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This article aimed to explore population attitudes to SIFs and how these changed over time in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were drawn from the National Drug Strategy Household Survey, a national sample collecting data on illicit drug use and attitudes towards drug policy among Australians (2001\u20132019). Ordinal logistic regression assessed sociodemographic characteristics associated with different attitudes to SIFs and binary logistic regression assessed trends over time and by jurisdiction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2019, 54% of respondents (95% CI 52.9, 55.1) supported SIFs, 27.5% (95% CI 26.6, 28.4) opposed and 18.4% (95% CI 17.7, 19.2) were ambivalent. Support for SIFs correlated with having a university degree (OR\u20091.75; 95% CI 1.58, 1.94), non\u2010heterosexual identity (OR\u20091.81, 95% CI 1.51, 2.17) and recent illicit drug use (OR\u2009=\u20091.74, 95% CI 1.55, 1.94). Male respondents or those living in socioeconomically disadvantaged areas had lower odds of supporting SIFs (OR\u20090.92, 95% CI 0.85, 1.00; OR\u20090.64\u20130.80, respectively). Between 2001 and 2019, support for SIFs increased modestly by 3.3%, those who \u2018don't know\u2019 by 7.4%, whereas opposition decreased by 11.7%. Between 2001 and 2019, support for SIFs increased in NSW and Queensland, whereas opposition decreased in all jurisdictions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Opposition to SIFs declined over the past 20\u2009years, but a substantial proportion of respondents are ambivalent or \u2018don't know enough to say\u2019. Plain language information about SIFs and their potential benefits, targeted to those who are ambivalent\/\u2019don't know\u2019 may further increase public support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13937","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T20:00:50Z","timestamp":1725307250000},"page":"1892-1904","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Changes in <scp>Australians'<\/scp> attitudes towards supervised injecting facilities"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6836-5817","authenticated-orcid":false,"given":"Zachary","family":"Lloyd","sequence":"first","affiliation":[{"name":"Burnet Institute  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3571-0136","authenticated-orcid":false,"given":"Samantha","family":"Colledge\u2010Frisby","sequence":"additional","affiliation":[{"name":"Burnet Institute  Melbourne Australia"},{"name":"National Drug Research Institute Curtin University  Perth Australia"},{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8700-5909","authenticated-orcid":false,"given":"Nicholas","family":"Taylor","sequence":"additional","affiliation":[{"name":"Burnet Institute  Melbourne Australia"},{"name":"National Drug Research Institute Curtin University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8995-9386","authenticated-orcid":false,"given":"Michael","family":"Livingston","sequence":"additional","affiliation":[{"name":"Burnet Institute  Melbourne Australia"},{"name":"National Drug Research Institute Curtin University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Jauncey","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"},{"name":"Uniting Medically Supervised Injecting Centre  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8609-0075","authenticated-orcid":false,"given":"Amanda","family":"Roxburgh","sequence":"additional","affiliation":[{"name":"Burnet Institute  Melbourne Australia"},{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.4170"},{"key":"e_1_2_11_3_1","unstructured":"Coroners Court of Victoria.Victorian Overdose Deaths 2013\u20132022.2024. 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