Evidence map›Paper›PMID 41101402›Full record

ArticleAmerican journal of preventive medicine2026

Linkage to Substance Use Disorder Treatment Through Syringe Services Programs and the Criminal Legal System: A Cross-Sectional Study.

Leslie W Suen, Cariné E Megerian, Erica N Browne, Esther O Chung, Christopher F Akiba, Jason Williams, Jamie L Humphrey, Lynn D Wenger, Bradley Ray, Barrot H Lambdin and 1 more

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Leslie W SuenDivision of General Internal Medicine at San Francisco General Hospital, Department of Medicine, University of California San Francisco, San Francisco, California. Electronic address: Leslie.suen@ucsf.edu.
Cariné E MegerianRTI International, Oakland, California.
Erica N BrowneRTI International, Oakland, California.
Esther O ChungRTI International, Oakland, California.
Christopher F AkibaRTI International, Oakland, California.
Jason WilliamsRTI International, Oakland, California.
Jamie L HumphreyRTI International, Oakland, California.
Lynn D WengerRTI International, Oakland, California.
Bradley RayRTI International, Oakland, California.
Barrot H LambdinRTI International, Oakland, California.
Alex H KralRTI International, Oakland, California.

Funding

Assessing the Reach, Effectiveness, and Implementation of Multiple InterventionsR01DA057613 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI ALEXANDER H KRAL · 2022 to 2026
$3.6M
Enhancing buprenorphine low dose initiation (COPILOT)K23DA060329 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Leslie W. Suen · 2024 to 2026
$593k
NIDA NIH HHS K23 DA060329NIDA NIH HHS R01 DA057613
6 · The paper itself

Abstract

introductionEvidence on how 2 approaches-syringe services programs and criminal legal system interventions-are associated with substance use disorder treatment is needed to inform substance use disorder treatment policies. This paper examines the associations between syringe services programs utilization and criminal legal system involvement with substance use disorder treatment.

methodsThis cross-sectional study recruited 835 people who use drugs from September 2023 to September 2024 in San Francisco, CA and surveyed their substance use, medical, social, and harm-reduction services utilization, and criminal legal system involvements. Past 3-month associations between any syringe services programs use and any criminal legal system involvement with any substance use disorder treatment were examined.

resultsThe sample comprised 770 participants. Median (range) age was 42.5 (19-80) years; they were 67% men, 28% women, and 5% gender expansive; and they were 34% Black or African American, 19% Hispanic or Latine, and 57% White. Most (78%) reported recent syringe services programs use, and 48% reported any criminal legal system involvement. About a quarter (27%) reported any recent substance use disorder treatment. Multivariable analyses adjusting for age, Black race, and housing status found that individuals with recent syringe services programs use had higher probability of recent substance use disorder treatment (adjusted prevalence ratio=1.77; 95% CI=1.23, 2.54; p=0.002), whereas individuals with recent criminal legal system involvement had similar probability of substance use disorder treatment as those who did not (adjusted prevalence ratio=1.00; 95% CI=0.78, 1.28; p=0.99).

conclusionsFindings suggest that recent syringe services programs use was associated with recent substance use disorder treatment uptake, whereas recent criminal legal system involvement was not. These findings underscore that syringe services programs remain a vital component linking people who use drugs to substance use disorder treatment.

Indexed as

Criminal LawNeedle-Exchange ProgramsSubstance Abuse, IntravenousSubstance-Related DisordersAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHarm ReductionHumansMaleMiddle AgedSan FranciscoYoung Adult

Identifiers

PMID41101402
PMCPMC13267372

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.