title: Willingness to access an in-hospital supervised injection facility among hospitalized people who use illicit drugs.
abstract: BACKGROUND
  Despite the reliance on abstinence-based drug policies within hospital settings, illicit drug use is common among hospitalized patients with severe drug addiction. Hospitalized patients who use illicit drugs (PWUDs) have been known to resort to high-risk behavior to conceal their drug use from healthcare providers. Novel interventions with the potential to reduce high-risk behavior among PWUDs in hospital settings have not been well studied.
  
  
  OBJECTIVE
  The objective of the study was to examine factors associated with willingness to access an in-hospital supervised injection facility (SIF).
  
  
  METHODS
  Data were derived from participants enrolled in 2 Canadian prospective cohort studies involving PWUDs between June 2013 and November 2013. A cross-sectional study surveying various sociodemographic characteristics, drug use patterns, and experiences was conducted.
  
  
  METHODS
  Vancouver, Canada.
  
  
  METHODS
  Bivariable and multivariable logistic regression analyses were used to explore factors significantly associated with willingness to access an in-hospital SIF.
  
  
  RESULTS
  Among 732 participants, 499 (68.2%) would be willing to access an in-hospital SIF. In multivariable analyses, factors positively and significantly associated with willingness to access an in-hospital SIF included: daily heroin injection (adjusted odds ratio [AOR] = 1.90; 95% confidence interval [CI]: 1.20-3.11); having used illicit drugs in hospital (AOR = 1.63; 95% CI: 1.18-2.26); and having recently used an SIF (AOR = 1.53; 95% CI: 1.10-2.15).
  
  
  CONCLUSIONS
  Our findings highlight the potential of in-hospital SIFs to complement existing harm reduction programs that serve PWUD. Moreover, an in-hospital SIF may minimize the harms associated with high-risk illicit drug use in the hospital.
authors.affiliation: British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, British Columbia, Canada; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Lianping
authors.initials: L
authors.lastname: Ti
authors.forename: Jane
authors.initials: J
authors.lastname: Buxton
authors.forename: Scott
authors.initials: S
authors.lastname: Harrison
authors.forename: Sabina
authors.initials: S
authors.lastname: Dobrer
authors.forename: Julio
authors.initials: J
authors.lastname: Montaner
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
mesh_terms: D000328:Adult; D002170:Canada; D003430:Cross-Sectional Studies; D055030:Drug Users / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D013287:Illicit Drugs; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D018671:Needle-Exchange Programs / Q000706:statistics & numerical data*; D011446:Prospective Studies; D015819:Substance Abuse, Intravenous / Q000453:epidemiology / Q000523:psychology*
chemical_list: D013287:Illicit Drugs