Willingness to use a drug consumption room among people who use drugs in Lyon, France, a city with no open scene of drug use (the TRABOUL survey)

• Published in: Harm reduction journal Vol. 20; no. 1; pp. 1 - 149
• Main Authors: Chappuy, Mathieu, Lack, Philippe, David, Baptiste, Penavayre, Gilles, Thabourey, Damien, Landulpho, Maira, Plasse, Anthony, Icard, Christophe, Bailly, François, Boutahra, Faroudja, Pradat, Pierre, Maynard, Marianne, Jauffret-Roustide, Marie, de Ternay, Julia, Rolland, Benjamin
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 16.10.2023; BioMed Central; BMC
• Subjects: Addictions; Brief Report; Cannabis; Care and treatment; Cities; Cocaine; Confidence intervals; Drug abuse; Drug addicts; Drug consumption rooms; Drug overdose; Drug use; Drugs; France; Harm reduction; Health aspects; Hepatitis C; HIV; Human immunodeficiency virus; Narcotics; Opioids; People who use drugs; Police; Prevention; Public spaces; Risk factors; Social aspects; Sociodemographics; Substance abuse; Substance abuse treatment; Surveys; Variables; France
• ISSN: 1477-7517; 1477-7517
• DOI: 10.1186/s12954-023-00887-7

Abstract Background Drug consumption rooms (DCRs) have been developed in cities with open drug scenes, with the aim to reduce drug-related harm. In Lyon, France's second-largest city, there is no distinct drug use area, which raised doubts regarding the need for a DCR. Methods We conducted a face-to-face survey of 264 people who use drugs (PWUDs), recruited in harm reduction or addiction treatment centers, in the streets or in squats. We assess their willingness to use a DCR, and we collected sociodemographic and medical features. Bivariable comparisons and analyses adjusted for sociodemographic parameters explored the association between willing to use a DCR and other variables, thus providing crude (ORs) and adjusted odds ratios (aORs) and 95% confidence intervals (95% CI). Results In total, 193 (73.1%) PWUDs accepted to participate (mean age 38.5 ± 9.3 years; 80.3% men). Among them, 64.2% declared willing to use a DCR. Being treatment-seeker (aOR 0.20, 95% CI [0.08–0.51]; p  < 0.001) and not living alone (aOR 0.29; 95% CI [0.10–0.86], p  = 0.025) were negatively associated with willing to use a DCR. By contrast, receiving precarity social insurance (aOR 4.12; 95% CI [1.86–9.14], p  < 0.001), being seropositive for hepatitis C (aOR 3.60; 95% CI [1.20–10.84], p  = 0.022), being cannabis user (aOR 2.45; 95% CI [1.01–5.99], p  = 0.049), and reporting previous problems with residents (aOR 5.99; 95% CI [2.16–16.58], p  < 0.001) or with the police (aOR = 4.85; 95% CI [1.43–16.39], p  = 0.011) were positively associated. Conclusions PWUDs, especially the most precarious ones, largely supported the opening of a DCR in Lyon, a city with no open drug scene.