In response to an increase in overdose deaths, there was a rapid scale-up of supervised consumption services (SCS), including federally sanctioned SCS and low-barrier SCS known as overdose prevention sites (OPS), in Vancouver, Canada, beginning in December 2016. However, little is known about the use of such services among adolescents and young adults (AYA) in this context. We therefore sought to characterize factors associated with the use of federally sanctioned SCS and OPS among street-involved AYA who inject drugs in Vancouver during an overdose crisis. From December 2016 to March 2020, data were collected from a prospective cohort of street-involved AYA aged 14 to 26 at baseline. Using multivariable generalized estimating equation analyses, we identified factors associated with recent use of federally sanctioned SCS and OPS, respectively. Among 298 AYA who inject drugs, 172 (57.8%) and 149 (50.0%) reported using federally sanctioned SCS and OPS during the study period, respectively. In multivariable analyses, public injecting, negative police interactions, and residing or spending time ≥ weekly in the Downtown Eastside neighborhood were all positively associated with the use of federally sanctioned SCS and OPS, respectively. Additionally, ≥ daily unregulated opioid use and residential eviction were positively associated with federally sanctioned SCS use, while requiring help injecting was inversely associated. Self-identified female or non-binary gender was also positively associated with OPS use (all p < 0.05). Both federally sanctioned SCS and OPS successfully engaged AYA at heightened risk of adverse health outcomes. However, the lack of accommodation of AYA who require manual assistance with injecting at federally sanctioned SCS may be inhibiting service engagement.

为了应对服药过量死亡人数的增加，从 12 月开始，加拿大温哥华迅速扩大了监督消费服务 (SCS)，包括联邦政府批准的 SCS 和被称为服药过量预防站点 (OPS) 的低门槛 SCS 2016 年。然而，对于青少年和年轻人 (AYA) 在这方面使用此类服务​​的情况知之甚少。因此，我们试图描述在温哥华吸毒过量危机期间注射毒品的街头 AYA 中与使用联邦政府批准的 SCS 和 OPS 相关的因素。从 2016 年 12 月到 2020 年 3 月，我们从基线年龄为 14 至 26 岁的街头 AYA 前瞻性队列中收集了数据。通过多变量广义估计方程分析，我们分别确定了与最近使用联邦批准的 SCS 和 OPS 相关的因素。在 298 名注射毒品的 AYA 中，分别有 172 名 (57.8%) 和 149 名 (50.0%) 报告在研究期间使用了联邦批准的 SCS 和 OPS。在多变量分析中，公共注射、消极的警察互动以及每周在市中心东区社区居住或度过的时间≥每周都分别与联邦批准的 SCS 和 OPS 的使用呈正相关。此外，每日不受管制的阿片类药物使用和住宅驱逐与联邦政府批准的 SCS 使用呈正相关，而需要帮助注射则呈负相关。自我认同的女性或非二元性别也与 OPS 使用呈正相关（所有p  < 0.05）。联邦政府批准的 SCS 和 OPS 都成功地让 AYA 承担了不良健康后果的高风险。然而，需要人工协助在联邦政府批准的 SCS 进行注射的 AYA 缺乏住宿可能会阻碍服务参与。