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The introduction of CCTV and associated changes in heroin purchase and injection settings in Footscray,Victoria, Australia
Authors:Nick Scott  Peter Higgs  Jonathan P Caulkins  Campbell Aitken  Shelley Cogger  Paul Dietze
Institution:1.Centre for Population Health,Burnet Institute,Melbourne,Australia;2.Department of Epidemiology and Preventive Medicine,Monash University,Clayton,Australia;3.Faculty of Health Sciences, National Drug Research Institute (Melbourne Office),Curtin University,Fitzroy,Australia;4.Carnegie Mellon University’s Heinz College,Pittsburgh,USA
Abstract:

Objectives

In June 2011, closed-circuit television (CCTV) was introduced in Footscray (a suburb of Melbourne, Australia) to help deter street-based drug trading. We investigate whether there were subsequent shifts in the settings (e.g., street, house) in which heroin was purchased or injected by people who inject drugs (PWID).

Methods

Using heroin purchase data from the Melbourne Injecting Drug User Cohort Study, multinomial logistic models with fixed effects for CCTV introduction were used to estimate the percentage of: (1) heroin purchased on the street, from mobile dealers and in house settings; and (2) heroin injections occurring in street, car, public toilet, and house settings. Displacement effects were investigated with a logistic model capturing the likelihood of traveling to Footscray to purchase heroin.

Results

Following CCTV introduction, the percentage of heroin injections occurring in public toilet settings decreased by 13 % (95 % CI ?27 %, ?0 %). This was accompanied by a non-significant increase in the percentage of heroin injections in street settings of 23 % (95 % CI ?1 %, +41 %). Changes in other settings were small and non-significant. No suburb displacement effects were found.

Conclusions

The introduction of CCTV in Footscray may have displaced PWID who previously injected heroin in public toilets to street settings. Apart from this, Footscray’s street-based heroin market operates much as it did before CCTV.
Keywords:
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