Potier Chloé, Laprévote Vincent, Dubois-Arber Françoise, Cottencin Olivier, Rolland Benjamin
Department of Addiction Medicine, CHRU de Lille, Univ Lille Nord de France, F-59037 Lille, France; University of Lille 2, Faculty of Medicine, F-59045 Lille, France.
CHU Nancy, Maison des Addictions, Nancy F-54000, France; CHU Nancy, Centre d'Investigation Clinique CIC-INSERM 9501, Nancy F-54000, France.
Drug Alcohol Depend. 2014 Dec 1;145:48-68. doi: 10.1016/j.drugalcdep.2014.10.012. Epub 2014 Oct 23.
Supervised injection services (SISs) have been developed to promote safer drug injection practices, enhance health-related behaviors among people who inject drugs (PWID), and connect PWID with external health and social services. Nevertheless, SISs have also been accused of fostering drug use and drug trafficking.
To systematically collect and synthesize the currently available evidence regarding SIS-induced benefits and harm.
A systematic review was performed via the PubMed, Web of Science, and ScienceDirect databases using the keyword algorithm [("supervised" or "safer") and ("injection" or "injecting" or "shooting" or "consumption") and ("facility" or "facilities" or "room" or "gallery" or "centre" or "site")].
Seventy-five relevant articles were found. All studies converged to find that SISs were efficacious in attracting the most marginalized PWID, promoting safer injection conditions, enhancing access to primary health care, and reducing the overdose frequency. SISs were not found to increase drug injecting, drug trafficking or crime in the surrounding environments. SISs were found to be associated with reduced levels of public drug injections and dropped syringes. Of the articles, 85% originated from Vancouver or Sydney.
SISs have largely fulfilled their initial objectives without enhancing drug use or drug trafficking. Almost all of the studies found in this review were performed in Canada or Australia, whereas the majority of SISs are located in Europe. The implementation of new SISs in places with high rates of injection drug use and associated harms appears to be supported by evidence.
监督注射服务（SISs）的发展旨在促进更安全的药物注射行为，增强注射吸毒者（PWID）的健康相关行为，并使注射吸毒者与外部健康和社会服务建立联系。然而，监督注射服务也被指责助长了吸毒和贩毒行为。
系统收集和综合目前关于监督注射服务带来的益处和危害的现有证据。
通过PubMed、科学网和ScienceDirect数据库进行系统综述，使用关键词算法[（“监督的”或“更安全的”）和（“注射”或“注射行为”或“注射毒品”或“吸毒”）和（“设施”或“场所”或“房间”或“注射室”或“中心”或“地点”）]。
共找到75篇相关文章。所有研究一致发现，监督注射服务在吸引最边缘化的注射吸毒者、促进更安全的注射条件、增加获得初级卫生保健的机会以及降低过量用药频率方面是有效的。未发现监督注射服务会增加周围环境中的药物注射、贩毒或犯罪行为。发现监督注射服务与公共场合药物注射水平降低和注射器丢弃减少有关。这些文章中，85%来自温哥华或悉尼。
监督注射服务在很大程度上实现了其最初目标，而没有助长吸毒或贩毒行为。本综述中发现的几乎所有研究都是在加拿大或澳大利亚进行的，而大多数监督注射服务场所位于欧洲。在注射吸毒率高且存在相关危害的地方实施新的监督注射服务似乎有证据支持。
