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Table 1 Bivariable analyses of factors associated with a decrease in frequency of use of SCS/OPS since COVID-19 among people who use drugs in Vancouver (n = 428)

From: The impact of the COVID-19 pandemic on access to supervised consumption programs

Frequency of SCS/OPS use since COVID-19 pandemic

Characteristic

Less n (%)

63 (14.8%)

More/Same n (%)

364 (85.3%)

Odds Ratio (95% CI)

p – value

Age (median, IQR)

45 (39–53)

52 (43–58)

0.95 (0.92–0.98)

0.000

Self-identified Gender

 Female/Other

24 (45.3)

160 (45.2)

1.00 (0.54–1.78)

0.991

 Male

29 (54.7)

194 (54.8)

  

Ethnicity/Ancestry

 White

30 (56.6)

191 (54.3)

0.91 (0.51–1.63)

0.750

 BIPOCb

23 (43.4)

161 (45.7)

  

Education

 Other

24 (45.3)

182 (52.3)

1.32 (0.74–2.37)

0.341

 Highschool or greater

29 (54.7)

166 (47.7)

  

Employment

 Yes

21 (33.3)

124 (34.1)

0.97 (0.55–1.71)

0.910

 No

42 (66.7)

240 (65.9)

  

DTES Residencea

 Yes

39 (61.9)

219 (60.2)

1.08 (0.62–1.87)

0.794

 No

24 (38.1)

145 (39.8)

  

Daily Rx Opioids Usea

 Yes

3 (4.8)

6 (1.7)

2.98 (0.72–12.22)

0.113

 No

60 (95.2)

357 (98.4)

  

Daily Cocaine Usea

 Yes

1 (1.6)

12 (3.3)

0.47 (0.06–3.70)

0.466

 No

62 (98.4)

352 (96.7)

  

Daily Crystal Meth Usea

 Yes

13 (20.6)

59 (16.2)

1.34 (0.69–2.63)

0.386

 No

50 (79.4)

305 (83.8)

  

Daily Crack Non-Injectiona

    

 Yes

6 (9.5)

54 (14.8)

0.60 (0.25–1.47)

0.263

 No

57 (90.5)

310 (85.2)

  

Benzodiazepine usea

 Yes

4 (6.4)

10 (2.8)

2.40 (0.73–7.90)

0.138

 No

59 (93.7)

354 (97.3)

  

Suspected Fentanyl Exposurea

 Yes

56 (88.9)

233 (66.2)

4.09 (1.81–9.24)

0.000

 No

7 (11.1)

119 (33.8)

  

Used Drug Alonea

 Yes

46 (82.1)

187 (79.9)

1.16 (0.54–2.46)

0.706

 No

10 (17.9)

47 (20.1)

  

OATac

 Yes

48 (76.2)

232 (64.1)

1.79 (0.97–3.33)

0.062

 No

15 (23.8)

130 (35.9)

  

Non-fatal Overdosea

 Yes

12 (19.1)

64 (17.7)

1.10 (0.55–2.17)

0.794

 No

51 (81.0)

298 (82.3)

  

Witnessed Overdosea

 Yes

40 (65.6)

186 (51.7)

1.78 (1.01–3.14)

0.044

 No

21 (34.4)

174 (48.3)

  

Experienced Physical Violence

 Yes

12 (19.1)

50 (13.7)

1.48 (0.74–2.96)

0.269

 No

51 (81.0)

314 (86.3)

  

Equipment Sharinga

 Yes

17 (27.9)

82 (23.6)

1.25 (0.68–2.30)

0.476

 No

44 (72.1)

265 (76.4)

  

Inability to access treatmenta

 Yes

1 (1.6)

6 (1.7)

0.99 (0.12–8.36)

0.992

 No

60 (98.4)

356 (98.3)

  

Unstable Housinga

 Yes

44 (69.8)

192 (53.2)

2.04 (1.15–3.63)

0.014

 No

19 (30.2)

169 (46.8)

  

Sex worka

 Yes

4 (6.5)

43 (11.8)

0.51 (0.18–1.49)

0.213

 No

58 (93.6)

321 (88.2)

  

Incarcerationa

 Yes

3 (4.8)

8 (2.2)

2.21 (0.57–8.58)

0.239

 No

60 (95.2)

354 (97.8)

  

Jacked upa

 Yes

4 (6.4)

15 (4.2)

1.56 (0.50–4.86)

0.440

 No

59 (93.7)

345 (95.8)

  

Cohort

 VIDUS

39 (61.9)

198 (54.4)

1.36 (0.79–2.36)

0.268

 ACCESS

24 (38.1)

166 (45.6)

  

Believe Infected with Covid

 Yes

5 (8.1)

22 (6.2)

1.34 (0.49–3.68)

0.596

 No

57 (91.9)

336 (93.9)

  

Concern about COVID

 1–5

27 (43.6)

179 (49.6)

0.78 (0.46–1.35)

0.380

 6–10

35 (56.5)

182 (50.4)

  

Any chronic health conditions

 Yes

52 (82.5)

303 (83.9)

0.90 (0.45–1.84)

0.782

 No

11 (17.5)

58 (16.1)

  

Ease of Accessing SCS/OPS changed since COVID-19

 Harder

19 (49.2)

37 (12.5)

6.77 (3.66–12.53)

< 0.001

 Same/Easier

30 (50.9)

259 (87.5)

  
  1. Unless otherwise specified, drug use includes injection and non-injection consumption
  2. aDenotes behaviours/exposures in the past 6 months
  3. bBIPOC Black, Indigenous, or other people of colour
  4. cOAT Opioid agonist therapy