British Columbia Centre for Excellence in HIV/AIDS, Canada.
Drug Alcohol Depend. 2012 Jan 1;120(1-3):28-34. doi: 10.1016/j.drugalcdep.2011.06.015. Epub 2011 Jul 18.
Limited attention has been given to the potential role that the structure of housing available to people who are entrenched in street-based drug scenes may play in influencing the amount of time injection drug users (IDU) spend on public streets. We sought to examine the relationship between time spent socializing in Vancouver's drug scene and access to private space.
Using multivariate logistic regression we evaluated factors associated with socializing (three+ hours each day) in Vancouver's open drug scene among a prospective cohort of IDU. We also assessed attitudes towards relocating socializing activities if greater access to private indoor space was provided.
Among our sample of 1114 IDU, 43% fit our criteria for socializing in the open drug scene. In multivariate analysis, having limited access to private space was independently associated with socializing (adjusted odds ratio: 1.80, 95% confidence interval: 1.28-2.55). In further analysis, 65% of 'socializers' reported positive attitudes towards relocating socializing if they had greater access to private space.
These findings suggest that providing IDU with greater access to private indoor space may reduce one component of drug-related street disorder. Low-threshold supportive housing based on the 'housing first' model that include safeguards to manage behaviors associated with illicit drug use appear to offer important opportunities to create the types of private spaces that could support a reduction in street disorder.
对于居住在街头吸毒场所的人来说，他们可获得的住房结构可能会对影响注射吸毒者（IDU）在公共街道上花费的时间量产生影响，但人们对此关注有限。我们试图研究温哥华毒品场所有关社交时间与私人空间获取之间的关系。
我们使用多变量逻辑回归，评估了在温哥华的一个前瞻性 IDU 队列中，与在公开毒品场所进行社交（每天超过 3 小时）相关的因素。我们还评估了如果提供更多私人室内空间，人们对重新安排社交活动的态度。
在我们的 1114 名 IDU 样本中，有 43% 的人符合在公开毒品场所进行社交的标准。在多变量分析中，私人空间获取有限与社交（调整后的优势比：1.80，95%置信区间：1.28-2.55）独立相关。进一步分析表明，如果 IDU 能获得更多私人空间，那么 65%的“社交者”表示愿意重新安排社交活动。
这些发现表明，为 IDU 提供更多的私人室内空间可能会减少与毒品相关的街道混乱的一个组成部分。基于“先住房，再治疗”模式的低门槛支持性住房，包括管理与非法药物使用相关行为的保障措施，似乎为创造支持减少街道混乱的私人空间提供了重要机会。
