Over 80% of rural households in Peru use solid fuels as their primary source domestic energy, which contributes to several health problems. In 2016, 6.7 million Peruvians were living areas. The Fondo de Inclusión Social Energético (FISE) LPG Promotion Program, began 2012 and is housed under the Ministry Energy Mining, a government-sponsored initiative aimed at reducing by increasing access clean fuel for cooking poor Peruvian households.We conducted mixed methods study incorporating data...

Transgender women experience significant health disparities and are at disproportionately high risk of violence, stigmatization, discrimination. Stigma discrimination enacted by staff leaders in multiple public service sectors including housing, physical behavioral health, criminal justice law enforcement, workforce development, education. Multisectoral approaches recognize that involves coordination cooperation across various sectors, government departments, stakeholders. The purpose this...

Community-based distribution of naloxone has continued to serve as an important strategy in combatting the U.S. opioid overdose crisis. People who use drugs are first responders this crisis, administering and disseminating knowledge about among their social networks. However, it is unclear how evolves over time across individuals, especially amid a volatile, unregulated drug market. We conducted 22 qualitative interviews with people rural, suburban, urban regions Maryland. Interviews focused...

Background Rates of death from opioid overdose continue to rise in the United States. One harm reduction strategy designed reduce fatal risk among people who inject drugs (PWID) is an advisory not use alone. However, feasibility and acceptability this message have been evaluated. Objectives: This paper explores drug practices young PWID related injecting alone reasons for doing so. Methods: From 2015 2016, 23 in-depth interviews were completed Baltimore, Maryland with PWID. Participants...

Understanding everyday conversations about climate change may provide insights into framing the issue to promote action. As part of a longitudinal online study in US launched June 2021, 805 respondents were asked if they had discussed with friend or family member prior month; not, why and yes, delineate conversation topic. Concurrent mixed methods used analyze data. The majority (62.6%) reported not having month. Among those who indicated that change, five themes identified from topics, many...

Abstract Background Substance use disorder treatment and recovery support services are critical for achieving maintaining recovery. There limited data on how structural social changes due to the COVID-19 pandemic impacted individual-level experiences with substance treatment-related among community-based samples of people who inject drugs. Methods People a recent history injection drug were enrolled in AIDS Linked IntraVenous Experience study Baltimore, Maryland participated one-time,...

Health and human rights organizations have endorsed drug decriminalization to promote public health-oriented approaches substance use. In the US, policymakers begun pursue this via prosecutorial discretion-or decision by a prosecutor decline criminal charges for possession in their jurisdiction. This study characterizes drivers of adoption, policy design implementation processes, barriers impact sustainability approach inform evolving efforts promoting health people who use drugs (PWUD).

The COVID-19 pandemic and climate change are two current global threats. This study examined the relationship between attitudes behaviors risk perceptions. Drivers of were also assessed. Study participants an online sample 520 respondents from a longitudinal well-being in US. Logistic regression models used to examine outcomes opinions perceptions prevention (perceived risk, mask wearing, social distancing, vaccine intentions). Covariates included political ideology, conspiracy beliefs,...

The opioid overdose crisis in the USA has called for expanding access to evidence-based substance use treatment programs, yet many barriers limit ability of people who inject drugs (PWID) engage these programs. Predominantly rural states have been disproportionately affected by while simultaneously facing diminished drug services. purpose this study is explore and facilitators engagement among PWID residing a county West Virginia.

Abstract People who inject drugs (PWID) are at an increased risk of multimorbid mental health and chronic diseases, which frequently underdiagnosed under‐treated due to systemic barriers ongoing substance use. Healthcare engagement is essential address these conditions prevent excess morbidity mortality. The goal this study was understand how PWID engage in care for their use treatment given the known historic pervasive barriers. We conducted 24 semistructured qualitative interviews informed...

Background: The increased contamination of illicit drugs with fentanyl in the United States drug market has contributed to escalating mortality from overdose. Leisure and hospitality service industry workers are encountering opioid-triggered overdoses their workplaces, such as restaurants bars. Consequently, this increases need for overdose education naloxone distribution (OEND) training, which been limited. We aimed describe experiences among an workplace. Methods: conducted in-depth...

This study sought to examine the prevalence and correlates of grit in a sample Black men who have sex with (BMSM) Baltimore, Maryland.A trained research assistant administered Short-Grit Center for Epidemiological Studies Depression (CES-D) scales surveyed participants community-based behavioral health intervention demographic, health, sexual behaviors.Of 239 participants, two-thirds scored high category. A greater proportion demonstrated higher educational attainment, were employed prior 6...

As overdose remains a major public health concern in the United States, it is important to understand experiences people who inject drugs (PWID) have with overdose. Past during such emergencies are an determinant of future behavior, including help seeking, which can be lifesaving.

AbstractAbstractBackground: Medication for Opioid Use Disorder (MOUD) is a best practice treating individuals with opioid use disorder (OUD), and primary care-based MOUD management can reduce treatment barriers among OUD patients. Individuals experience disproportionately high rates of trauma violence, highlighting the importance addressing trauma, mental health, substance concurrently. However, clear guidelines trauma-informed in care setting remain poorly established. Methods: A...

Within the United States, transgender women face a disproportionate burden of violence, experiencing increased rates multiple forms violence compared with cisgender and other sexual/gender minority groups. Among women, further racial/ethnic disparities in experiences exist. Resilience has been shown to be protective against adverse impacts on mental physical health outcomes, yet little is known about unique sources resilience, coping, strength among women. Sixteen in-depth interviews were...

In addition to the pervasive anti-Black racism faced by Black people in United States, men who have sex with (BMSM) face sexual minority stigma and, among BMSM living HIV, HIV-related stigma. These multilevel social forces shape networks, which are important sources of resources, support, and behavior regulation. This study quantitatively examined relationship between network characteristics (e.g., homophobia, biphobia), assessed reported concerns around disclosing one's status, Baltimore,...

Older (mature) Black men who have sex with (BMSM) are an understudied group disproportionately affected by HIV/AIDS and experience competing priorities such as medical comorbidities, social isolation, financial stressors. The purpose of this study was to assess the needs a sample urban mature BMSM inform HIV prevention programming. A cross-sectional survey ages 40 older conducted among recruited from community-based organizations. Men ranked seven domains: housing stability, physical health,...

Depression and other adverse mental health outcomes are prevalent among Black men who have sex with (BMSM). Social support can be protective against symptoms of depression, the effects which may amplified by experiences a shared social identity.