to promote safer drug injection practices, enhance health-related behaviors among people who inject drugs (PWID), and connect PWID with external health and social services. Nevertheless, SISs have also been accused of fostering drug use and drug trafficking.
Aims: To systematically collect and synthesize the currently available evidence regarding SIS-induced benefits and harm. Methods A systematic review was performed via the PubMed, Web of Science, and ScienceDirect databases using the keyword algorithm [("SUPERVISED" OR "SAFER") AND ("INJECTION" OR "INJECTING" OR "SHOOTING" OR "CONSUMPTION") AND ("FACILITY" OR "FACILITIES" OR "ROOM" OR "GALLERY" OR "CENTRE" OR "SITE")].
Results: Seventy-five relevant articles were found. All studies converged to find that SISs were efficacious in attracting the most marginalized PWID, promoting safer injection conditions, enhancing access to primary health care, and reducing the overdose frequency. SISs were not found to increase drug injecting, drug trafficking or crime in the surrounding environments. SISs were found to be associated with reduced levels of public drug injections and dropped syringes. Of the articles, 85% originated from Vancouver or Sydney.
Conclusion: SISs have largely fulfilled their initial objectives without enhancing drug use or drug trafficking. Almost all of the studies found in this review were performed in Canada or Australia, whereas the majority of SISs are located in Europe. The implementation of new SISs in places with high rates of injection drug use and associated harms appears to be supported by evidence.
Highlights:
Supervised injection services (SISs) aim to reduce harm among drug users.
SISs have also been accused of fostering drug use and drug trafficking.
All studies converged to find that SISs fulfilled their harm-reduction objectives.
SISs were not found to increase drug use or crime.
85% of the studies of the literature originated from Vancouver or Sydney.
Aims: To systematically collect and synthesize the currently available evidence regarding SIS-induced benefits and harm. Methods A systematic review was performed via the PubMed, Web of Science, and ScienceDirect databases using the keyword algorithm [("SUPERVISED" OR "SAFER") AND ("INJECTION" OR "INJECTING" OR "SHOOTING" OR "CONSUMPTION") AND ("FACILITY" OR "FACILITIES" OR "ROOM" OR "GALLERY" OR "CENTRE" OR "SITE")].
Results: Seventy-five relevant articles were found. All studies converged to find that SISs were efficacious in attracting the most marginalized PWID, promoting safer injection conditions, enhancing access to primary health care, and reducing the overdose frequency. SISs were not found to increase drug injecting, drug trafficking or crime in the surrounding environments. SISs were found to be associated with reduced levels of public drug injections and dropped syringes. Of the articles, 85% originated from Vancouver or Sydney.
Conclusion: SISs have largely fulfilled their initial objectives without enhancing drug use or drug trafficking. Almost all of the studies found in this review were performed in Canada or Australia, whereas the majority of SISs are located in Europe. The implementation of new SISs in places with high rates of injection drug use and associated harms appears to be supported by evidence.
Highlights:
Supervised injection services (SISs) aim to reduce harm among drug users.
SISs have also been accused of fostering drug use and drug trafficking.
All studies converged to find that SISs fulfilled their harm-reduction objectives.
SISs were not found to increase drug use or crime.
85% of the studies of the literature originated from Vancouver or Sydney.
Affiliation :
Department of Addiction Medicine, CHRU de Lille, Université Lille Nord de France, Lille, France