Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City.

Autor: Pérez-Figueroa RE; Department of Health, Behavior, and Society, University of Kentucky College of Public Health.; Center for Innovation in Population Health, University of Kentucky College of Public Health., Obonyo DJ; Department of Health Management and Policy, University of Kentucky College of Public Health., Santoscoy S; Research and Drug Education, Washington Heights Corner Project., Surratt HL; Department of Behavioral Science, University of Kentucky College of Medicine., Lekas HM; Department of Psychiatry, New York University School of Medicine.; Department of Social Solutions and Services Research, Nathan S. Kline Institute for Psychiatric Research., Lewis CF; Department of Psychiatry, New York University School of Medicine.; Department of Social Solutions and Services Research, Nathan S. Kline Institute for Psychiatric Research., Lyons JS; Center for Innovation in Population Health, University of Kentucky College of Public Health.; Department of Health Management and Policy, University of Kentucky College of Public Health., Amesty SC; Center for Family and Community Medicine, Columbia University Irving Medical Center Vagelos College of Physicians and Surgeons.; Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health.
Jazyk: angličtina
Zdroj: Behavioral medicine (Washington, D.C.) [Behav Med] 2022 Jul-Dec; Vol. 48 (4), pp. 320-330. Date of Electronic Publication: 2021 Jun 04.
DOI: 10.1080/08964289.2021.1922347
Abstrakt: Nationally, opioid overdose remains strikingly persistent among people experiencing homelessness and housing instability. Limited information is available about the characteristics of this phenomenon in economically disadvantaged communities of color. This study sought to evaluate the association between key contextual factors and experiencing a non-fatal opioid overdose among people who use heroin in Washington Heights, New York City. We conducted a cross-sectional survey (N = 101) among participants seeking harm reduction services who reported heroin use in the last three months. Binary logistic regression models examined the association between key social and structural factors and the likelihood of ever experiencing a non-fatal opioid overdose and recently experiencing a non-fatal opioid overdose. The majority of the sample reported housing instability and lived in poverty; almost 42% were homeless. After adjustment, participants who injected heroin were more likely to have ever experienced a non-fatal opioid overdose. Also, younger participants who reported hunger in the last six months were more likely to have experienced a non-fatal opioid overdose in the last three months. Findings suggest the role of structural vulnerability in shaping overdose risk among the participants. Overdose prevention strategies should consider factors of the social and economic environment to mitigate barriers to accessing health and social services within the context of the current opioid crisis.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje