دورية أكاديمية
Acceptability and anticipated effectiveness of a safe supply of opioids, among people who inject opioids in King County, WA.
| العنوان: | Acceptability and anticipated effectiveness of a safe supply of opioids, among people who inject opioids in King County, WA. |
|---|---|
| المؤلفون: | Palayew A; Department of Epidemiology, School of Public Health, University of Washington, USA; VOCAL, Washington, USA. Electronic address: apalayew@uw.edu., Banta-Green CJ; Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, USA; Department of Health Systems and Population Health, School of Public Health, University of Washington, USA., Lamont M; VOCAL, Washington, USA; Public Defenders Association, Seattle, Washington, USA., Damper D; VOCAL, Washington, USA., Moreno C; Public Health Seattle King County, Division of Infectious Diseases, Seattle, Washington, USA., Goodreau SM; Department of Anthropology, School of Public Health, University of Washington, USA., Mooney SJ; Department of Epidemiology, School of Public Health, University of Washington, USA., Glick SN; Department of Epidemiology, School of Public Health, University of Washington, USA; Public Health Seattle King County, Division of Infectious Diseases, Seattle, Washington, USA; Division of Allergy and Infectious Diseases, School of Medicine, University of Washington, USA. |
| المصدر: | The International journal on drug policy [Int J Drug Policy] 2024 May; Vol. 127, pp. 104389. Date of Electronic Publication: 2024 Mar 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 9014759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4758 (Electronic) Linking ISSN: 09553959 NLM ISO Abbreviation: Int J Drug Policy Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Amsterdam ; New York : Elsevier Original Publication: Liverpool, England : International Journal on Drug Policy, |
| مواضيع طبية MeSH: | Analgesics, Opioid*/supply & distribution , Analgesics, Opioid*/administration & dosage , Analgesics, Opioid*/poisoning , Substance Abuse, Intravenous*/epidemiology , Opioid-Related Disorders*/epidemiology , Opioid-Related Disorders*/prevention & control, Humans ; Male ; Adult ; Female ; Washington ; Middle Aged ; Opiate Overdose/prevention & control ; Opiate Overdose/epidemiology ; Young Adult ; Drug Overdose/prevention & control ; Drug Overdose/mortality ; Drug and Narcotic Control/legislation & jurisprudence |
| مستخلص: | Background: Opioid overdose mortality in the US has exceeded one million deaths over the last two decades. A regulated opioid supply may help prevent future overdose deaths by reducing exposure to the unregulated opioid supply. We examined the acceptability, delivery model preference, and anticipated effectiveness of different regulated opioid models among people in the Seattle area who inject opioids. Methods: We enrolled people who inject drugs in the 2022 Seattle-area National HIV Behavior Surveillance (NHBS) survey. Participants were recruited between July and December 2022 using respondent-driven sampling. Participants who reported injecting opioids (N = 453) were asked whether regulated opioids would be acceptable, their preferred model of receiving regulated opioids, and the anticipated change in individual overdose risk from accessing a regulated opioid supply. Results: In total, 369 (81 %) participants who injected opioids reported that a regulated opioid supply would be acceptable to them. Of the 369 who found a regulated opioid supply to be acceptable, the plurality preferred a take-home model where drugs are prescribed (35 %), followed closely by a dispensary model that required no prescription (28 %), and a prescribed model where drugs need to be consumed on site (13 %), a model where no prescription is required and drugs can be accessed in a community setting with a one-time upfront payment was the least preferred model (5 %). Most participants (69 %) indicated that receiving a regulated opioid supply would be "a lot less risky" than their current supply, 20 % said, "a little less risky", 10 % said no difference, and 1 % said a little or a lot more risky. Conclusion: A regulated opioid supply would be acceptable to most participants, and participants reported it would greatly reduce their risk of overdose. As overdose deaths continue to increase in Washington state pragmatic and effective solutions that reduce exposure to unregulated drugs are needed. Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Acceptability; Drug use; Fatal overdose; Overdose prevention; Safer opioid supply |
| المشرفين على المادة: | 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20240324 Date Completed: 20240524 Latest Revision: 20240524 |
| رمز التحديث: | 20240525 |
| DOI: | 10.1016/j.drugpo.2024.104389 |
| PMID: | 38522176 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-4758 |
|---|---|
| DOI: | 10.1016/j.drugpo.2024.104389 |