Engagement in drug treatment following nonfatal overdose among people who inject drugs in Appalachia.

Autor: Allen ST; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. Electronic address: sallen63@jhu.edu., Wedlock PT; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; Public Health Informatics, Computational, and Operations Research (PHICOR), City University of New York (CUNY) School of Public Health, New York City, NY 10027, USA., White RH; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA., Schneider KE; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA., O'Rourke A; DC Center for AIDS Research, Department of Psychological & Brain Sciences at the George Washington University, 2125G St. NW, Washington, DC 20052, USA., Ahmad NJ; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA., Weir BW; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA., Kilkenny ME; Cabell-Huntington Health Department, 703 7(th) Avenue, Huntington, WV 25701, USA., Sherman SG; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Jazyk: angličtina
Zdroj: The International journal on drug policy [Int J Drug Policy] 2021 Jul; Vol. 93, pp. 103176. Date of Electronic Publication: 2021 Feb 20.
DOI: 10.1016/j.drugpo.2021.103176
Abstrakt: Background: Immediately after experiencing a non-fatal overdose, many people who inject drugs (PWID) engage in harm-minimizing behavior change, including engagement in drug treatment. To inform the implementation of tailored interventions designed to facilitate drug treatment engagement in rural communities, we sought to identify correlates of starting any form of drug treatment after their most recent overdose among PWID who reside in a rural county in West Virginia.
Methods: Data are from a PWID population estimation study in Cabell County, West Virginia. We used multivariable logistic regression to identify independent sociodemographic and substance use-related correlates of any form of drug treatment engagement after an overdose among 179 PWID who had overdosed in the past 6 months.
Results: One-third of our sample (33.0%) started any form of drug treatment in the 30 days following their most recent overdose. Factors associated with engaging in drug treatment included: recent buprenorphine or Suboxone injection (aOR: 2.39, 95% CI: 1.15, 4.96), someone calling 911 after their most recent overdose (aOR: 3.29, 95% CI: 1.63, 6.65), and older age (aOR per year of age: 0.95, 95% CI: 0.91, 0.99).
Conclusions: Our results suggest that contact with emergency personnel after an overdose may represent an important opportunity to link PWID to drug treatment. The implementation of response teams trained in linking PWID to the services they require and helping persons navigate treatment systems maybe be a valuable intervention to reduce the harms of the opioid overdose crisis.
Competing Interests: Declarations of Interest Dr. Susan G. Sherman is an expert witness for plaintiffs in opioid litigation. No other authors have competing interests to disclose.
(Copyright © 2021 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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