Engagement in drug treatment following nonfatal overdose among people who inject drugs in Appalachia
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...
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| Veröffentlicht in: | The International journal of drug policy 2021-07, Vol.93, p.103176-103176, Article 103176 |
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| container_title | The International journal of drug policy |
| container_volume | 93 |
| creator | Allen, Sean T. Wedlock, Patrick T. White, Rebecca Hamilton Schneider, Kristin E. O'Rourke, Allison Ahmad, N. Jia Weir, Brian W. Kilkenny, Michael E. Sherman, Susan G. |
| description | 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.
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.
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).
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. |
| doi_str_mv | 10.1016/j.drugpo.2021.103176 |
| format | Article |
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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.
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).
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.</description><identifier>ISSN: 0955-3959</identifier><identifier>EISSN: 1873-4758</identifier><identifier>DOI: 10.1016/j.drugpo.2021.103176</identifier><identifier>PMID: 33621731</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Appalachia ; Appalachian Region - epidemiology ; Behavior change ; Buprenorphine ; Buprenorphine, Naloxone Drug Combination - therapeutic use ; Drug abuse ; Drug overdose ; Drug Overdose - epidemiology ; Drug policy ; Drug use ; Drugs ; Humans ; Infant ; Injection drug use ; Intervention ; Medication assisted treatment ; Opioids ; Overdose ; Rural communities ; Rural Population ; Sociodemographics ; Substance abuse ; Substance abuse treatment ; Substance Abuse, Intravenous - drug therapy ; Substance Abuse, Intravenous - epidemiology ; Teams</subject><ispartof>The International journal of drug policy, 2021-07, Vol.93, p.103176-103176, Article 103176</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-1dd5d46e6e2d0b6cb03cfb85d0ff98060a66d415b36e791d4cb498dffdb3b8113</citedby><cites>FETCH-LOGICAL-c390t-1dd5d46e6e2d0b6cb03cfb85d0ff98060a66d415b36e791d4cb498dffdb3b8113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugpo.2021.103176$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27866,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33621731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Sean T.</creatorcontrib><creatorcontrib>Wedlock, Patrick T.</creatorcontrib><creatorcontrib>White, Rebecca Hamilton</creatorcontrib><creatorcontrib>Schneider, Kristin E.</creatorcontrib><creatorcontrib>O'Rourke, Allison</creatorcontrib><creatorcontrib>Ahmad, N. Jia</creatorcontrib><creatorcontrib>Weir, Brian W.</creatorcontrib><creatorcontrib>Kilkenny, Michael E.</creatorcontrib><creatorcontrib>Sherman, Susan G.</creatorcontrib><title>Engagement in drug treatment following nonfatal overdose among people who inject drugs in Appalachia</title><title>The International journal of drug policy</title><addtitle>Int J Drug Policy</addtitle><description>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.
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.
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).
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.</description><subject>Aged</subject><subject>Appalachia</subject><subject>Appalachian Region - epidemiology</subject><subject>Behavior change</subject><subject>Buprenorphine</subject><subject>Buprenorphine, Naloxone Drug Combination - therapeutic use</subject><subject>Drug abuse</subject><subject>Drug overdose</subject><subject>Drug Overdose - epidemiology</subject><subject>Drug policy</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Humans</subject><subject>Infant</subject><subject>Injection drug use</subject><subject>Intervention</subject><subject>Medication assisted treatment</subject><subject>Opioids</subject><subject>Overdose</subject><subject>Rural communities</subject><subject>Rural Population</subject><subject>Sociodemographics</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><subject>Substance Abuse, Intravenous - drug therapy</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Teams</subject><issn>0955-3959</issn><issn>1873-4758</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kU1r3DAYhEVpaLZJ_0EJhl568UayPmxfCiGkbSCQS3IWsvRqI2NLrmRnyb-vdp300ENOguGZecUMQl8J3hJMxGW_NXHZTWFb4YpkiZJafEAb0tS0ZDVvPqINbjkvacvbU_Q5pR5jzAgjn9AppaIiNSUbZG78Tu1gBD8XzheHyGKOoOajYsMwhL3zu8IHb9WshiI8QzQhQaHGkPUJwjRAsX8K2d6Dno8R6ZB1NU1qUPrJqXN0YtWQ4Mvre4Yef948XP8u7-5_3V5f3ZWatnguiTHcMAECKoM7oTtMte0abrC1bYMFVkIYRnhHBdQtMUx3rG2MtaajXUMIPUPf19wphj8LpFmOLmkYBuUhLElWrKUYV3VFM_rtP7QPS_T5d7LinLHc1ZFiK6VjSCmClVN0o4ovkmB5WEH2cl1BHlaQ6wrZdvEavnQjmH-mt9oz8GMFILfx7CDKpB14DcbF3KE0wb1_4S9X5JtL</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Allen, Sean T.</creator><creator>Wedlock, Patrick T.</creator><creator>White, Rebecca Hamilton</creator><creator>Schneider, Kristin E.</creator><creator>O'Rourke, Allison</creator><creator>Ahmad, N. 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Jia</au><au>Weir, Brian W.</au><au>Kilkenny, Michael E.</au><au>Sherman, Susan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engagement in drug treatment following nonfatal overdose among people who inject drugs in Appalachia</atitle><jtitle>The International journal of drug policy</jtitle><addtitle>Int J Drug Policy</addtitle><date>2021-07</date><risdate>2021</risdate><volume>93</volume><spage>103176</spage><epage>103176</epage><pages>103176-103176</pages><artnum>103176</artnum><issn>0955-3959</issn><eissn>1873-4758</eissn><abstract>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.
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.
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).
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.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>33621731</pmid><doi>10.1016/j.drugpo.2021.103176</doi><tpages>1</tpages></addata></record> |
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| subjects | Aged Appalachia Appalachian Region - epidemiology Behavior change Buprenorphine Buprenorphine, Naloxone Drug Combination - therapeutic use Drug abuse Drug overdose Drug Overdose - epidemiology Drug policy Drug use Drugs Humans Infant Injection drug use Intervention Medication assisted treatment Opioids Overdose Rural communities Rural Population Sociodemographics Substance abuse Substance abuse treatment Substance Abuse, Intravenous - drug therapy Substance Abuse, Intravenous - epidemiology Teams |
| title | Engagement in drug treatment following nonfatal overdose among people who inject drugs in Appalachia |
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