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1.
Am J Public Health ; 111(9): 1600-1603, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34410818

RESUMO

To guide intervention efforts, we identified the proportion of individuals previously engaged in opioid agonist therapy among people who died of an accidental opioid-involved overdose. Most individuals (60.9%) had never received any prior buprenorphine or methadone treatment. Individuals who died of an overdose in 2020 had a similar demographic profile and treatment history compared with prior years. To prevent additional accidental opioid-involved overdose deaths, efforts should be directed toward linking individuals to care.


Assuntos
Analgésicos Opioides/uso terapêutico , Buprenorfina/uso terapêutico , Metadona/uso terapêutico , Overdose de Opiáceos/tratamento farmacológico , Tratamento de Substituição de Opiáceos/métodos , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Humanos , Overdose de Opiáceos/mortalidade , Transtornos Relacionados ao Uso de Opioides/mortalidade , Fatores de Risco
2.
R I Med J (2013) ; 107(4): 31-35, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38536138

RESUMO

With timely intervention from a bystander, drug overdose victims are more likely to survive. To characterize the frequency of bystander presence and identify overdose response barriers, we analyzed data from overdose fatalities occurring in Rhode Island from 2016 to 2021. Overall, about half (n=1,039; 48.7%) of all overdose deaths in Rhode Island had at least one bystander present. Among decedents who had at least one bystander who was unable to respond (n=338), top reasons of non-response were because they were spatially separated (64.8%), failed to recognize the signs of overdose (54.1%), or were unaware the victim was using drugs (40.2%). To promote by- stander presence and address barriers to bystander response during an overdose, intervention strategies should include efforts that reduce solitary drug use and maximize bystander efficacy, including increasing awareness on the dangers of using drugs alone, increasing the availability of naloxone, and education on recognizing signs of overdose.


Assuntos
Overdose de Drogas , Humanos , Rhode Island , Acidentes , Escolaridade , Naloxona
3.
R I Med J (2013) ; 106(10): 55-59, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37890067

RESUMO

BACKGROUND: Over the last 21 years, drug overdose deaths have increased nationwide, particularly in Rhode Island (RI). The goal of this work is to identify populations that are disproportionately impacted by accidental drug overdose deaths to guide future intervention efforts.  Methods: We obtained data on accidental and undetermined drug overdose deaths from the RI State Unintentional Drug Overdose Reporting System (SUDORS) database from 2016 to 2021. We compared basic demographic factors stratified by decedent race and ethnicity. Chi Square and Fisher's exact tests were used to determine differences in characteristics across racial groups. FINDINGS: Across all race and ethnic groups, cocaine-involved (64.5%) fatal overdoses were higher among Black non-Hispanics. White, non-Hispanics (31.4%) were more likely to receive treatment for substance use disorder (SUD) when compared to minority groups. CONCLUSION: To help address the gaps in treatment for SUD among minority groups, culturally responsive intervention efforts should prioritize connecting minority groups to treatment.


Assuntos
Overdose de Drogas , Transtornos Relacionados ao Uso de Substâncias , Humanos , Analgésicos Opioides , Overdose de Drogas/etnologia , Overdose de Drogas/mortalidade , Etnicidade , Hispânico ou Latino , Rhode Island/epidemiologia , Negro ou Afro-Americano , Brancos , Grupos Raciais
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