Pijl Em M, Golding Michael, Gudi Sai Krishna, Nayak Nichole, Serieux John, Fries Christopher J, Billings Annie, Shaw Souradet, Rabbani Rasheda, Laurencelle Francine, Guest Corey, Mexico Jonny
University of Manitoba, Winnipeg, Canada.
Winnipeg Fire Paramedic Service, Winnipeg, Canada.
Harm Reduct J. 2025 Apr 29;22(1):69. doi: 10.1186/s12954-025-01208-w.
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 divergent and polarized views towards SCS. Polarized perspectives can be resistant to evidence and can prevent productive discourse that might otherwise lead to better public health services and outcomes.
The main objective of the study was to determine the degree to which individuals' moral foundations predict attitudes toward SCS and whether attitudes are impacted by stigmatizing views of, and proximity to, people who use drugs.
The study was based upon conceptual frameworks related to moral foundations theory (MFT), stigma, and personal experience with people who use drugs (PWUD), using associated instruments to determine alignment with public attitudes towards SCS. A series of hierarchical multiple linear regression analyses were employed to identify variables that significantly predict support for SCS.
The panel sample comprised 2116 participants from the three prairie provinces in Canada (Manitoba, n = 716; Saskatchewan, n = 700; and Alberta, n = 700). Higher scores on the Harm/Care and Fairness/Reciprocity subscales were associated with higher levels of support for SCS. Conversely, higher scores on the Authority/Respect and Purity/Sanctity subscales predicted lower levels of support for SCS. Greater support for SCS was found to be predicted by lower levels of stigma towards people who use drugs. Overall, participants from Alberta and Saskatchewan were less supportive of SCS than those from Manitoba, although Manitoba lacked an SCS at the time of the study.
The results enhance our understanding of factors that predict support levels for SCS among the public in Canada's Prairie Provinces. These findings can inform researchers, policy and decision-makers in developing strategies for bringing the public on board to increase the acceptance of SCS in their communities by specifically addressing underlying concerns that may not be overtly articulated by those with opposing views.
尽管有确凿证据表明监督下消费服务（SCS）有助于保障人们的安全并减少与物质使用相关的重大危害，但加拿大公众对SCS往往持有不同且两极分化的观点。两极分化的观点可能抗拒证据，并可能阻碍富有成效的讨论，而这种讨论原本可能带来更好的公共卫生服务和结果。
该研究的主要目的是确定个人的道德基础在多大程度上预测对SCS的态度，以及态度是否受到对吸毒者的污名化看法和与吸毒者的亲近程度的影响。
该研究基于与道德基础理论（MFT）、污名以及与吸毒者（PWUD）的个人经历相关的概念框架，使用相关工具来确定与公众对SCS态度的一致性。采用一系列分层多元线性回归分析来确定显著预测对SCS支持的变量。
样本小组由来自加拿大三个草原省份（曼尼托巴省，n = 716；萨斯喀彻温省，n = 700；艾伯塔省，n = 700）的2116名参与者组成。伤害/关怀和公平/互惠子量表得分较高与对SCS的支持水平较高相关。相反，权威/尊重和纯洁/神圣子量表得分较高则预测对SCS的支持水平较低。对吸毒者的污名化程度较低被发现可预测对SCS的更大支持。总体而言，艾伯塔省和萨斯喀彻温省的参与者对SCS的支持低于曼尼托巴省的参与者，尽管在研究时曼尼托巴省没有SCS。
研究结果增进了我们对加拿大草原省份公众中预测SCS支持水平的因素的理解。这些发现可为研究人员、政策制定者和决策者提供信息，以制定策略，通过具体解决可能未被反对者明确表达的潜在担忧，使公众支持在其社区增加对SCS的接受度。
