Abstract Background Research conducted in urban areas has highlighted the impact of housing instability on people who inject drugs (PWID). revealing that it exacerbates vulnerability to drug-related harms and impedes syringe service program (SSP) use. However. few studies have explored the effects of houselessness on SSP use among rural PWID. https://www.roneverhart.com/Camp-Cotton-Mouth-Women-s-T-Shirt/