Monica M Desjardins, Lynn D Wenger, Danielle Good, Gillian Leichtling, Morgan Godvin, Esther O Chung, Susan G Sherman, Barrot H Lambdin, Alex H Kral
{"title":"评估俄勒冈州使用毒品的美洲印第安人/阿拉斯加原住民的健康结果。","authors":"Monica M Desjardins, Lynn D Wenger, Danielle Good, Gillian Leichtling, Morgan Godvin, Esther O Chung, Susan G Sherman, Barrot H Lambdin, Alex H Kral","doi":"10.1080/15332640.2025.2502975","DOIUrl":null,"url":null,"abstract":"<p><p>The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties (<i>N</i> = 468). We conducted logistic regression analysis to assess whether AI/AN people had higher odds of opioid overdose. We found that the adjusted odds of ever having had an opioid related overdose was significantly higher for AI/AN people (Adjusted Odds Ratio = 2.23; 95% Confidence Interval [CI] = 1.24, 4.02) compared to non-AI/AN people. These findings suggest the need for policies and interventions that prioritize access to culturally informed substance use disorder treatment and harm reduction services to reduce disparities in opioid-related overdoses among AI/AN people.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-16"},"PeriodicalIF":1.1000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating health outcomes among American Indian/Alaska Native people who use drugs in Oregon.\",\"authors\":\"Monica M Desjardins, Lynn D Wenger, Danielle Good, Gillian Leichtling, Morgan Godvin, Esther O Chung, Susan G Sherman, Barrot H Lambdin, Alex H Kral\",\"doi\":\"10.1080/15332640.2025.2502975\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties (<i>N</i> = 468). We conducted logistic regression analysis to assess whether AI/AN people had higher odds of opioid overdose. We found that the adjusted odds of ever having had an opioid related overdose was significantly higher for AI/AN people (Adjusted Odds Ratio = 2.23; 95% Confidence Interval [CI] = 1.24, 4.02) compared to non-AI/AN people. These findings suggest the need for policies and interventions that prioritize access to culturally informed substance use disorder treatment and harm reduction services to reduce disparities in opioid-related overdoses among AI/AN people.</p>\",\"PeriodicalId\":15812,\"journal\":{\"name\":\"Journal of Ethnicity in Substance Abuse\",\"volume\":\" \",\"pages\":\"1-16\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ethnicity in Substance Abuse\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/15332640.2025.2502975\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ethnicity in Substance Abuse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15332640.2025.2502975","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Evaluating health outcomes among American Indian/Alaska Native people who use drugs in Oregon.
The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties (N = 468). We conducted logistic regression analysis to assess whether AI/AN people had higher odds of opioid overdose. We found that the adjusted odds of ever having had an opioid related overdose was significantly higher for AI/AN people (Adjusted Odds Ratio = 2.23; 95% Confidence Interval [CI] = 1.24, 4.02) compared to non-AI/AN people. These findings suggest the need for policies and interventions that prioritize access to culturally informed substance use disorder treatment and harm reduction services to reduce disparities in opioid-related overdoses among AI/AN people.
期刊介绍:
The Journal of Ethnicity in Substance Abuse presents rigorous new studies and research on ethnicity and cultural variation in alcohol, tobacco, licit and illicit forms of substance use and abuse. The research is drawn from many disciplines and interdisciplinary areas in the social and behavioral sciences, public health, and helping professions. The Journal of Ethnicity in Substance Abuse is an international forum for identification of emergent and culturally diverse substance use and abuse trends, and the implementation of culturally competent strategies in harm reduction, individual, group, and family treatment of substance abuse. The Journal systematically investigates the beliefs, attitudes, and values of substance abusers, searching for the answers to the origins of drug use and abuse for different ethnic groups. The Journal publishes research papers, review papers, policy commentaries, and conference proceedings. The Journal welcomes submissions from across the globe, and strives to ensure efficient review and publication outcomes.