{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T03:12:12Z","timestamp":1785553932616,"version":"3.56.0"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,6,5]],"date-time":"2018-06-05T00:00:00Z","timestamp":1528156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["20R74326"],"award-info":[{"award-number":["20R74326"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Aims<\/jats:title><jats:p>People who use illicit drugs (PWUD) often engage in drug use during hospitalisation. Adverse outcomes may arise from efforts to conceal inpatient drug use, especially in hospital settings that rely on abstinence\u2010based policies. Harm reduction interventions, including supervised drug consumption services, have not been well studied in hospital settings. This study examines factors associated with willingness to use an in\u2010hospital supervised inhalation room (SIR) among people who smoke crack cocaine in Vancouver, Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>Cross\u2010sectional data from two open prospective cohorts of PWUD involving people who smoke crack cocaine were collected between June 2013 and May 2014. Multivariable logistic regression analyses were used to identify factors associated with willingness to use an in\u2010hospital SIR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 539 participants, 320 (59.4%) reported willingness to use an in\u2010hospital SIR. Independent factors positively associated with willingness included: ever used drugs in hospital [adjusted odds ratio (AOR)\u2009=\u20091.89], and daily non\u2010injection crack use (AOR\u2009=\u20091.63). Difficulty accessing new crack pipes (AOR\u2009=\u20090.51) was negatively associated with willingness (all P\u2009&lt;\u20090.05). The most commonly reported reasons for willingness were to: remain in hospital (50.6%), reduce drug\u2010related risks (25.6%) and reduce the stress of hospital discharge for using drugs (24.7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>A high proportion of people who smoke crack cocaine reported willingness to use an in\u2010hospital SIR, and those willing were more likely to report heavy drug use and previous in\u2010hospital use. These findings highlight the potential utility of SIRs to complement existing in\u2010hospital services for PWUD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12815","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T01:40:12Z","timestamp":1528249212000},"page":"645-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Willingness to use an in\u2010hospital supervised inhalation room among people who smoke crack cocaine in Vancouver, Canada"],"prefix":"10.1111","volume":"37","author":[{"given":"Sandra","family":"Cortina","sequence":"first","affiliation":[{"name":"Department of Medicine University of British Columbia, St. Paul's Hospital  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Clare","family":"Kennedy","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"},{"name":"School of Population and Public Health University of British Columbia  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiru","family":"Dong","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"},{"name":"School of Population and Public Health University of British Columbia  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Fairbairn","sequence":"additional","affiliation":[{"name":"Department of Medicine University of British Columbia, St. Paul's Hospital  Vancouver Canada"},{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3843-2928","authenticated-orcid":false,"given":"Kanna","family":"Hayashi","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"},{"name":"Faculty of Health Sciences Simon Fraser University  Burnaby Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3821-6221","authenticated-orcid":false,"given":"M\u2010J","family":"Milloy","sequence":"additional","affiliation":[{"name":"Department of Medicine University of British Columbia, St. Paul's Hospital  Vancouver Canada"},{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0870-7153","authenticated-orcid":false,"given":"Thomas","family":"Kerr","sequence":"additional","affiliation":[{"name":"Department of Medicine University of British Columbia, St. Paul's Hospital  Vancouver Canada"},{"name":"British Columbia Centre on Substance Use St. Paul's Hospital  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.18356\/603a2a94-en"},{"key":"e_1_2_7_3_1","unstructured":"Canadian Centre on Substance Abuse. 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