A5055112896- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Substance Abuse Treatment and Outcomes
- Sex work and related issues
- Prenatal Substance Exposure Effects
- Homelessness and Social Issues
- HIV/AIDS Research and Interventions
- Pain Management and Opioid Use
- Crime, Illicit Activities, and Governance
- Forensic Toxicology and Drug Analysis
- Criminal Justice and Corrections Analysis
- Poisoning and overdose treatments
- Cardiac Arrest and Resuscitation
- Suicide and Self-Harm Studies
- Migration, Health and Trauma
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Decision-Making and Restraints
- Crime Patterns and Interventions
- Medical Malpractice and Liability Issues
- Adolescent Sexual and Reproductive Health
- Torture, Ethics, and Law
- Global Public Health Policies and Epidemiology
- Emergency and Acute Care Studies
- Public Health Policies and Education
- Patient Dignity and Privacy
Northeastern University
2016-2025
University of California, San Diego
2015-2024
University of California System
2018-2024
Boston University
2013-2024
UC San Diego Health System
2017-2024
Universidad del Noreste
2013-2023
Missouri Institute of Mental Health
2023
Johns Hopkins University
2022-2023
CryoLife (United States)
2023
Brown University
2005-2023
The accepted wisdom about the US overdose crisis singles out prescribing as causative vector. Although drug supply is a key factor, we posit that fundamentally fueled by economic and social upheaval, its etiology closely linked to role of opioids refuge from physical psychological trauma, concentrated disadvantage, isolation, hopelessness. Overreliance on opioid medications emblematic health care system incentivizes quick, simplistic answers complex mental needs. In an analogous way,...
The current United States opioid overdose crisis is a complex, multifaceted, public health emergency that urgently requires the implementation of evidence-based primary, secondary, and tertiary preventive interventions.We develop typology stigma related to use, showing how multiple dimensions continue fundamentally hinder response crisis.• Public driven by stereotypes about people with use disorders, such as their perceived dangerousness or moral failings, which translate into negative...
Drug overdose is now the leading cause of injury death in United States. Most fatalities involve opioids, which include prescription medication, heroin, and illicit fentanyl. Current data reveal that crisis affects all demographic groups rates are rising most rapidly among African Americans. We provide a public health perspective can be used to mobilize comprehensive local, state, national response opioid crisis. argue framing from requires considering interaction multiple determinants,...
FSWs who inject drugs (FSW-IDUs) can acquire HIV through high risk sexual and injection behaviors. We studied correlates of infection among FSW-IDUs in northern Mexico, where sex work is quasi-legal syringes be legally obtained without a prescription.FSW-IDUs>18 years old reported injecting recent unprotected with clients Tijuana Ciudad Juarez underwent surveys HIV/STI testing. Logistic regression identified infection.Of 620 FSW-IDUs, prevalence HIV, gonorrhea, Chlamydia, trichomonas,...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA Psychiatry HomeNew OnlineCurrent IssueFor Authors Podcast Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Archives of (1919-1959) JN Learning / CMESubscribeJobsInstitutions LibrariansReprints Permissions Terms Use Privacy...
Policy Points This article reconceptualizes our understanding of the opioid epidemic and proposes six strategies that address epidemic's social roots. In order to successfully reduce drug‐related mortality over long term, policymakers public health leaders should develop partnerships with people who use drugs, incorporate harm reduction interventions, reverse decades drug criminalization policies. Context Drug overdose is leading cause injury‐related death in United States. Synthetic...
This cohort study characterizes emergent trends in overdose-related cardiac arrests the US during coronavirus disease 2019 (COVID-19) pandemic using a large, national emergency medical services database.
Provisional records from the US Centers for Disease Control and Prevention (CDC) through July 2020 indicate that overdose deaths spiked during early months of COVID-19 pandemic, yet more recent trends are not available, data disaggregated by month occurrence, race/ethnicity, or other social categories. In contrast, emergency medical services (EMS) provide a source information nearly in real time may be useful rapid granular surveillance mortality.To describe racial/ethnic, social, geographic...
Abstract Background Policing shapes the health risks of people who use drugs (PWUD), but little is understood about interventions that can align officer practices with PWUD health. This study deploys Theory Planned Behavior (TPB) to understand what influences police intentions make discretionary referrals treatment and harm reduction resources rather than arrest on less serious charges. Methods On-line surveys integrating TPB constructs adapting an instrument measuring mental were completed...
Having identified gaps in implementation of Rhode Island's syringe access law and police occupational safety education, public health professionals developed training to boost legal knowledge, improve attitudes, address needlestick injuries. Baseline data (94 officers) confirmed anxiety about injuries, poor risk overestimation. Before training, respondents believed that promotes drug use (51%), increases likelihood injuries (58%), fails reduce epidemics (38%). Pretraining posttraining...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
A large body of scientific evidence indicates that policies based solely on law enforcement without taking into account public health and human rights considerations increase the risks people who inject drugs (PWIDs) their communities. Although formal laws are an important component legal environment supporting harm reduction, it is affects PWIDs' behavior attitudes most acutely. This commentary focuses primarily drug policing practices risk acquiring HIV viral hepatitis, avenues for...
Opioid overdose is reversible through the timely administration of naloxone, which has been used by emergency medical services for decades. Law enforcement officers (LEOs) are often first responders to arrive at an overdose, but they not typically equipped with naloxone. This rapidly changing; more than 220 law agencies in 24 states now carry However, rollout some departments hampered concerns regarding officer and agency liability. We systematically examined legal risk associated LEO...