Public opinions about supervised smoking facilities for crack cocaine and other stimulants

Abstract

Background: The purpose of this study was to estimate awareness and opinions about supervised smoking facilities (SSFs) for smoking crack cocaine and other stimulants and make comparisons with awareness and opinions about supervised injection facilities (SIFs) in Ontario, Canada. Methods: We used data from a 2009 telephone survey of a representative adult sample. The survey asked about awareness of, and level of support for, the implementation of SSFs and SIFs. Data were analysed using statistical models for complex survey data, which account for stratified sampling and incorporate sampling weights. Results: A total of 1035 participated in the survey. Significantly fewer had knowledge about SSFs (17.9%) than about SIFs (57.6%). Fewer strongly agreed with implementation of SSFs (19.6%) than SIFs (28.3%). Just over half (51.1%) of participants somewhat agreed or disagreed, 15.7% strongly agreed, and 10.6% strongly disagreed with implementing both SSFs and SIFs. Conclusions: Members of the public in Ontario had little knowledge of SSFs compared to SIFs. Recent federal government changes in Canada may provide the leadership environment necessary to ensure that innovative, evidence-based harm reduction programs such as SSFs are developed and implemented.