TY  - JOUR
PY  - 2019//
TI  - Density of low-barrier opioid agonist clinics and risk of non-fatal overdose during a community-wide overdose crisis: a spatial analysis
JO  - Spatial and spatio-temporal epidemiology
A1  - Amram, Ofer
A1  - Socías, Eugenia
A1  - Nosova, Ekaterina
A1  - Kerr, Thomas
A1  - Wood, Evan
A1  - Debeck, Kora
A1  - Hayashi, Kanna
A1  - Fairbairn, Nadia
A1  - Montaner, Julio
A1  - Milloy, M. J.
SP  - e100288
EP  - e100288
VL  - 30
IS  - 
N2  - OBJECTIVEs  In recent years, North America has witnessed a spike in the number of overdoses (OD) and OD-related deaths. The aim of this study was to assess spatial correlates of OD risk in Vancouver, Canada.   Methods  Data utilized for this study was from three open and ongoing prospective cohorts of people who use drugs (PWUDs) in Vancouver, Canada. Logistic regression analyses with generalized linear mixed-effects models (GLMM) was used to examine correlates of residing in areas characterized by high OD rates. Mapping was used to examine areas showing OD clusters.   Results  We included 1336 PWUDs who resided in the downtown area. In multivariable analysis, higher availability of methadone clinics within walking distance, daily cocaine injectors and daily crack users had independent decreased odds of living within an OD cluster.   Conclusion  This study found that higher availability of methadone clinics was associated with decreased odds of living within OD clusters.<p />  <p>Language: en</p>
LA  - en
SN  - 1877-5845
UR  - http://dx.doi.org/10.1016/j.sste.2019.100288
ID  - ref1
ER  -