Examining naloxone access and interest in secondary naloxone distribution on an American Indian Reservation in the Northern Midwest of the United States

Kristin E. Schneider , Sean T. Allen , Allison O’Rourke , Molly C. Reid , Maisie Conrad , Pam Hughes , Laura Palombi , Toni Wakemup, Andrea Medley , Melissa Walls
{"title":"Examining naloxone access and interest in secondary naloxone distribution on an American Indian Reservation in the Northern Midwest of the United States","authors":"Kristin E. Schneider ,&nbsp;Sean T. Allen ,&nbsp;Allison O’Rourke ,&nbsp;Molly C. Reid ,&nbsp;Maisie Conrad ,&nbsp;Pam Hughes ,&nbsp;Laura Palombi ,&nbsp;Toni Wakemup,&nbsp;Andrea Medley ,&nbsp;Melissa Walls","doi":"10.1016/j.dadr.2024.100285","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Indigenous communities in the United States experience disproportionate rates of overdose morbidity and mortality due to a range of historical traumas and ongoing oppression. Limited health and harm reduction service access on some Tribal lands exacerbate these challenges. To date, little is known about naloxone access on tribal reservation lands.</div></div><div><h3>Methods</h3><div>We used cross-sectional survey data from community members on the reservation lands of a northern Midwest Tribe in the United States. We explored the prevalence and correlates of recent (past 6-month) naloxone receipt and interest in secondary naloxone distribution among all participants and people who used drugs (PWUD) recently. Correlates included sociodemographics, cultural identity and spirituality, witnessing overdoses, stigma, and drug use characteristics.</div></div><div><h3>Results</h3><div>Among 227 Indigenous participants, the average age was 45, 62 % were women, 53 % were single, 29 % were not working, 29 % had experienced recent hunger, and 8 % considered themselves homeless. 91 % said that Indigenous spiritual values were important to them. Sixteen percent had witnessed a recent non-fatal overdose, and 6 % had witnessed a fatal one. Twenty-four percent of the overall sample had recently received naloxone, and 40 % of PWUD had received it. Witnessing both fatal (p&lt;0.001) and nonfatal overdoses (p=0.001) were associated with receiving naloxone. Further, 63 % of participants were willing to distribute naloxone.</div></div><div><h3>Conclusions</h3><div>Innovative strategies to expand naloxone access that are culturally relevant and responsive are needed in Indigenous communities. Cultural connectedness and shared identity are key strengths of Indigenous communities that can potentially be leveraged to implement secondary naloxone distribution programs.</div></div>","PeriodicalId":72841,"journal":{"name":"Drug and alcohol dependence reports","volume":"13 ","pages":"Article 100285"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Drug and alcohol dependence reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772724624000696","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Indigenous communities in the United States experience disproportionate rates of overdose morbidity and mortality due to a range of historical traumas and ongoing oppression. Limited health and harm reduction service access on some Tribal lands exacerbate these challenges. To date, little is known about naloxone access on tribal reservation lands.

Methods

We used cross-sectional survey data from community members on the reservation lands of a northern Midwest Tribe in the United States. We explored the prevalence and correlates of recent (past 6-month) naloxone receipt and interest in secondary naloxone distribution among all participants and people who used drugs (PWUD) recently. Correlates included sociodemographics, cultural identity and spirituality, witnessing overdoses, stigma, and drug use characteristics.

Results

Among 227 Indigenous participants, the average age was 45, 62 % were women, 53 % were single, 29 % were not working, 29 % had experienced recent hunger, and 8 % considered themselves homeless. 91 % said that Indigenous spiritual values were important to them. Sixteen percent had witnessed a recent non-fatal overdose, and 6 % had witnessed a fatal one. Twenty-four percent of the overall sample had recently received naloxone, and 40 % of PWUD had received it. Witnessing both fatal (p<0.001) and nonfatal overdoses (p=0.001) were associated with receiving naloxone. Further, 63 % of participants were willing to distribute naloxone.

Conclusions

Innovative strategies to expand naloxone access that are culturally relevant and responsive are needed in Indigenous communities. Cultural connectedness and shared identity are key strengths of Indigenous communities that can potentially be leveraged to implement secondary naloxone distribution programs.
在美国中西部北部的一个美国印第安人保留地考察纳洛酮的使用情况和对二次分发纳洛酮的兴趣
背景由于一系列历史创伤和持续的压迫,美国土著社区的用药过量发病率和死亡率过高。一些部落土地上有限的健康和减低伤害服务加剧了这些挑战。迄今为止,人们对部落保留地上使用纳洛酮的情况知之甚少。方法 我们使用了来自美国中西部北部一个部落保留地上社区成员的横断面调查数据。我们探讨了最近(过去 6 个月)在所有参与者和最近使用过毒品的人(PWUD)中接受纳洛酮以及对二次分发纳洛酮感兴趣的普遍性和相关性。相关因素包括社会人口统计学、文化认同和精神信仰、目睹吸毒过量、耻辱感和吸毒特征。结果在 227 名土著参与者中,平均年龄为 45 岁,62% 为女性,53% 为单身,29% 没有工作,29% 最近经历过饥饿,8% 认为自己无家可归。91%的人表示土著精神价值观对他们很重要。16%的人曾目睹过最近一次非致命的吸毒过量,6%的人曾目睹过一次致命的吸毒过量。总体样本中有 24% 的人最近接受过纳洛酮治疗,40% 的残疾人接受过纳洛酮治疗。目睹致命性用药过量(p<0.001)和非致命性用药过量(p=0.001)与接受纳洛酮有关。此外,63% 的参与者愿意分发纳洛酮。结论土著社区需要具有文化相关性和响应性的创新策略来扩大纳洛酮的使用范围。文化联系和共同身份是原住民社区的主要优势,可以利用这些优势实施二次纳洛酮分发计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Drug and alcohol dependence reports
Drug and alcohol dependence reports Psychiatry and Mental Health
自引率
0.00%
发文量
0
审稿时长
100 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信