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. Author manuscript; available in PMC: 2020 Jan 2.
Published in final edited form as: Am J Drug Alcohol Abuse. 2019 Jan 2;45(1):90–96. doi: 10.1080/00952990.2018.1550652

Table 2.

Participant beliefs and concerns about fentanyl, anticipated reactions if learned about fentanyl exposure, and prevalence of testing positive for fentanyl or other analogs.

Full Sample
(n=40)
Known Fentanyl Use (Self-Report)
(27.5%, n=11)
No Known Fentanyl Use (Self-Report)
(72.5%, n=29)
Beliefs and Concerns about Fentanyl % Agreement (n) % Agreement (n) % Agreement (n)

Would want to know if their heroin contains fentanyl 87.5 (35) 72.7 (8) 93.1 (27)
Suspect they may have been exposed to fentanyl 67.5 (27) 72.7 (8) 65.5 (19)
Concerned about fentanyl adulteration 65.0 (26) 54.6 (6) 69.0 (20)
Expect their hair to test positive for fentanyl 47.5 (19)  90.9(10)* 31.0 (9)
Believe they would notice if their heroin contained fentanyl 30.0 (12) 54.6 (6) 20.7 (6)

Reaction if Learned Hair was Positive for Fentanyl % Agreement (n) % agreement (n) % Agreement (n)

Warn users I know that they may be unknowingly using fentanyl 82.5 (33) 81.8 (9) 82.8 (24)
Try to stop using heroin 75.0 (30) 72.7 (8) 75.9 (22)
Use heroin more slowly or in smaller amounts 67.5 (27) 81.8 (9) 62.1 (18)
Take a small test dose first to see how you react 67.5 (27) 72.7 (8) 65.5 (19)
Make sure someone nearby has naloxone to reverse an overdose 65.0 (26) 81.8 (9) 58.6 (17)
Find a more trustworthy dealer 57.5 (23) 54.6 (6) 58.6 (17)
Use drug test strips that can detect fentanyl 47.5 (19) 54.6 (6) 44.8 (13)

Compounds Detected in Hair Sample % Positive (n) % Positive (n) % Positive (n)

Fentanyl 97.5 (39) 100.0 (11) 96.6 (28)
4-ANPP 90.0 (36) 90.9 (10) 89.7 (26)
Norfentanyl 90.0 (36) 90.9 (10) 89.7 (26)
Acetyl-fentanyl 82.5 (33) 90.9 (10) 79.3 (23)
Furanyl-fentanyl 47.5 (19) 45.5 (5) 48.3 (14)
U-47700 7.5 (3) 18.2 (2) 3.5 (1)
*

p < .01