Cited by 261HIV, Drug Use, Sexual RiskForensic Toxicology and Drug AnalysisSubstance Abuse Treatment and Outcomes

The DOI matches its Crossref record; 86 of the 87 references it cites were found in a registry or an index.

Drug checking services for people who use drugs: a systematic review

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Abstract

Background and Aims: Drug checking services provide people who use drugs with chemical analysis results of their drug samples while simultaneously monitoring the unregulated drug market. We sought to identify and synthesize literature on the following domains: (a) the influence of drug checking services on the behaviour of people who use drugs; (b) monitoring of drug markets by drug checking services; and (c) outcomes related to models of drug checking services. Methods: Systematic review. A systematic literature search was conducted in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, PsycINFO, Scopus, Web of Science and Dissertations and Theses Global. Eligible studies were peer‐reviewed articles and conference abstracts or grey literature, published in any language since 1990 and including original data on the domains. We assessed risk of bias for quantitative peer‐reviewed articles reporting on behaviour or models of drug checking services using National Institutes of Health tools. Results: We screened 2463 titles and abstracts and 156 full texts, with 90 studies meeting inclusion criteria. Most ( n = 65, 72.2%) were from Europe and used cross‐sectional designs ( n = 79, 87.7%). Monitoring of drug markets by drug checking services ( n = 63, 70%) was the most reported domain, followed by the influence of drug checking services on behaviour ( n = 31, 34.4%), including intent to use, actual use and disposal of the drug, and outcomes related to models of drug checking services ( n = 17, 18.9%). The most common outcome measures were detection of unexpected substances ( n = 50, 55.6%), expected substances ( n = 44, 48.9%), new psychoactive substances ( n = 40, 44.4%) and drugs of concern ( n = 32, 36.5%) by drug checking services. Conclusions: Drug checking services appear to influence behavioural intentions and the behaviour of people who use drugs, particularly when results from drug checking services are unexpected or drugs of concern. Monitoring of drug markets by drug checking services is well established in Europe, and increasingly in North America. Concerns about drug contents and negative health consequences facilitate the use of drug checking services; lack of concern; trust in drug sellers; lack of accessibility of drug checking services; and legal and privacy concerns are barriers to use.

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Research works printed but not linked: 20

  1. Kriener H, 2001, An Inventory of On‐site Pill‐testing Interventions in the EU
  2. Barratt M, 2018, Global Review of Drug Checking Services Operating in 2017
  3. 2018, Fentanyl Overdose Reduction Checking Analysis Study (FORECAST)
  4. Kerr T, 2017, Drug Checking as a Harm Reduction Intervention
  5. Leece P, 2017, Evidence Brief: Drug checking Services as a Harm Reduction Intervention
  6. 2014, National Institutes of Health. Quality Assessment Tool for Observational Cohort and Cross‐sectional Studies
  7. National Institutes of Health, 2014, Quality Assessment Tool for Before‐After (Pre‐Post) Studies With No Control Group
  8. Harm Reduction Coalition, 2018, Fentanyl Test Strip Pilot: San Francisco August 2017–January 2018
  9. Wijngaart G, 1998, Ecstasy and the Dutch Rave Scene: A Socio‐Epidemiological Study on the Nature and Extent of, and the Risks Involved in Using Ecstasy and Other Party Drugs at Dance Events
  10. Knox A. 2018/2019 Results, 2019, KnowYourStuffNZ
  11. Morris V, 2016, Results Report Satisfaction Survey and Change of Behaviour Échele Cabeza 2016
  12. Kriener H, 2005, Information, counselling and safer use measures at raves in Austria
  13. 2017/2018 Results, 2018, KnowYourStuffNZ
  14. Royal Society for Public Health, 2017, Drug Safety Testing at Festivals and Night Clubs
  15. Michelow W, 2015, ‘Start Small, Take it Easy’: Results from the ANKORS Harm Reduction Survey at the 2013 Shambhala Music Festival
  16. Korf D, 2003, Testing pills in the Netherlands: An investigation into strengthening the monitor for recreational drugs
  17. Koeter M, 1997, Get your ecstasy tested!: Evaluation of the test service of the Brijder Foundation
  18. Sibbald K, 2014, Adulterants in tablets sold as ecstasy in the US from 2009–2013, Clin Toxicol, 52, 704
  19. Delile J‐M, 2002, Ecstasy and risk reduction: The place of "testing" and substance analyses, Alcool Addictol, 24, 311
  20. United Nations Office on Drugs and Crime (UNODC), 2013, The Challenge of New Psychoactive Substances

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Metadata

Authors
Maghsoudi, N., Tanguay, J., Scarfone, K., Rammohan, I., Ziegler, C., Werb, D., & Scheim, A. I.
Affiliations
  • St. Michael's Hospital (CA)
  • University of Toronto (CA)
  • Unity Health Toronto (CA)
Corresponding author
Werb, Dan
Venue
Addiction
Publisher
Wiley
Published
2021-12-12
Volume
117
Issue
3
Pages
532-544
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
OpenAlex
W3208716282
Cited by
261
References
87
Citations by year
2026: 47 · 2025: 64 · 2024: 72 · 2023: 46 · 2022: 30 · 2021: 2
FWCI
5.74
Type
journal article
Language
en
Open access
Locations
  • Addiction (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
  • Canadian Institutes of Health Research
  • Ontario Ministry of Research, Innovation and Science
  • St. Michael's Hospital Foundation
Topics
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
drug checking, drug users, drug use behavior, new psychoactive substances, drug disposal, barriers to service use, chemical analysis of drugs
MeSH terms
Cross-Sectional Studies, Delivery of Health Care, Europe, Humans, North America, United States, Substance-Related Disorders, Drug Users

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