This exploratory qualitative study aims to understand IDUsâ€™ dealing activities and roles, as well as the perceived benefits and risks related to participation in illicit drug markets, including experiences of drug market violence. However, relatively few studies have explored how injection drug usersâ€™ (IDUs) involvement in drug dealing shapes their experiences of drug market-related harm.

Small, Will Maher, Lisa Lawlor, Jeff Wood, Evan Shannon, Kate Kerr, Thomasīackground Illicit drug markets are a key component of the risk environment surrounding injection drug use. Injection drug usersâ€™ involvement in drug dealing in the downtown eastside of Vancouver: Social organization and systemic violence These findings indicate the need for ongoing evaluation of the public health impacts of discretionary policing approaches. Our findings also suggest that the confiscation of drugs and/or needles and syringes through discretionary policing practices have the potential to exacerbate drug market activity or prompt increased syringe borrowing.

Our study demonstrates that the IDU most affected by street-level policing tend to possess various characteristics, such as homelessness, that place them at heightened risk for various adverse health outcomes. Fifty-one percent of participants who reported being detained also reported having had syringes confiscated, and of this group, 6% reported immediately borrowing used syringes. Of those who reported being detained, 34% participants reported having had drugs confiscated, and 70% of these reported that they immediately acquired more drugs. In multivariate logistic regression analysis, factors associated with being stopped, searched or detained by police included homelessness (Adjusted Odds Ratio =3.96, 95% CI: 1.86-8.45), recent incarceration (AOR=3.52, 95% CI: 1.75-7.10), frequent crack use (AOR=2.24, 95% CI: 1.34-3.74), requiring help injecting (AOR=5.20, 95% CI: 1.21-22.39), and lending syringes (AOR=3.18, 95% CI: 1.09-9.30). Among 465 active IDU, 130 (28.0%) reported being detained by police in the last 6 months without being arrested. We also examined actions taken by study participants immediately following instances in which drugs or syringes were confiscated by police. We examined factors associated with being stopped, searched, or detained by police among participants in the Vancouver Injection Drug Users Study (VIDUS) using logistic regression. However, little is known about instances in which drugs and injecting equipment are confiscated from IDU in the absence of a formal arrest. Werb, Daniel Wood, Evan Small, Will Strathdee, Steffanie Li, Kathy Montaner, Julio Kerr, Thomasĭrug market policing has been associated with various harms among injection drug users (IDU). Effects of police confiscation of illicit drugs and syringes among injection drug users in Vancouver.

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