-Mental health or substance use

Health outcomes of and interventions to reduce methamphetamine use among men who have sex with men

-+*What health risks and health outcomes are associated with methamphetamine use among gay, bisexual and other men who have sex with men? What interventions have proven effective at preventing or reducing the amount and frequency of methamphetamine use among gay, bisexual and other men who have sex with men?

Illustration of three supervised consumption booths

The impact of supervised drug consumption services (SCS)

-+*Download pdf Questions  Key take-home messages The issue and why it’s important Supervised drug consumption sites or services (SCS) refer to spaces where individuals can use pre-obtained illicit substances in the presence of trained health professionals (19, 20). A model of care based on harm reduction, SCS are an evidence-based intervention (21–24) aiming to reduce …

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Comparing the effectiveness and adverse events of intranasal and intramuscular naloxone formulations for opioid overdose reversal

-+*Download pdf Questions  Key take-home messages The issue and why it’s important Since 2016, opioid-related deaths have been rapidly rising in Canada (7). In 2021, the Public Health Agency of Canada reported 20.9 opioid-related deaths per 100,000 individuals (n=8,006), rising from 7.8 opioid-related deaths per 100,000 individuals (n=2,830) in 2016 (7). At the time of …

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A review of supervised inhalation services in Canada

-+*Download pdf Questions What supervised inhalation services are available in Canada and what are their characteristics? What are the best practices that provide evidence supporting supervised inhalation services as a harm reduction approach?  Key take-home messages Reports from different Canadian provinces (British Columbia, Ontario, and Alberta) indicate that more individuals overdose by inhaling opioids (including …

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Two elderly hands resting on a thigh

Psychosocial needs and vulnerabilities of older gay and bisexual men

-+*Download pdf Questions What are the psychosocial needs and vulnerabilities of older gay and bisexual men? Key take-home messages Health outcomes related to the intersectionality of aging and sexual minority status is an emerging area of research (1, 2). It is important to consider the context of lived experiences among older gay men (3, 4), …

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Close-up black-and-white photography of crystal methamphetamine

Factors associated with methamphetamine use among men who have sex with men

-+*Download pdf Questions What are the predictors of methamphetamine use among men who have sex with men?  Key take-home messages An abundance of literature details problematic sexualized drug use among men who have sex with men (1–3); additionally, several interventions attempt to address methamphetamine dependence in this population (4, 5). Several factors are associated with …

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Communicating the harms of methamphetamine use to men who have sex with men

-+*Download pdf Questions What are best practices for communicating the harms of methamphetamine use to men who have sex with men in order to prevent its uptake?  Key take-home messages Focus groups within the community can provide useful insight on how methamphetamine is used among men who have sex with men in the local context …

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Picture of NARCAN box and spray

Effectiveness of take-home naloxone programs and availability of naloxone nasal spray in different jurisdictions

-+*Download pdf Questions What is the evidence of the effectiveness of take-home naloxone programs and administration of naloxone by laypeople? Which jurisdictions provide take-home naloxone programs? What is the current availability of naloxone nasal spray in different jurisdictions?  Key take-home messages There is wide support of take-home naloxone programs as they are associated with decreased …

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Silhouette of man standing alone face window

Interventions to reduce social isolation and loneliness among men who have sex with men

-+*Download pdf Questions  What interventions have been helpful to reduce social isolation and loneliness among men who have sex with men?  Key take-home messages Social isolation and loneliness are significantly associated with all-cause mortality in the general population (1). A recent study among gay and bisexual men who have sex with men in Vancouver found …

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Possible benefits of providing safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemic

-+*Download pdf Questions What are possible benefits of providing a safe supply of substances to people who use drugs during public health emergencies such as the COVID-19 pandemic?  Key take-home messages Safe supply is an approach that focuses on saving lives by prescribing pharmaceutical grade substances such as opioids and stimulants to individuals at risk …

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