Is opioid treatment available to those who need it most?

(Michigan State University) The US opioid epidemic is still raging -- it's particularly pronounced in low-income areas and in those where people lack access to health care services, which includes cities in Michigan and across the Rust Belt. But the effectiveness of efforts to provide treatment and recovery options to those who need it most -- that is, in locations with the greatest number of deaths from opioid overdose -- has been unclear.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Publication date: Available online 6 December 2019Source: Preventive MedicineAuthor(s): Elisabeth R. Silver, Chin HurAbstractThe majority of research on gender and the opioid epidemic focuses on women as patients, caregivers, or expectant mothers. However, little research approaches men as gendered subjects, despite their dramatically increased risk of opioid overdose. Accordingly, we examined gender differences in prescription opioid use and misuse with specific attention to implications for men using data from the 2017 National Survey on Drug Use and Health. We used design-adjusted, weighted Wald tests and multivariate l...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Conclusion: Safer prescribing policies may take multiple years to fully implement and need to be employed across the jurisdiction to minimize doctor-shopping and adverse effects on patients with chronic pain. Approaching pain management through the social-ecological model can address potential root causes of addiction and establish a framework for doctors to provide compassionate care, community leadership, and advocacy for these patients. PMID: 31790125 [PubMed - in process]
Source: Journal of the American Osteopathic Association - Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research
Discusses the opioid epidemic in the U.S. and analyzes how death from opioid overdoses has changed geographically over the past few decades. Includes data on opioid overdose mortality rates by county and rurality, describes the differences in type of substances in rural areas versus urban areas.
Source: News stories via the Rural Assistance Center - Category: Rural Health Source Type: news
Background: The use of Prescription Drug Monitoring Program (PDMP) data has greatly increased in recent years as these data have accumulated as part of the response to the opioid epidemic in the United States. We evaluated the accuracy of record linkage approaches using the Controlled Substance Monitoring Database (Tennessee’s [TN] PDMP, 2012–2016) and mortality data on all drug overdose decedents in Tennessee (2013–2016). Methods: We compared total, missed, and false positive (FP) matches (with manual verification of all FPs) across approaches that included a variety of data cleaning and matching me...
Source: Epidemiology - Category: Epidemiology Tags: Opioid epidemic Source Type: research
Conclusions: State adoption of PDMPs was associated with fewer PO deaths overall while proactive PDMPs alone were associated with fewer deaths related to natural/semisynthetic opioids and methadone, the specific targets of these programs. See video abstract at, http://links.lww.com/EDE/B619.
Source: Epidemiology - Category: Epidemiology Tags: Opioid epidemic Source Type: research
CONCLUSION: Public health advocacy education is important and needs to be expanded both within the nursing profession and across all disciplines. [J Nurs Educ. 2019;58(12):698-703.]. PMID: 31794036 [PubMed - in process]
Source: The Journal of Nursing Education - Category: Nursing Authors: Tags: J Nurs Educ Source Type: research
Jo Kimber and colleagues have announced a public health crisis in response to the record number of drug-related overdoses in Scotland, England, and Wales. Illicitly manufactured fentanyl emerged in Estonia in 2003, and, within a year, replaced heroin a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
“Perhaps everything that is terrible is, in the deepest sense, something that wants our love.” – Rilke The overdose epidemic in the U.S. has been called “the greatest public health crisis of our time.” It’s also our greatest opportunity. The opioid crisis is an identity crisis: it’s a challenge to how we see ourselves. Do we truly believe that we are all in this together? One answer leads us deeper into despair. The other, into a hopeful future. It’s been said that “doing more things faster is no substitute for doing the right things.” What are the “right th...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Publishers The Fix opioid crisis Source Type: blogs
Publication date: February 2020Source: Spatial and Spatio-temporal Epidemiology, Volume 32Author(s): Yusuf Ransome, S.V. Subramanian, Dustin T. Duncan, Daivid Vlahov, Joshua WarrenAbstractDrug- and alcohol-poisoning deaths remain current public health problems. Studies to date have typically focused on individual-level predictors of drug overdose deaths, and there remains a limited understanding of the spatiotemporal patterns and predictors of the joint outcomes. We use a hierarchical Bayesian spatiotemporal multivariate Poisson regression model on data from (N = 167) ZIP-codes between 2009 and 2014 in New York City to...
Source: Spatial and Spatio-temporal Epidemiology - Category: Epidemiology Source Type: research
This is not new news, but it's strong confirmation of earlier observations that have been somewhat controversial, and also bad news that the trend is continuing.That trend is declining life expectancy in the U.S. I'm not linking to the full report in JAMA because it's incredibly wonky and behind a paywall anyway, but rather to the associated editorial, which tells you what you need to know.Before we get into the substance of this, let me explain the concept of life expectancy. I'll try to put this simply, but some people find it confusing. It's really a fictitious, though useful, construct. It isn't really a prediction of ...
Source: Stayin' Alive - Category: American Health Source Type: blogs
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