A5088890409- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Mental Health Treatment and Access
- Digital Mental Health Interventions
- Rhetoric and Communication Studies
- Homelessness and Social Issues
- HIV/AIDS Research and Interventions
- Prenatal Substance Exposure Effects
- Hepatitis C virus research
- Behavioral Health and Interventions
- Technology Adoption and User Behaviour
- Social Media in Health Education
- Health Policy Implementation Science
- Sex work and related issues
- COVID-19 and Mental Health
- Suicide and Self-Harm Studies
- Food Security and Health in Diverse Populations
- Community Health and Development
- Discourse Analysis in Language Studies
- Poisoning and overdose treatments
- Hepatitis B Virus Studies
- Medication Adherence and Compliance
- Forensic Toxicology and Drug Analysis
- Impact of Technology on Adolescents
University of North Carolina at Chapel Hill
2020-2025
University of North Carolina Health Care
2022
Abstract Background Drug overdose deaths in the United States exceeded 100,000 2021 and 2022. Substance use stigma is a major barrier to treatment harm reduction utilization priority target ending epidemic. However, little known about relationship between overdose, especially rural areas. We aimed characterize association felt non-fatal multi-state sample of rural-dwelling people who drugs. Methods Between January 2018 March 2020, 2,608 reporting past 30-day opioid were recruited via...
Few evidence-based interventions have been successfully scaled up and sustained long-term. Within an implementation trial testing strategies for scale-up of the Systems Navigation Psychosocial Counseling (SNaP) intervention people who inject drugs (PWID) with HIV across clinics in Vietnam, we sought to assess if SNaP was after study support ended identify factors, including adaptations, that affected sustainment. Across all 42 clinics, surveyed clinic staff at 6-10 months post-study...
Importance Drug use and incarceration have a substantial impact on rural communities, but factors associated with the of people who drugs (PWUD) not been thoroughly investigated. Objective To characterize associations between recent incarceration, overdose, substance disorder (SUD) treatment access among PWUD. Design, Setting, Participants For this cross-sectional study, Rural Opioid Initiative research consortium conducted survey in geographically diverse counties high rates overdose across...
The aim of this article is to address how conceptualizations addiction shape the lived experiences people who use drugs (PWUDs) during current opioid epidemic. Using a discourse analytic approach, we examine interview transcripts from 27 PWUDs in rural Appalachian Ohio. We investigate ways which participants talk about their substance use, what these linguistic choices reveal conceptions self and other PWUDs, participants’ discursive caches might be constrained by or defined within broader...
Abstract Background Efforts to distribute naloxone have equipped more people with the ability reverse opioid overdoses but who use drugs are often reluctant call 911 due concerns for legal repercussions. Rural communities face unique challenges in reducing overdose deaths compared urban communities, including limited access harm reduction services as well greater about stigma and privacy. Methods The Opioid Initiative was funded 2017 better understand health-related harms associated crisis...
Social media platforms are popular tools for people with inflammatory bowel disease (IBD) to seek support. In the current study, we sought examine and characterize IBD distress discourse on public social platforms. Our goal was identify topics associated these online discussions.
Background Stigma is a barrier to treatment and harm reduction seeking in people who use drugs. Most stigma interventions offer psychotherapy or psychoeducation group-based clinical settings, failing reach are not treatment. SMS text messaging an effective acceptable modality for delivering health information drugs may be suitable conduit providing advice understand cope with stigma. Objective This paper presents the protocol study that aims determine feasibility, acceptability, preliminary...
Abstract Aim Illicitly manufactured fentanyl and its analogs are the primary drivers of opioid overdose deaths in United States (U.S.). People who use drugs may be exposed to or intentionally unintentionally. This study sought identify strategies used by rural people reduce harms associated with unintentional exposure. Methods analysis focused on 349 semi-structured qualitative interviews across 10 states 58 counties U.S conducted between 2018 2020. Interview guides were collaboratively...
Background: Ohio's opioid epidemic continues to progress, severely affecting its rural Appalachian counties-areas marked by high mortality rates, widespread economic challenges, and a history of extreme overprescribing. Substance use may be particularly prevalent in the region due interactions between community interpersonal trauma. Purpose/Objectives: We conducted qualitative interviews explore local context contributing role Methods: Two interviewers in-depth (n = 34) with stakeholders...
<sec> <title>BACKGROUND</title> Stigma is a barrier to treatment and harm reduction seeking in people who use drugs. Most stigma interventions offer psychotherapy or psychoeducation group-based clinical settings, failing reach are not treatment. SMS text messaging an effective acceptable modality for delivering health information drugs may be suitable conduit providing advice understand cope with stigma. </sec> <title>OBJECTIVE</title> This paper presents the protocol study that aims...
<title>Abstract</title> Background The overdose epidemic is presently driven by polydrug use, sparking renewed interest in why people initiate use of certain drugs or drug combinations. Current research privileges the physiological ends consumption, often ignoring social and environmental context use. Framed cognitive theory, purpose this study was to characterize factors precipitating substance initiation, transition, combination beyond immediate effects substance(s). Methods We conducted...
ABSTRACT Objective Describe time trends during 17.6 years of community-based naloxone distribution. Methods Analysis administrative records from a harm reduction program in Pittsburgh, Pennsylvania, USA, collected encounters for overdose education, dispensing and refills. Monthly were analyzed using segmented regression. Programmatic context aided interpretation quantitative findings. We also evaluated impacts 2014 state legislation loosening prescribing requirements providing Good Samaritan...
The confluence of injection drug use (IDU), alcohol consumption, and viral hepatitis increases morbidity among persons living with HIV (PWH). We present a secondary analysis randomized controlled trial reduction interventions in Thai Nguyen, Vietnam conducted between 2016–2018. assessed B (HBV) C (HCV) coinfection PWH reporting hazardous consumption examined differences IDU by status. Participants were ≥18 years old, HIV, reported per the WHO Alcohol Use Disorders Identification Test...
Stigma towards people who use drugs and those engage in sex work is well-documented, leading to consequences such as reduced access health services support, especially rural milieus. reduction has been recognized a priority the opioid overdose crisis, but little attention paid within-group attitudes beliefs. This study aimed explore how counties across United States appraise by themselves or other community members.