Pub Date : 2024-03-28DOI: 10.1177/00220426241238963
Asnina Anandan, Nur Aizati Athirah Daud, Darshan Singh, B. Vicknasingam
Women who use drugs (WWUDs) face elevated risk of intimate partner violence (IPV) and unsafe sexual behaviours. This prevalence study, involving 200 WWUDs in a mandated drug rehabilitation program, examined risky sexual behaviours, family planning knowledge among IPV victims, and barriers to contraceptives or condoms use. The majority were Malays (86%, n = 171/200), averaging 32.3 years of age (SD = 8.61). Over half had experienced IPV in their lifetime (53%, n = 105/200). IPV victims had higher odds of unwanted pregnancies, prior abortions, concurrent drug use with partners, drug use before sex, and cohabitation with male partners who used drugs. Sixty percent were uninformed of female condoms, and most disliked using male condoms due to performance concerns. Despite better family planning knowledge among IPV victims, WWUDs had limited awareness of contraceptive use. Interventions should prioritize empowering and educating WWUDs, particularly IPV victims, on IPV prevention and the risks associated with unsafe sexual behaviour during rehabilitation.
{"title":"Risky Sexual Behaviours and Knowledge on Contraceptive Use and Family Planning Among Women Who Use Drugs (WWUDs) in Malaysia","authors":"Asnina Anandan, Nur Aizati Athirah Daud, Darshan Singh, B. Vicknasingam","doi":"10.1177/00220426241238963","DOIUrl":"https://doi.org/10.1177/00220426241238963","url":null,"abstract":"Women who use drugs (WWUDs) face elevated risk of intimate partner violence (IPV) and unsafe sexual behaviours. This prevalence study, involving 200 WWUDs in a mandated drug rehabilitation program, examined risky sexual behaviours, family planning knowledge among IPV victims, and barriers to contraceptives or condoms use. The majority were Malays (86%, n = 171/200), averaging 32.3 years of age (SD = 8.61). Over half had experienced IPV in their lifetime (53%, n = 105/200). IPV victims had higher odds of unwanted pregnancies, prior abortions, concurrent drug use with partners, drug use before sex, and cohabitation with male partners who used drugs. Sixty percent were uninformed of female condoms, and most disliked using male condoms due to performance concerns. Despite better family planning knowledge among IPV victims, WWUDs had limited awareness of contraceptive use. Interventions should prioritize empowering and educating WWUDs, particularly IPV victims, on IPV prevention and the risks associated with unsafe sexual behaviour during rehabilitation.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-11DOI: 10.1177/00220426241238957
Orrin D. Ware, Matthew D. Novak, Forrest Toegel
Contingency management is an effective behavioral intervention for treating substance use disorders that provides patients with incentives for objective verification of completed targeted recovery behaviors including abstinence from substances, attending treatment, and medication adherence. Accredited/licensed opioid treatment programs provide effective, medications for opioid use disorder. This study evaluated the prevalence of frequent contingency management use among a national sample of opioid treatment programs in the U.S. ( N = 672). A binary logistic regression model examined factors associated with providing contingency management, including state-level fatal overdoses, number of pharmacotherapies, outpatient treatment, facility ownership, and residential treatment. Most evaluated facilities provided contingency management ( n = 440; 65.5%). Facilities that prescribed more pharmacotherapies, were located in states with high drug overdose death rates, and for-profit (compared to nonprofit) providers were more likely to offer contingency management. Because contingency management effectively treats substance use disorders, contingency management should be offered more broadly across opioid treatment programs.
{"title":"Frequent Use of Contingency Management and Opioid Treatment Programs that Provide Treatment for More than Only Opioid Use Disorder","authors":"Orrin D. Ware, Matthew D. Novak, Forrest Toegel","doi":"10.1177/00220426241238957","DOIUrl":"https://doi.org/10.1177/00220426241238957","url":null,"abstract":"Contingency management is an effective behavioral intervention for treating substance use disorders that provides patients with incentives for objective verification of completed targeted recovery behaviors including abstinence from substances, attending treatment, and medication adherence. Accredited/licensed opioid treatment programs provide effective, medications for opioid use disorder. This study evaluated the prevalence of frequent contingency management use among a national sample of opioid treatment programs in the U.S. ( N = 672). A binary logistic regression model examined factors associated with providing contingency management, including state-level fatal overdoses, number of pharmacotherapies, outpatient treatment, facility ownership, and residential treatment. Most evaluated facilities provided contingency management ( n = 440; 65.5%). Facilities that prescribed more pharmacotherapies, were located in states with high drug overdose death rates, and for-profit (compared to nonprofit) providers were more likely to offer contingency management. Because contingency management effectively treats substance use disorders, contingency management should be offered more broadly across opioid treatment programs.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140105123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-08DOI: 10.1177/00220426241236686
George Pro, Camille Richoux, Mackenzie Bolt, Amber Kincade, Rahem White, Clay Kasper, Nick Zaller
Background. The Central Arkansas Harm Reduction Project (CAHR) is located in Little Rock, Arkansas, and is the only harm reduction service provider in the city. This quality improvement study was conducted to inform harm reduction programming decisions. Methods. We used CAHR data among clients who reported methamphetamine and/or opioid use (2021-2022; N = 459). We used an explanatory mixed methods design to identify factors associated with self-reported overdose reversals using naloxone. Results. The average number of reversals was 3.27. Nearly all clients (95%) reported methamphetamine use. The use of both methamphetamine and opioids (vs. opioids only; [Formula: see text] = 0.26, p = .04) was positively associated with a higher number of reversals. Our qualitative analysis provided additional context around methamphetamine and overdose, including leveraging community members connected to large networks of people who use drugs. Conclusion. Future CAHR initiatives will focus on expanding public health education around naloxone and fentanyl for a population increasingly using methamphetamine.
{"title":"Factors Associated With Self-Reported Overdose Reversals Using Naloxone in Little Rock, Arkansas: Implications for Harm Reduction Service Delivery in the US South","authors":"George Pro, Camille Richoux, Mackenzie Bolt, Amber Kincade, Rahem White, Clay Kasper, Nick Zaller","doi":"10.1177/00220426241236686","DOIUrl":"https://doi.org/10.1177/00220426241236686","url":null,"abstract":"Background. The Central Arkansas Harm Reduction Project (CAHR) is located in Little Rock, Arkansas, and is the only harm reduction service provider in the city. This quality improvement study was conducted to inform harm reduction programming decisions. Methods. We used CAHR data among clients who reported methamphetamine and/or opioid use (2021-2022; N = 459). We used an explanatory mixed methods design to identify factors associated with self-reported overdose reversals using naloxone. Results. The average number of reversals was 3.27. Nearly all clients (95%) reported methamphetamine use. The use of both methamphetamine and opioids (vs. opioids only; [Formula: see text] = 0.26, p = .04) was positively associated with a higher number of reversals. Our qualitative analysis provided additional context around methamphetamine and overdose, including leveraging community members connected to large networks of people who use drugs. Conclusion. Future CAHR initiatives will focus on expanding public health education around naloxone and fentanyl for a population increasingly using methamphetamine.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140070207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-24DOI: 10.1177/00220426241233193
Frederick Vinckenbosch, Eef Theunissen, Agnieszka Stelling, Charles Goldenbeld, Johannes G. Ramaekers
Nitrous oxide (N2O) is a popular recreational intoxicant and associated paraphernalia are increasingly being found at road traffic accident scenes in the Netherlands, suggesting that N2O intoxication causally contributes to the occurrence of a significant number of road traffic accidents. However, information on the pharmacodynamics- and kinetic characteristics of recreational N2O use is limited, impeding policy making and enforcement. This investigation aimed to determine a representative dosing method for recreational N2O use and establish a relevant timeframe for assessing psychomotoric functioning in future research. Online survey responses of 511 N2O users revealed that the majority inhaled N2O from party balloons filled with 4–14 L of N2O. Inhalation typically involved a repetitive “rebreathing” technique with 20–30 second breaks every six cycles, or without breaks, for approximately 12 cycles in total. 10.3% of respondents admitted to have inhaled N2O during driving in the past. Driving departure within 1 hour of inhalation was common, providing a relevant timeframe for the investigation of psychomotoric effects of recreational N2O use in future research.
{"title":"Recreational Nitrous Oxide Dosing and Administration and Its Use in Traffic: An Online Survey","authors":"Frederick Vinckenbosch, Eef Theunissen, Agnieszka Stelling, Charles Goldenbeld, Johannes G. Ramaekers","doi":"10.1177/00220426241233193","DOIUrl":"https://doi.org/10.1177/00220426241233193","url":null,"abstract":"Nitrous oxide (N2O) is a popular recreational intoxicant and associated paraphernalia are increasingly being found at road traffic accident scenes in the Netherlands, suggesting that N<jats:sub>2</jats:sub>O intoxication causally contributes to the occurrence of a significant number of road traffic accidents. However, information on the pharmacodynamics- and kinetic characteristics of recreational N2O use is limited, impeding policy making and enforcement. This investigation aimed to determine a representative dosing method for recreational N2O use and establish a relevant timeframe for assessing psychomotoric functioning in future research. Online survey responses of 511 N2O users revealed that the majority inhaled N2O from party balloons filled with 4–14 L of N2O. Inhalation typically involved a repetitive “rebreathing” technique with 20–30 second breaks every six cycles, or without breaks, for approximately 12 cycles in total. 10.3% of respondents admitted to have inhaled N2O during driving in the past. Driving departure within 1 hour of inhalation was common, providing a relevant timeframe for the investigation of psychomotoric effects of recreational N2O use in future research.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-21DOI: 10.1177/00220426241234819
Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov
Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.
{"title":"Implementing Harm Reduction-Based Medical Assistance via an Online Platform for People Who Use Drugs in Russia: A Qualitative Study","authors":"Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov","doi":"10.1177/00220426241234819","DOIUrl":"https://doi.org/10.1177/00220426241234819","url":null,"abstract":"Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139955666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-21DOI: 10.1177/00220426241235159
Candela Sofía Carreira Caro, Ángel Emanuel Lietti, Gustavo Ezequiel Buján, Jesica Formoso, Angelina Pilatti, Laura Ruth Guelman, Sonia Jazmín Molina
Alcohol consumption is highly prevalent in college students, being important to identify risk factors for alcohol consumption. Thus, this work explored students' alcohol consumption and the influence of drinking contexts and how the lockdown modified drinking contexts and its influence on alcohol consumption. Argentinean college students ( N = 1762; 74.8% women; Mean age = 23.25 ± 2.64) completed a survey that assessed alcohol consumption and related contexts before and during the lockdown. Latent Class Analysis identified 5 context-classes that showed different alcohol consumption patterns. A high percent of students drink alcohol in various contexts, but especially those related with social encounters with peers. Moreover, students who consume alcohol at social events with peers tend to have higher consumption rates per occasion and on a monthly basis. The confinement measures could have an effect on reducing alcohol use in college students, probably by modifying the drinking context of some students. college students consume alcohol extensively, which is worrying considering the health disturbances that it produces. Moreover, it is important to consider special situations such as the lockdown -that could modify contexts and its influence on consumption-to devise intervention strategies to reduce alcohol consumption.
酒精消费在大学生中非常普遍，因此识别酒精消费的风险因素非常重要。因此，本研究探讨了学生的酒精消费和饮酒环境的影响，以及禁酒令如何改变饮酒环境及其对酒精消费的影响。阿根廷大学生（人数=1762；74.8%为女性；平均年龄=23.25 ± 2.64）完成了一项调查，评估了封锁前和封锁期间的饮酒量及相关情境。潜类分析（Latent Class Analysis）确定了 5 个显示不同酒精消费模式的情境类别。很高比例的学生在各种情境下饮酒，尤其是在与同伴的社交场合。此外，在与同伴的社交活动中饮酒的学生每次和每月的饮酒量往往较高。禁酒措施可能通过改变部分学生的饮酒环境，对减少大学生饮酒起到一定作用。大学生大量饮酒，考虑到其对健康造成的影响，这一点令人担忧。此外，重要的是要考虑到特殊情况，如禁闭--可能会改变饮酒环境及其对饮酒的影响--来制定减少饮酒的干预策略。
{"title":"Physical and Social Drinking Contexts Changes Due to the Lockdown During the COVID-19 Pandemic Modified Alcohol Consumption in a Sample of Argentine College Students","authors":"Candela Sofía Carreira Caro, Ángel Emanuel Lietti, Gustavo Ezequiel Buján, Jesica Formoso, Angelina Pilatti, Laura Ruth Guelman, Sonia Jazmín Molina","doi":"10.1177/00220426241235159","DOIUrl":"https://doi.org/10.1177/00220426241235159","url":null,"abstract":"Alcohol consumption is highly prevalent in college students, being important to identify risk factors for alcohol consumption. Thus, this work explored students' alcohol consumption and the influence of drinking contexts and how the lockdown modified drinking contexts and its influence on alcohol consumption. Argentinean college students ( N = 1762; 74.8% women; Mean age = 23.25 ± 2.64) completed a survey that assessed alcohol consumption and related contexts before and during the lockdown. Latent Class Analysis identified 5 context-classes that showed different alcohol consumption patterns. A high percent of students drink alcohol in various contexts, but especially those related with social encounters with peers. Moreover, students who consume alcohol at social events with peers tend to have higher consumption rates per occasion and on a monthly basis. The confinement measures could have an effect on reducing alcohol use in college students, probably by modifying the drinking context of some students. college students consume alcohol extensively, which is worrying considering the health disturbances that it produces. Moreover, it is important to consider special situations such as the lockdown -that could modify contexts and its influence on consumption-to devise intervention strategies to reduce alcohol consumption.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139955668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-19DOI: 10.1177/00220426241234816
Ozden Ozbay, Ozge Zeybekoglu Akbas, Gokhan V. Kokturk
Background: Only a few studies have tested the effects of social bonding, differential association/social learning, and strain theories on cigarette smoking by adolescents in the West/the U.S. and Türkiye. Objectives: Using data collected from adolescents (N = 1.710) living in central Ankara (the capital of Türkiye) in 2001, this study explored whether social bonding, differential association/social learning, and strain theories had any effect on adolescent cigarette use and whether the link between these theories and cigarette smoking varied by gender. Results: While family supervision was negatively associated with the likelihood of cigarette smoking, substance use by close friends, having delinquent friends, definitions favorable to smoking, school failure and punishment at school were positively related to the likelihood of cigarette smoking. Conclusion: Social bonding, differential association/social learning, and strain theories are generally associated with smoking in the theoretically expected direction. However, the data also indicate that variables from social learning theory have a greater impact on cigarette smoking by adolescents, followed by variables from strain and social bonding theories. Finally, the three theories appear to play more important roles in female than male adolescent smoking behaviors.
{"title":"Tests of Social Bonding, Differential Association/Social Learning, Strain Theories, and Cigarette Use Among Adolescents in Türkiye","authors":"Ozden Ozbay, Ozge Zeybekoglu Akbas, Gokhan V. Kokturk","doi":"10.1177/00220426241234816","DOIUrl":"https://doi.org/10.1177/00220426241234816","url":null,"abstract":"Background: Only a few studies have tested the effects of social bonding, differential association/social learning, and strain theories on cigarette smoking by adolescents in the West/the U.S. and Türkiye. Objectives: Using data collected from adolescents (N = 1.710) living in central Ankara (the capital of Türkiye) in 2001, this study explored whether social bonding, differential association/social learning, and strain theories had any effect on adolescent cigarette use and whether the link between these theories and cigarette smoking varied by gender. Results: While family supervision was negatively associated with the likelihood of cigarette smoking, substance use by close friends, having delinquent friends, definitions favorable to smoking, school failure and punishment at school were positively related to the likelihood of cigarette smoking. Conclusion: Social bonding, differential association/social learning, and strain theories are generally associated with smoking in the theoretically expected direction. However, the data also indicate that variables from social learning theory have a greater impact on cigarette smoking by adolescents, followed by variables from strain and social bonding theories. Finally, the three theories appear to play more important roles in female than male adolescent smoking behaviors.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139956266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/00220426241231720
George Pro, Corey Hayes, Jonathan Bona, Mofan Gu, Camille Richoux, N. Zaller
Background. Methamphetamine and opioid use disorders (MUD/OUD) are increasing in the US, paralleled by a surge in hepatitis C virus (HCV). HCV is curable with direct-acting antiviral medication (DAA), but people with HCV who use drugs often don’t receive it. We estimated differences in DAA by substance type among people with HCV in Arkansas. Methods. We used a statewide medical claims database to identify HCV cases who also had MUD, OUD, and/or AUD (pooled 2018–2022; N = 5439). We used multiple logistic regression to model DAA receipt, adjusted for relevant covariates. Results. Only 10% of our sample received DAA. The lowest predicted probabilities of DAA receipt were among people who used methamphetamine (4.5%) and those covered by Medicaid (5.4%). Conclusion. Arkansas Medicaid has the strictest requirements for initiating DAA in the country. Public health efforts that reduce exposure to HCV among people who use drugs will reduce the HCV burden in Arkansas.
{"title":"HCV Medication Receipt Among Individuals With Methamphetamine, Opioid, and Alcohol Use Disorders in Arkansas, 2018–2022: A Long Road Ahead for HCV Elimination in the US South","authors":"George Pro, Corey Hayes, Jonathan Bona, Mofan Gu, Camille Richoux, N. Zaller","doi":"10.1177/00220426241231720","DOIUrl":"https://doi.org/10.1177/00220426241231720","url":null,"abstract":"Background. Methamphetamine and opioid use disorders (MUD/OUD) are increasing in the US, paralleled by a surge in hepatitis C virus (HCV). HCV is curable with direct-acting antiviral medication (DAA), but people with HCV who use drugs often don’t receive it. We estimated differences in DAA by substance type among people with HCV in Arkansas. Methods. We used a statewide medical claims database to identify HCV cases who also had MUD, OUD, and/or AUD (pooled 2018–2022; N = 5439). We used multiple logistic regression to model DAA receipt, adjusted for relevant covariates. Results. Only 10% of our sample received DAA. The lowest predicted probabilities of DAA receipt were among people who used methamphetamine (4.5%) and those covered by Medicaid (5.4%). Conclusion. Arkansas Medicaid has the strictest requirements for initiating DAA in the country. Public health efforts that reduce exposure to HCV among people who use drugs will reduce the HCV burden in Arkansas.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/00220426241231720
George Pro, Corey Hayes, Jonathan Bona, Mofan Gu, Camille Richoux, N. Zaller
Background. Methamphetamine and opioid use disorders (MUD/OUD) are increasing in the US, paralleled by a surge in hepatitis C virus (HCV). HCV is curable with direct-acting antiviral medication (DAA), but people with HCV who use drugs often don’t receive it. We estimated differences in DAA by substance type among people with HCV in Arkansas. Methods. We used a statewide medical claims database to identify HCV cases who also had MUD, OUD, and/or AUD (pooled 2018–2022; N = 5439). We used multiple logistic regression to model DAA receipt, adjusted for relevant covariates. Results. Only 10% of our sample received DAA. The lowest predicted probabilities of DAA receipt were among people who used methamphetamine (4.5%) and those covered by Medicaid (5.4%). Conclusion. Arkansas Medicaid has the strictest requirements for initiating DAA in the country. Public health efforts that reduce exposure to HCV among people who use drugs will reduce the HCV burden in Arkansas.
{"title":"HCV Medication Receipt Among Individuals With Methamphetamine, Opioid, and Alcohol Use Disorders in Arkansas, 2018–2022: A Long Road Ahead for HCV Elimination in the US South","authors":"George Pro, Corey Hayes, Jonathan Bona, Mofan Gu, Camille Richoux, N. Zaller","doi":"10.1177/00220426241231720","DOIUrl":"https://doi.org/10.1177/00220426241231720","url":null,"abstract":"Background. Methamphetamine and opioid use disorders (MUD/OUD) are increasing in the US, paralleled by a surge in hepatitis C virus (HCV). HCV is curable with direct-acting antiviral medication (DAA), but people with HCV who use drugs often don’t receive it. We estimated differences in DAA by substance type among people with HCV in Arkansas. Methods. We used a statewide medical claims database to identify HCV cases who also had MUD, OUD, and/or AUD (pooled 2018–2022; N = 5439). We used multiple logistic regression to model DAA receipt, adjusted for relevant covariates. Results. Only 10% of our sample received DAA. The lowest predicted probabilities of DAA receipt were among people who used methamphetamine (4.5%) and those covered by Medicaid (5.4%). Conclusion. Arkansas Medicaid has the strictest requirements for initiating DAA in the country. Public health efforts that reduce exposure to HCV among people who use drugs will reduce the HCV burden in Arkansas.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.1177/00220426241231723
Kimberly A. Tyler, Anika R. Eisenbraun, P. Habecker, Bilal Khan
We use a unique platform called the Open Dynamic Interaction Network (ODIN) app, to collect fine grained, daily data from participants. Our results graphically depict the feasibility of using the ODIN app with people who use drugs (PWUD) in the Great Plains. During fall 2022-spring 2023, 100 participants (53% female), using an Android smartphone with the ODIN app installed, were asked up to 22 questions per day on substance use, stress, and social support over 30 days. The mean overall daily response rates to the ecological momentary assessment questions using the ODIN app was 82%. Overall, 82% of participants reported that the ODIN app was “somewhat” or “very easy” to use. Our graphical depictions highlight, for example, that response rates do not typically drop off until the third block of questions. These findings have methodological significance for those who work with PWUD and other hard to reach populations.
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