title: Circumstances of first injection among illicit drug users accessing a medically supervised safer injection facility.
abstract: There have been concerns that safer injecting facilities may promote initiation into injection drug use. We examined length of injecting career and circumstances surrounding initiation into injection drug use among 1065 users of North America's first safer injecting facility and found that the median years of injection drug use were 15.9 years, and that only 1 individual reported performing a first injection at the safer injecting facility. These findings indicate that the safer injecting facility's benefits have not been offset by a rise in initiation into injection drug use.
authors.affiliation: British Columbia Centre for Excellence in HIV/AIDS, Vancouver. tkerr@cfenet.ubc.ca
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
authors.forename: Mark W
authors.initials: MW
authors.lastname: Tyndall
authors.forename: Ruth
authors.initials: R
authors.lastname: Zhang
authors.forename: Calvin
authors.initials: C
authors.lastname: Lai
authors.forename: Julio S G
authors.initials: JS
authors.lastname: Montaner
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
mesh_terms: D000328:Adult; D001955:British Columbia; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D040261:Harm Reduction; D006801:Humans; D008297:Male; D008875:Middle Aged; D018671:Needle-Exchange Programs / Q000458:organization & administration*; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D015819:Substance Abuse, Intravenous / Q000517:prevention & control*