Barely Significant
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International harm reduction indicators are still not reached: results from a repeated cross-sectional study on drug paraphernalia distribution in Germany, 2021.

Harm Reduct J · 2023 · PMC10507885 · PMID 37726726

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an overall trendno p-value reported
A study conducted in May 2020 on the impacts of the COVID-19 pandemic on users of low-threshold drug services in Germany revealed an overall trend towards reduced opening hours of the services and interim closures during the lockdown in the first year of the pandemic.

also in 4,871 other papers

a positive trendno p-value reported
We saw a comparatively high and increasing number of distributed LDS items and services from the majority of federal states reporting distribution of LDS items, pointing towards a positive trend of implementing the use of LDS items as additional harm reduction intervention.

also in 11,005 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.