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The impacts and service responses to injecting cathinones and novel opioids amongst marginalized drug using populations: a scoping review
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Orientador(es)
Resumo(s)
Background: A growing body of literature reports on the injection of synthetic cathinones (SC) and novel
synthetic opioids (NSO) in marginalized drug-using (MDU) populations. This review seeks to establish
what is known about the injection of SCs and NSOs impacts on MDUs.
Method: A six-stage iterative scoping literature review was conducted in relation to SCs, NSOs, MDU
impacts and service responses. Searches were conducted through Pubmed™ and Google Scholar™.
Results: Two Thousand and Ninety-Nine search items were retrieved. After duplicates were removed (n =
880), articles were screened for injecting drug use by MDUs leading to the removal of a further 1102
articles. Three articles were identified through a hand search, yielding a total of 22 articles for appraisal.
Conclusions: SC injection has largely dissipated in many regions due to service and policy responses and
changes in the drug market. Responses to NSO have been less effective, with extensive use and opioid
overdosing due to contamination and adulteration within the illicit drug market. These impacts have
stimulated innovative responses such as fentanyl test strips and housing-based consumption sites. The
evidence for their effectiveness is not established. In this context, the underlying environmental and
structural factors shaping the risk of these populations should be addressed.
Descrição
Palavras-chave
Synthetic cathinones Novel synthetic opioids High risk drug use Marginalized populations
Contexto Educativo
Citação
Editora
Taylor & Francis