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Impacts of the toxic unregulated drug supply are experienced across all geographic regions in Canada, with high rates of fatal and non-fatal overdoses nation-wide. In British Columbia, rates of overdose fatali...
Among people who inject drugs and use opioids, the vast majority have reported experiencing opioid withdrawal symptoms during the past six months. People who use opioids experience significant impediments from...
Syringe services programs (SSPs) reduce the risk of overdose by distributing supplies like naloxone. SSPs also support clients in meeting their basic needs via referrals to organizations providing food, housin...
This article is part of a Supplement: Volume 22 Supplement 1
This paper explores the perspectives of a group of people with lived and living expertise of unregulated drug use who worked as frontline harm reduction service providers and activists in Canada during the dua...
Substance use remains a pressing global public health concern and has shown a marked increase in recent years. This study investigates the characteristics and risk behaviors of individuals who use substances a...
A recent meta-analysis by Glantz et al. combined odds ratios (ORs) relating e-cigarette use (vaping) to cardiovascular disease, stroke, chronic obstructive pulmonary disease (COPD) and other endpoints. They as...
Globally, there has been a rapid increase in the availability of online gambling. As online gambling has increased in popularity, there has been a corresponding increase in online communities that discuss gamb...
More than one million people have died from drug overdose in the United States in the past 20 years. The overdose crisis started in the late 1990s with the proliferation of overdoses involving prescription opi...
This article is part of a Supplement: Volume 22 Supplement 1
This paper examines: (i) the acceptability of, and behavioural outcomes associated with, take-home fentanyl test strips (FTS), and (ii) support for, and preferences regarding, drug checking services among peop...
Death from opioid use is a growing public health concern, with stark racial and ethnic disparities. The randomized controlled trial described here aims to improve initiation and engagement in harm reduction se...
This article is part of a Supplement: Volume 22 Supplement 1
The party setting is a dynamic social environment where the world of drug use, the role of music, and a multiplicity of social interactions all converge, often marked by the disruption of social and temporal n...
Novel strategies are needed to engage people who use stimulants into the continuum of addiction care. Contingency management (CM) is the most effective intervention for stimulant use disorder and may engage no...
This article is part of a Supplement: Volume 22 Supplement 1
Adults who smoke cigarettes can benefit from switching completely to electronic nicotine delivery systems (ENDS). Research is needed to examine longer-term switching trajectories beyond one year of follow-up.
Drawing on a qualitative case study of cannabis compassion clubs and medical dispensaries in British Columbia (Canada), the main goal of this paper is to generate insights that have the potential to advance an...
Although there is indisputable evidence that supervised consumption services (SCS) help to keep people safe and decrease significant harms associated with substance use, the Canadian public often holds diverge...
In response to the ongoing drug toxicity crisis, driven by fentanyl and its analogues in the unregulated drug supply, Canada has funded several safer supply programs, which provide pharmaceutical-grade medicat...
Despite significant efforts to address the opioid overdose crisis, Black people who use drugs (PWUD) face unabating, disproportionate increases in opioid overdose death (OOD) rates. These inequities persist in...
Service providers at women’s harm reduction centers maintained direct contact with their clients throughout the COVID-19 pandemic, providing valuable insights into their evolving needs. This study aimed to exp...
Effective and comprehensive harm reduction strategies to mitigate gambling-related harms are needed worldwide. The development of such strategies is however resource intensive. Using existing models in multipl...
Black people in the United States face persistent and increasing inequities in addiction treatment access and drug overdose death. Incorporating people with lived experience through community based participato...
Prior work has suggested that harm-reduction policies (HRPs) are influenced by beliefs that the public hold about drug use. The current studies sought to explore if controllability beliefs about addiction are ...
The original article was published in Harm Reduction Journal 2025 22:28
Women who inject drugs (WWIDs) belong to a group of people with high-risk behaviors for contracting HIV. In Mozambique there is still limited coverage of combined HIV prevention strategies among WWIDs. These a...
The implementation of supervised smoking facilities (SSFs) as a harm reduction intervention has public health benefits for people who inhale drugs, but there are significant knowledge gaps surrounding the pers...
Permanent supportive housing (PSH) is the gold standard intervention for chronic homelessness, but PSH tenants face high risk for overdose due to a combination of individual and environmental risk factors. Lit...
Opioid-related deaths are increasing globally, and synthetic opioids intensify overdose risk. Naloxone can prevent fatalities, although too much can precipitate withdrawal and other negative reactions for the ...
Transgender (trans) and gender-diverse (TGD) people are a small but increasingly visible population who experience worsening marginalisation characterised by toxic political and media discourse, violent hate c...
The stigmatisation of gamblers, particularly those with a gambling disorder, and self-stigmatisation are considered substantial barriers to seeking help and treatment. To develop effective strategies to reduce...
Since the early days of the fight against HIV, zines have appeared to play a dual role: they encourage affected communities to voice their experiences and facilitate the exchange of information between researc...
Use of snus, including tobacco and nicotine pouches, is increasing in many countries. Nicotine increases blood pressure (BP) acutely, but the long-term effects of quitting the regular use of snus pouches are u...
In the context of online drug communities, the ethos of harm reduction comprises a set of ethical and practical principles that enable drug enthusiasts to shift stigma by normalizing certain behaviors to the d...
In 2017, Clark County, NV, implemented Public Health Vending Machines (PHVMs), an innovative approach to the dispensation of harm reduction supplies to persons who inject drugs (PWID), including sterile equipm...
Over a million people have died from overdose since 1999, over 600,000. of which involved opioids. Treatment options that focus on overdose prevention are desperately needed and buprenorphine treatment is a fo...
Harm reduction (HR) services are developing in Africa. In Senegal, the overall HR service coverage ratio is one WUD for every 10 men. By analysing gender-specific initiatives developed by HR stakeholders and e...
Understanding the hepatitis C virus (HCV) cascade of care (CoC) and factors associated with engagement is crucial for designing interventions for achieving HCV elimination. However, data on engagement in the H...
Reversing trends in substance use-related health inequities among Indigenous Peoples requires investments in epidemiological research anchored in community-based participatory research (CBPR) methodologies. Th...
Opioid agonist treatment (OAT) is a highly effective treatment option for people with opioid use disorder. The potent medications used create dilemmas regarding low or high thresholds to access treatment, pati...
Polysubstance use is common at electronic dance music (EDM) events and hazards associated with polysubstance use may be exacerbated when people who use drugs are unaware of the contents of their drug sample. R...
Reliable epidemiological data are limited on the lung cancer risk of groups using e-cigarettes (ECIGs) and groups using heated tobacco products (HTPs).
Since July 2022, the Australian government has required online wagering operators to send all active customers activity statements as part of the National Consumer Protection Framework in an effort to reduce g...
The increasing implementation of harm reduction strategies such as take-home naloxone has placed people who use drugs (PWUD) in the position of overdose responders during overdose events, but the perspectives ...
This commentary examines Australia’s intensified regulatory approach toward nicotine control, revealing a shift that increasingly resembles a de facto War on Nicotine. While traditional tobacco control measure...
A welfare-first approach to harm reduction at UK festivals is emerging as a critical strategy for enhancing festival safety. In particular, the implementation of anonymous, non-punitive drug-checking services ...
Interventions aimed to mitigate drug-related harm include drug checking, which invloves a chemical analysis of a drug sample alongside personalized harm reduction advise. The Drug Information and Monitoring Sy...
This project sought to contribute to healthy, safe organizational cultures within Vancouver’s hospital system healthcare system as one method to address indirect harms of the province’s drug toxicity and housi...
As in much of the United States, there have been significant increases in overdose deaths among non-Hispanic Black and Hispanic/Latinx populations in Rhode Island over the past decade. Given the shifting dynam...
Pharmacies often restrict access to over the counter (OTC) syringes. The objective of this study was to quantify the frequency that patients experience barriers when seeking to purchase a 10-pack of OTC syring...
Overdose prevention centres (OPCs) are spaces where people can consume previously obtained illicit drugs under the supervision of staff who can intervene to prevent and manage overdose. They have been provided...
The Australian Government introduced a major policy change tightening regulations regarding the access to nicotine containing e-cigarettes in October 2021. We assessed general practitioners’ (GPs) knowledge, a...
In many rural US Appalachian and Midwestern counties, stigma surrounding harm reduction interventions has led health professionals and policymakers to approach drug policy implementation with caution, fearing ...
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