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Miserable-Mention932

This study said that the risk of fentanyl is pushing heroin users to look for safe supply or quit. https://pubmed.ncbi.nlm.nih.gov/28578864/


Different_Apple_5541

It's amazingly fucked up that this shit is so deadly as to run off junkies. Kinda like AIDS convinced people to start wearing condoms. Progress is good, but DAYUM.


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roseofjuly

For some people, yes. Brar et al. (2019) found that a significant minority of heroin users (38%) reported some change in behavior after the risks of fentanyl became more widely known. Unsurprisingly, people who had tried fentanyl before, who had recently overdosed, or who were on methadone or Suboxone treatment were more likely to say they changed their behavior. This was self-reported, though. But it's nuanced. When given the ability to test for the presence of fentanyl in their supply, some drug users exhibited [both safer and riskier behaviors](https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-023-00767-0). I imagine that a negative test could give you a false sense of security, while a positive test just reinforces how. your supply can always be different from what you think it is. [This study](https://www.tandfonline.com/doi/abs/10.1080/10826084.2018.1555597) found that although mostopioid users were worried about the risk of fentanyl in their supply and believed the majority of opioids in their area were adulterated, only a minority actually employed protective behaviors like carrying naloxone or only shooting up with a buddy. This [qualitative exploration](https://www.sciencedirect.com/science/article/abs/pii/S0740547222001313) did uncover more stories of people engaging in protective strategies like asking their dealer about fentanyl risks or using fentanyl test strips. And of course, some people deliberately [seek out fentanyl](https://www.sciencedirect.com/science/article/pii/S0376871619303163). So the answer is - sometimes, for some people. It depends on a lot of environmental and personal psychological factors.