期刊
HEALTH EDUCATION & BEHAVIOR
卷 49, 期 4, 页码 629-638出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1090198121999303
关键词
drug overdose; emergency medical services; Good Samaritan law; illicit drugs
资金
- U.S. National Institutes of Health [U01DA038886, U01DA021525, U01-DA0251525]
- Canada Research Chairs program through a Tier-1 Canada Research Chair in Inner City Medicine
- Canadian Institutes of Health Research (CIHR) through the Canadian Research Initiative on Substance Misuse [SMN-139148]
- CIHR Frederick Banting and Charles Best Canada Graduate ScholarshipMaster's (CGS-M) award
- MSFHR/St. Paul's Hospital Foundation-Providence Health Care Career Scholar Award
- CIHR New Investigator Award [MSH-141971]
- Michael Smith Foundation for Health Research Scholar Award
- St. Paul's Foundation
- MSFHR Scholar Award
This study evaluated the prevalence and factors associated with accurate knowledge of a Good Samaritan Law among people who use illicit drugs in Vancouver, Canada. Results showed that despite the law being in place for a year, approximately three quarters of participants did not have accurate knowledge of the law, highlighting the need for urgent educational efforts among this population. Further research is needed to understand the impact of Good Samaritan Laws on reducing fears of legal repercussions among individuals engaged in drug dealing and with negative experiences with the police.
Background Across the United States and Canada drug-related Good Samaritan laws (GSLs) have been enacted to encourage observers of acute drug overdose events to contact emergency medical services (EMS) without fear of legal repercussions. However, little is known about the working knowledge of GSLs among people who use illicit drugs (PWUD). We sought to evaluate the prevalence and factors associated with accurate knowledge of a GSL among PWUD in Vancouver, Canada, 1 year after the GSL was enacted. Method We used data from participants in three community-recruited prospective cohort studies of PWUD interviewed between June and November 2018. Multivariable logistic regression was used to identify factors associated with accurate knowledge of the GSL. Results Among 1,258 participants, including 760 males (60%), 358 (28%) had accurate knowledge of the GSL. In multivariable analyses, participants who reported ever having a negative police encounter (defined as being stopped, searched, or detained by the police) were less likely to have accurate knowledge of the GSL (adjusted odds ratio [AOR] = 0.70; 95% CI [0.54, 0.90]), while those involved in drug dealing were more likely to have accurate knowledge of the GSL (AOR = 1.50; 95% CI [1.06, 2.06]). Discussion Despite having been enacted for a full year, approximately three quarters of participants did not have accurate GSL knowledge, warranting urgent educational efforts among PWUD. Additional research is needed to understand whether GSLs can mitigate the fears of legal repercussions among those engaged in drug dealing and with past negative experiences with the police.
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