Harm Reduction Journal

Article	Citations
“It’s like ‘liquid handcuffs”: The effects of take-home dosing policies on Methadone Maintenance Treatment (MMT) patients’ lives	86
Estimation of the global number of e-cigarette users in 2020	83
Ethical and legal issues in psychedelic harm reduction and integration therapy	54
Telehealth for opioid use disorder treatment in low-barrier clinic settings: an exploration of clinician and staff perspectives	45
High concentrations of illicit stimulants and cutting agents cause false positives on fentanyl test strips	44
Xylazine detected in unregulated opioids and drug administration equipment in Toronto, Canada: clinical and social implications	43
Peer support workers as a bridge: a qualitative study exploring the role of peer support workers in the care of people who use drugs during and after hospitalization	42
A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone	41
Racial/ethnic disparities in opioid overdose prevention: comparison of the naloxone care cascade in White, Latinx, and Black people who use opioids in New York City	41
Implementation of a medical student-run telemedicine program for medications for opioid use disorder during the COVID-19 pandemic	41
The impact of COVID-19 on people who inject drugs in New York City: increased risk and decreased access to services	40
Smoking prevalence among hospitalized COVID-19 patients and its association with disease severity and mortality: an expanded re-analysis of a recent publication	40
The impact of the COVID-19 pandemic on harm reduction services in Spain	39
Meeting people where they are: implementing hospital-based substance use harm reduction	38
‘They already operated like it was a crisis, because it always has been a crisis’: a qualitative exploration of the response of one homeless service in Scotland to the COVID-19 pandemic	36
How effective are electronic cigarettes for reducing respiratory and cardiovascular risk in smokers? A systematic review	35
Convenience and comfort: reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada	34
The Bronze Age of drug checking: barriers and facilitators to implementing advanced drug checking amidst police violence and COVID-19	34
Police discretion in encounters with people who use drugs: operationalizing the theory of planned behavior	34
The health impact of smokeless tobacco products: a systematic review	33
“Running myself ragged”: stressors faced by peer workers in overdose response settings	33
Opioid overdose crises during the COVID-19 pandemic: implication of health disparities	33
Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample	32
Uptake of COVID-19 vaccination among people who inject drugs	32
The impact of the COVID-19 pandemic on illicit drug supply, drug-related behaviour of people who use drugs and provision of drug related services in Georgia: results of a mixed methods prospective coh	30

“They say it’s fentanyl, but they honestly look like Perc 30s”: Initiation and use of counterfeit fentanyl pills	29
Adapting harm reduction services during COVID-19: lessons from the supervised injecting facilities in Australia	28
‘I perceive it to be less harmful, I have no idea if it is or not:’ a qualitative exploration of the harm perceptions of IQOS among adult users	26
Health literacy and changes in pattern of drug use among participants at the Stockholm Needle Exchange Program during the COVID-19 pandemic	26
Reducing the harms of xylazine: clinical approaches, research deficits, and public health context	25
Investigating the impact of COVID-19 on performance and image enhancing drug use	24
Medical cannabis use in Australia: consumer experiences from the online cannabis as medicine survey 2020 (CAMS-20)	24
Rapid evidence review of harm reduction interventions and messaging for people who inject drugs during pandemic events: implications for the ongoing COVID-19 response	24
Impact of COVID-19 among people who use drugs: A qualitative study with harm reduction workers and people who use drugs	23
Therapy of chronic hepatitis C in people who inject drugs: focus on adherence	23
Harm reduction via online platforms for people who use drugs in Russia: a qualitative analysis of web outreach work	23
Decolonizing drug policy	23
Hoots and harm reduction: a qualitative study identifying gaps in overdose prevention among women who smoke drugs	23
Willingness to use a wearable device capable of detecting and reversing overdose among people who use opioids in Philadelphia	23
Having a voice and saving lives: a qualitative survey on employment impacts of people with lived experience of drug use working in harm reduction	22
A qualitative investigation exploring why dance festivals are risky environments for drug use and potential adverse outcomes	22
Drug use, homelessness and health: responding to the opioid overdose crisis with housing and harm reduction services	22
The impact of an integrated safer use space and safer supply program on non-fatal overdose among emergency shelter residents during a COVID-19 outbreak: a case study	21
“We want everything in a one-stop shop”: acceptability and feasibility of PrEP and buprenorphine implementation with mobile syringe services for Black people who inject drugs	21
Peer driven or driven peers? A rapid review of peer involvement of people who use drugs in HIV and harm reduction services in low- and middle-income countries	21
Real-world study of multiple naloxone administration for opioid overdose reversal among bystanders	20
Factors associated with drug checking service utilization among people who use drugs in a Canadian setting	19
How do naloxone-based interventions work to reduce overdose deaths: a realist review	19
Pharmacist attitudes and provision of harm reduction services in North Carolina: an exploratory study	19
Lisbon’s COVID 19 response: harm reduction interventions for people who use alcohol and other drugs in emergency shelters	18
Diverse psychotropic substances detected in drug and drug administration equipment samples submitted to drug checking services in Toronto, Ontario, Canada, October 2019–April 2020	18
Prevalence of HIV and HCV among injecting drug users in three selected WHO-EMRO countries: a meta-analysis	18
“My first 48 hours out”: drug users’ perspectives on challenges and strategies upon release from prison	18
Factors that influence enrollment in syringe services programs in rural areas: a qualitative study among program clients in Appalachian Kentucky	17
Integration of a community-based harm reduction program into a safety net hospital: a qualitative study	17
The impact of peer support on testing, linkage to and engagement in HIV care for people who inject drugs in Indonesia: qualitative perspectives from a community-led study	17
Attitudes and experiences with fentanyl contamination of methamphetamine: exploring self-reports and urine toxicology among persons who use methamphetamine and other drugs	17
Organizational support for frontline harm reduction and systems navigation work among workers with living and lived experience: qualitative findings from British Columbia, Canada	17
Implementation and sustainability of safe consumption sites: a qualitative systematic review and thematic synthesis	16
Prevalence and correlates of non-fatal overdose among people who use drugs: findings from rapid assessments in Massachusetts, 2017–2019	16
Beliefs, attitudes and experiences of virtual overdose monitoring services from the perspectives of people who use substances in Canada: a qualitative study	16
Point-of-care community drug checking technologies: an insider look at the scientific principles and practical considerations	16
Perspectives on long-acting injectable HIV antiretroviral therapy at an alternative care site: a qualitative study of people with HIV experiencing substance use and/or housing instability	16
Gendered perspectives on women’s anabolic–androgenic steroid (AAS) usage practices	16
The association between cannabis use and outcome in pharmacological treatment for opioid use disorder	16
The motives and methods of methamphetamine and ‘heroin’ co-use in West Virginia	16
Naloxone administration by law enforcement officers in New York State (2015–2020)	15
Peer-assisted injection as a harm reduction measure in a supervised consumption service: a qualitative study of client experiences	15
New psychoactive substances in Eurasia: a qualitative study of people who use drugs and harm reduction services in six countries	15
Harm reduction calls to action from young people who use drugs on the streets of Vancouver and Lisbon	15
Self-reported impacts of the COVID-19 pandemic among people who use drugs: a rapid assessment study in Montreal, Canada	15
The state of harm reduction in prisons in 30 European countries with a focus on people who inject drugs and infectious diseases	15
Impact of safer supply programs on injection practices: client and provider experiences in Ontario, Canada	14
Injections and infections: understanding syringe service program utilization in a rural state	14
“They're causing more harm than good”: a qualitative study exploring racism in harm reduction through the experiences of racialized people who use drugs	14

Practical implications of naloxone knowledge among suburban people who use opioids	14
Naloxone protection, social support, network characteristics, and overdose experiences among a cohort of people who use illicit opioids in New York City	14
Supervised consumption site enables cost savings by avoiding emergency services: a cost analysis study	14
Differences in drug use behaviors that impact overdose risk among individuals who do and do not use fentanyl test strips for drug checking	14
Lifetime and past-month substance use and injection among street-based female sex workers in Iran	13
Is expected substance type associated with timing of drug checking service utilization?: A cross-sectional study	13
The civil society monitoring of hepatitis C response related to the WHO 2030 elimination goals in 35 European countries	13
Generating evidence on the use of Image and performance enhancing drugs in the UK: results from a scoping review and expert consultation by the Anabolic Steroid UK network	13
Intersecting substance use treatment and harm reduction services: exploring the characteristics and service needs of a community-based sample of people who use drugs	13
Facilitators and barriers to the regulation of medical cannabis: a scoping review of the peer-reviewed literature	13
“You know, we can change the services to suit the circumstances of what is happening in the world”: a rapid case study of the COVID-19 response across city centre homelessness and health services in E	13
Severe bacterial infections in people who inject drugs: the role of injection-related tissue damage	13
“It’s called overamping”: experiences of overdose among people who use methamphetamine	13
The “goldfish bowl”: a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting	13
Implementing a low-threshold audio-only telehealth model for medication-assisted treatment of opioid use disorder at a community-based non-profit organization in Washington, D.C.	12
Cannabis use, sedentary behavior, and physical activity in a nationally representative sample of US adults	12
Reporting on the opioid crisis (2000–2018): role of The Globe and Mail, a Canadian English-language newspaper in influencing public opinion	12
Predictors of skin and soft tissue infections among sample of rural residents who inject drugs	12
“Prevention of opioid use disorder: the HOME (housing, opportunities, motivation and engagement) feasibility study”	12
“It wasn’t here, and now it is. It’s everywhere": fentanyl’s rising presence in Oregon’s drug supply	12
How a sample of English stop smoking services and vape shops adapted during the early COVID-19 pandemic: a mixed-methods cross-sectional survey	12
Identifying behaviours for survival and wellness among people who use methamphetamine with opioids in British Columbia: a qualitative study	12
Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers	12
Responding to a surge in overdose deaths: perspectives from US syringe services programs	12
Implementation of a nurse-led overdose prevention site in a hospital setting: lessons learned from St. Paul’s Hospital, Vancouver, Canada	11
The impact of the COVID-19 pandemic on people who inject drugs accessing harm reduction services in a rural American state	11
Effect of Massachusetts House Bill No. 4196 on electronic cigarette use: a mixed-methods study	11
Reducing the stigma surrounding opioid use disorder: evaluating an opioid overdose prevention training program applied to a diverse population	11
Food access among people who inject drugs in West Virginia	11
Seeking safety: a focus group study of young adults’ cannabis-related attitudes, and behavior in a state with legalized recreational cannabis	11
Opioid agonist treatment take-home doses (‘carries’): Are current guidelines resulting in low treatment coverage among high-risk populations in Canada and the USA?	11
A drug-related Good Samaritan Law and calling emergency medical services for drug overdoses in a Canadian setting	11
Harm reduction in the Heartland: public knowledge and beliefs about naloxone in Nebraska, USA	10
Substance use, injection risk behaviors, and fentanyl-related overdose risk among a sample of PWID post-Hurricane Maria	10
Characteristics and context of fentanyl test strip use among syringe service clients in southern Wisconsin	10
Total systems failure: police officers’ perspectives on the impacts of the justice, health, and social service systems on people who use drugs	10
What are the ethical implications of using prize-based contingency management in substance use? A scoping review	10
Can alternative nicotine products put the final nail in the smoking coffin?	10
Decolonizing harm reduction	10
Supervised consumption sites and crime: scrutinizing the methodological weaknesses and aberrant results of a government report in Alberta, Canada	10
Are you tripping comfortably? Investigating the relationship between harm reduction and the psychedelic experience	10
Harm reduction program and hepatitis C prevalence in people who inject drugs (PWID) in Iran: an updated systematic review and cumulative meta-analysis	10
Electronic cigarettes in standard smoking cessation treatment by tobacco counselors in Flanders: E-cigarette users show similar if not higher quit rates as those using commonly recommended smoking ces	10
A systematic review of the distribution of take-home naloxone in low- and middle-income countries and barriers to the implementation of take-home naloxone programs	10
The relationship between police contacts for drug use-related crime and future arrests, incarceration, and overdoses: a retrospective observational study highlighting the need to break the vicious cyc	10
Safer opioid supply: qualitative program evaluation	10
Treatment experiences for skin and soft tissue infections among participants of syringe service programs in North Carolina	10
Barriers and facilitators of HIV and hepatitis C care among people who inject drugs in Nairobi, Kenya: a qualitative study with peer educators	10
Scoping review of managed alcohol programs	10
Use of sustained release dextroamphetamine for the treatment of stimulant use disorder in the setting of injectable opioid agonist treatment in Canada: a case report	10
Harm reduction must be recognised an essential public health intervention during crises	10
Challenges for drug checking services in Scotland: a qualitative exploration of police perceptions	9
Signals of increasing co-use of stimulants and opioids from online drug forum data	9
“The new normal has become a nonstop crisis”: a qualitative study of burnout among Philadelphia’s harm reduction and substance use disorder treatment workers during the COVID-19 pandemic	9
Acute pain and self-directed discharge among hospitalized patients with opioid-related diagnoses: a cohort study	9
Heroin pipe distribution to reduce high-risk drug consumption behaviors among people who use heroin: a pilot quasi-experimental study	9
Lessons learned from the Amsterdam Cohort Studies among people who use drugs: a historical perspective	9
“As safe as possible”: a qualitative study of opioid withdrawal and risk behavior among people who use illegal opioids	9
Legal sourcing of ten cannabis products in the Canadian cannabis market, 2019–2021: a repeat cross-sectional study	9
Assessing the feasibility, acceptability and accessibility of a peer-delivered intervention to reduce harm and improve the well-being of people who experience homelessness with problem substance use:	9
Managed alcohol: one community’s innovative response to risk management during COVID-19	9
A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics	9
Availability of telehealth-based services at syringe services programs under the COVID-19 Public Health Emergency	9
“Treated like a Human Being”: perspectives of people who inject drugs attending low-threshold HCV treatment at a syringe service program in New York City	9
“They don’t go by the law around here”: law enforcement interactions after the legalization of syringe services programs in North Carolina	9
Will the Russian war in Ukraine unleash larger epidemics of HIV, TB and associated conditions and diseases in Ukraine?	9
How has the COVID-19 epidemic affected the risk behaviors of people who inject drugs in a city with high harm reduction service coverage in Vietnam? A qualitative investigation	9
Co-designing drug alerts for health and community workers for an emerging early warning system in Victoria, Australia	9
“We need to build a better bridge”: findings from a multi-site qualitative analysis of opportunities for improving opioid treatment services for youth	9
How do contextual factors influence naloxone distribution from syringe service programs in the USA: a cross-sectional study	9
Predictors of hepatitis C treatment outcomes in a harm reduction-focused primary care program in New York City	9
«One prick and then it´s done»: a mixed-methods exploratory study on intramuscular injection in heroin-assisted treatment	9
Public health impact and harm reduction implications of xylazine-involved overdoses: a narrative review	8
Correlates of recent nonfatal overdose among people who inject drugs in West Virginia	8
‘This is hardcore’: a qualitative study exploring service users’ experiences of Heroin-Assisted Treatment (HAT) in Middlesbrough, England	8
Non-beverage alcohol consumption among individuals experiencing chronic homelessness in Edmonton, Canada: a cross-sectional study	8
Service utilization patterns and characteristics among clients of integrated supervised consumption sites in Toronto, Canada	8
‘We don’t live in a harm reduction world, we live in a prohibition world’: tensions arising in the design of drug alerts	8
Exploring the impact of the COVID-19 pandemic on syringe services programs in rural Kentucky	8
Everywhere and for everyone: proportionate universalism as a framework for equitable access to community drug checking	8

Investigation on heroin and cocaine quality in Luxembourg	8
Music festival drug checking: evaluation of an Australian pilot program	8
Factors associated with opioid overdose during medication-assisted treatment: How can we identify individuals at risk?	8
Association between heaviness of cigarette smoking and serious psychological distress is stronger in women than in men: a nationally representative cross-sectional survey in Japan	8
Feasibility and acceptability of inserts promoting virtual overdose monitoring services (VOMS) in naloxone kits: a qualitative study	8
The impact of Taiwan’s implementation of a nationwide harm reduction program in 2006 on the use of various illicit drugs: trend analysis of first-time offenders from 2001 to 2017	8
Testing the test strips: laboratory performance of fentanyl test strips	8
Determining the feasibility for an overdose prevention line to support substance users who use alone	8
Examining common mental health disorders in people living with HIV on methadone maintenance therapy in Hanoi, Vietnam	8
Principles of condom provision programs in prisons from the standpoint of European prison health experts: a qualitative study	7
Egocentric network characteristics of people who inject drugs in the Chicago metro area and associations with hepatitis C virus and injection risk behavior	7
High levels of used syringe use and unsafe sex among people who inject drugs in Kumasi, Ghana: an urgent call for a comprehensive harm reduction approach	7
Current attitudes toward drug checking services and a comparison of expected with actual drugs present in street drug samples collected from opioid users	7
Motivations, dating app relationships, unintended consequences and change in sexual behaviour in dating app users at an Australian music festival	7
A scoping review of implementation considerations for harm reduction vending machines	7
Development of a digital platform to improve community response to overdose and prevention among harm reduction organizations	7
Opioid overdose prevention education in Texas during the COVID-19 pandemic	7
Identifying barriers and facilitators to COVID-19 vaccination uptake among People Who Use Drugs in Canada: a National Qualitative Study	7
“We were building the plane as we were flying it, and we somehow made it to the other end”: syringe service program staff experiences and well-being during the COVID-19 pandemic	7
Remote harm reduction services are key solutions to reduce the impact of COVID-19-like crises on people who use drugs: evidence from two independent structures in France and in the USA	7
Xylazine co-occurrence with illicit fentanyl is a growing threat in the Deep South: a retrospective study of decedent data	7
The changing landscape of pharmaceutical alternatives to the unregulated drug supply during COVID-19	7
Supporting syringe services programs in the initiation and scale-up of vaccine administration: findings from in-depth interviews	7
A critical narrative inquiry to understand the impacts of an overdose prevention site on the lives of site users	7
Assessing the relationship between syringe exchange, pharmacy, and street sources of accessing syringes and injection drug use behavior in a pooled nationally representative sample of people who injec	7
Safety and feasibility of intranasal heroin-assisted treatment: 4-week preliminary findings from a Swiss multicentre observational study	7
Recovery capital among people receiving treatment for opioid use disorder with buprenorphine	7
Implementation of buprenorphine services in NYC syringe services programs: a qualitative process evaluation	7
The generative potential of mess in community-based participatory research with young people who use(d) drugs in Vancouver	7
Difficulty accessing supervised consumption services during the COVID-19 pandemic among people who use drugs in Vancouver, Canada	7
Contextual factors affecting the implementation of drug checking for harm reduction: a scoping literature review from a North American perspective	7
Effect of police action on low-barrier substance use disorder service utilization	7
Third party drug checking: accessing harm reduction services on the behalf of others	7
Hospital admissions and mortality due to complications of injection drug use in two hospitals in Regina, Canada: retrospective chart review	7
Changes in cannabis use and associated correlates during France’s first COVID-19 lockdown in daily cannabis users: results from a large community-based online survey	7
The challenges, opportunities and strategies of engaging young people who use drugs in harm reduction: insights from young people with lived and living experience	7