Factors Associated With Self-Reported Overdose Reversals Using Naloxone in Little Rock, Arkansas: Implications for Harm Reduction Service Delivery in the US South

IF 1.2 4区社会学 Q4 SUBSTANCE ABUSE

Journal of Drug Issues Pub Date : 2024-03-08 DOI:10.1177/00220426241236686

George Pro, Camille Richoux, Mackenzie Bolt, Amber Kincade, Rahem White, Clay Kasper, Nick Zaller

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Abstract

Background. The Central Arkansas Harm Reduction Project (CAHR) is located in Little Rock, Arkansas, and is the only harm reduction service provider in the city. This quality improvement study was conducted to inform harm reduction programming decisions. Methods. We used CAHR data among clients who reported methamphetamine and/or opioid use (2021-2022; N = 459). We used an explanatory mixed methods design to identify factors associated with self-reported overdose reversals using naloxone. Results. The average number of reversals was 3.27. Nearly all clients (95%) reported methamphetamine use. The use of both methamphetamine and opioids (vs. opioids only; [Formula: see text] = 0.26, p = .04) was positively associated with a higher number of reversals. Our qualitative analysis provided additional context around methamphetamine and overdose, including leveraging community members connected to large networks of people who use drugs. Conclusion. Future CAHR initiatives will focus on expanding public health education around naloxone and fentanyl for a population increasingly using methamphetamine.

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阿肯色州小石城使用纳洛酮自我报告用药过量逆转的相关因素：对美国南部提供减低伤害服务的启示

背景。阿肯色州中部减低伤害项目（CAHR）位于阿肯色州小石城，是该市唯一的减低伤害服务机构。这项质量改进研究旨在为减低伤害计划的决策提供信息。研究方法。我们使用了 CAHR 报告使用甲基苯丙胺和/或阿片类药物的客户数据（2021-2022 年；N = 459）。我们采用了解释性混合方法设计，以确定与自我报告使用纳洛酮扭转用药过量相关的因素。结果平均逆转次数为 3.27 次。几乎所有吸毒者（95%）都报告使用过甲基苯丙胺。同时使用甲基苯丙胺和阿片类药物（与仅使用阿片类药物相比；[公式：见正文] = 0.26，p = .04）与更高的逆转次数呈正相关。我们的定性分析提供了有关甲基苯丙胺和用药过量的更多信息，包括利用社区成员与庞大的吸毒者网络的联系。结论。未来的 CAHR 计划将侧重于扩大纳洛酮和芬太尼的公共卫生教育，以帮助越来越多地使用甲基苯丙胺的人群。

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来源期刊

Journal of Drug Issues SUBSTANCE ABUSE-

CiteScore

3.00

自引率

11.80%

发文量

期刊介绍： The Journal of Drug Issues (JDI) was incorporated as a nonprofit entity in the State of Florida in 1971. In 1996, JDI was transferred to the Florida State University College of Criminology and Criminal Justice, and the Richard L. Rachin Endowment was established to support its continued publication. Since its inception, JDI has been dedicated to providing a professional and scholarly forum centered on the national and international problems associated with drugs, especially illicit drugs. It is a refereed publication with international contributors and subscribers. As a leader in its field, JDI is an instrument widely used by research scholars, public policy analysts, and those involved in the day-to-day struggle against the problem of drug abuse.