Impact of 24-hour schedule of a drug consumption room on service use and number of non-fatal overdoses. A quasiexperimental study in Barcelona
Por:
Montero-Moraga, JM, Garrido-Albaina, A, Barbaglia, MG, Gotsens, M, Aranega, D, Espelt, A, Pares-Badell, O
Publicada:
1 jul 2020
Resumen:
Background: The opening hours of drug consumption rooms could constitute a barrier to access among people who use drugs (PWUD). CAS Baluard is an outpatient substance use care center in Barcelona, which provides a drug consumption room in Barcelona among other services. The objectives of our study were to compare the client profile, the facility use, the drugs used, and the number of non-fatal overdose episodes between (1) a 15-hour opening period of a drug consumption room versus a 24-hour opening period; and (2) between daytime and nighttime during the 24-hour period.
Methods: Data from CAS Baluard was obtained from March-June (15-hour opening period) and July-October (24-hour opening period), 2018. The sociodemographic characteristics of clients were gathered in both periods and in the daytime and nighttime client groups in the 24-hour period. Finally, associations were estimated between facility use and period and between facility use and opening hours.
Results: There were 1,089 clients in the 15-hour period and 1,262 in the 24-hour period. There were no sociodemographic differences in the clients between periods. During nighttime, there was a higher proportion of women (17%) and homeless people (47%) than during daytime (12% and 30%, respectively). Injected cocaine use was more frequent during nighttime (34%) than during daytime (25%) and injected heroin use was less frequent during nighttime (17%) than during daytime (24%). There was a non-significant increase in non-fatal overdose risk during nighttime (PR 3.9 95%CI 0.98-15.64). However, when we analyzed heroin use alone, the increase in non-fatal overdose risk was significant (PR 4.69 95%CI 1.17-18.75).
Conclusion: During nighttime, attendance at the facility was higher among women, homeless people, and people who used stimulants. Our results point to a possible increase in overdose risk during nighttime, when most drug consumption rooms are closed.
Filiaciones:
Montero-Moraga, JM:
Prevent Med & Publ Hlth Training Unit H Mar UPF A, Passeig Maritim 25-29, Barcelona 08003, Spain
Garrido-Albaina, A:
Agencia Salut Publ Barcelona, Lesseps 1, Barcelona 08023, Spain
Barbaglia, MG:
Agencia Salut Publ Barcelona, Lesseps 1, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Gotsens, M:
Agencia Salut Publ Barcelona, Lesseps 1, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Aranega, D:
Agencia Salut Publ Barcelona, Lesseps 1, Barcelona 08023, Spain
Espelt, A:
Univ Vic Univ Cent Catalunya UVicUCC, Fac Ciencies Salut Manresa, Av Univ 46, Manresa 08242, Spain
CIBER Epidemiol & Salud Publ, Madrid, Spain
Univ Autonoma Barcelona UAB, Dept Psicobiol & Metodol Ciencies Salut, Bellaterra 08193, Spain
Pares-Badell, O:
Agencia Salut Publ Barcelona, Lesseps 1, Barcelona 08023, Spain
Univ Pompeu Fabra, Barcelona, Spain
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