The Relationship of E-Cigarette Use to Tobacco Use Outcomes Among Young Adults Who Smoke and Use Alcohol
Conclusions:
Nicotine e-cigarettes were significantly associated with improved tobacco use outcomes when used as a cessation strategy, but not when used apart from trying to quit smoking. Dual use may not be an effective path to achieve smoking cessation. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research
Community-led Priority Setting for Opioid Use Disorder in Pregnancy and Parenting
Conclusions:
Community-engaged priority setting among those with OUD was an effective and meaningful way to guide future research, policy, and care improvement efforts. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
Healthcare Patterns of Pregnant Women and Children Affected by OUD in 9 State Medicaid Populations
Conclusions:
Medicaid data, which allow for longitudinal surveillance of care across different settings, can be used to monitor OUD and related pregnancy and child health outcomes. Findings highlight the need for public health efforts to improve care for pregnant persons and children affected by OUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
The Cyclical and Evolving Nature of Methamphetamine Use: An Evaluation of Near Real-time Urine Drug Test Results
Conclusions:
The probability of being positive for methamphetamine in UDT increased nationwide between 2014 and 2019. Not all census divisions are increasing at the same rate. Copositivity with additional substances is increasing in some census divisions, which further increases the risk of overdose and poor treatment outcomes. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
Participants’ Treatment Perspectives on a Clinical Trial on the Use of Extended-Release Naltrexone for Substance Use Disorders: Considerations for Future Clinical Research
Conclusions:
Participant perceptions of trial interventions may frame their experience and participation in clinical studies. These findings demonstrate the need for researchers and clinicians to consider how apprehension and a lack of medication receptivity may impact enrollment and participant autonomy. They also identify opportunities for greater community engagement in trial design and implementation in order to improve participant education about the nature of interventions and the potential of ongoing consent processes integrated throughout studies to promote participant understandings of study purposes and objec...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
The Impacts of COVID-19 on Mental Health, Substance Use, and Overdose Concerns of People Who Use Drugs in Rural Communities
Conclusions:
As rural communities respond to the evolving impacts of COVID-19, there is increasing need to identify strategies to address PWUD's mental, physical, and social health needs during COVID-19. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
Use of Electronic Health Record Data to Estimate the Probability of Alcohol Withdrawal Syndrome in a National Cohort of Hospitalized Veterans
This study estimated the probability of inpatient AWS using prior-year EHR data, hypothesizing that documented alcohol use disorder (AUD) and AWS would be strongly associated with inpatient AWS while exploring associations with other patient characteristics.
Methods:
The study investigated patients hospitalized ≥24 hours on medical services in the Veterans Health Administration during 2013 using EHR data extracted from the Veterans Health Administration Corporate Data Warehouse. ICD-9-CM diagnosis code, demographic, and healthcare utilization data documented in the year before admission defined prior-year AUD, A...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
The Role of Cannabis Use in Suicidal Ideation Among Patients With Opioid Use Disorder
Objectives:
Cannabis use is associated with suicide risk in the general population; however, it is unknown if this association is also present in patients with opioid use disorder (OUD). The purpose of this study is to investigate the association between cannabis use and suicidal ideation in patients with OUD.
Methods:
We conducted a multivariable logistic regression analysis to assess the association between cannabis use and suicidal ideation, amongst a large cohort of patients with OUD. Current cannabis use and suicidal ideation over the past 30 days were obtained by self-report.
Results:
Cross-sectiona...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
Adapting a Low-threshold Buprenorphine Program for Vulnerable Populations During the COVID-19 Pandemic
Conclusions:
The PC program illustrates that offering on-demand, flexible treatment is an opportunity to increase opioid use disorder treatment access, even during a public health emergency that disrupted access to services. Relaxation of buprenorphine telehealth regulations allowed for flexibility in treatment and benefits vulnerable populations. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Original Research Source Type: research
The Need for Biochemical Testing for Alcohol in Integrated Addiction Treatment Settings During the Opioid Epidemic
As the opioid crisis drives expansion of integrated opioid use disorder (OUD) treatment programs in generalist settings, these programs will contend with significant rates of co-occurring alcohol use. The authors present a brief literature review and commentary regarding nondisordered and disordered alcohol use in OUD treatment settings and biochemical detection techniques. Biochemical testing for alcohol in integrated OUD treatment settings is both important for detecting alcohol use disorder and feasible. Breathalyzer testing may assist with management of acutely intoxicated patients. Biochemical testing for alcohol is a...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Commentaries Source Type: research
Ethical Considerations in Use of Injectable Opioid Agonist Treatment in Pregnancy
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Commentaries Source Type: research
COVID-19 and Cannabidiol (CBD)
COVID-19 pandemic has resulted in devastating mortality and morbidity consisting of socioeconomic and health effects that have included respiratory/pulmonary, cardiovascular, mental health and neurological consequences such as anxiety, depression, and substance use. Extensive efforts are underway to develop preventive vaccines and therapeutics such as remdesivir, dexamethasone, convalescent plasma, and others to treat COVID-19 but many report residual mental health problems after recovery. Cannabis products such as cannabidiol (CBD) are being advertised for the treatment of COVID-19 associated mental health problems and su...
Source: Journal of Addiction Medicine - September 1, 2021 Category: Addiction Tags: Commentaries Source Type: research
A Bridge to Nowhere: Resistance to the Possibility of Some Heavy Drinking During Recovery and the Potential Public Health Implications
No abstract available (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - July 1, 2021 Category: Addiction Tags: Letter to the Editor Source Type: research
A Case of False-positive Amphetamine Results on Urine Toxicology Testing Secondary to Imatinib
In this case report, we describe a case of imatinib leading to a false-positive amphetamine result on urine drug testing. A 21-year-old female with chronic myelocytic leukemia and in recovery from opioid use disorder reinitiated imatinib maintenance therapy in her third trimester, after previous discontinuation at the beginning of pregnancy. Subsequently, she had multiple presumptive immunoassay-based urine drug tests that resulted positive for amphetamines. The infant's meconium testing was negative for amphetamines, as was maternal definitive testing using urine gas chromatography-mass spectrometry. She had no history of...
Source: Journal of Addiction Medicine - July 1, 2021 Category: Addiction Tags: Case Report Source Type: research
Opioid-related Emergency Department Visits During COVID-19 in a Large Health System
Objective:
Multiple states have reported increases in opioid overdose deaths during the coronavirus disease 2019 (COVID-19) pandemic, however little is known about opioid-related presentations to the emergency department (ED).
Methods:
This was a time series analysis of visits to 7 EDs in greater Chicago, Illinois from October 20, 2019 to July 25, 2020. We compared the number of ED visits for opioid-related diagnoses in the time period preceding the World Health Organization pandemic declaration (prepandemic period, October 20, 2019–July 3, 2020) to the time period following the World Health Organization decla...
Source: Journal of Addiction Medicine - July 1, 2021 Category: Addiction Tags: Brief Reports Source Type: research
