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Harm Reduction Journal

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https://www.readbyqxmd.com/read/28927414/erratum-to-like-a-lots-happened-with-my-whole-childhood-violence-trauma-and-addiction-in-pregnant-and-postpartum-women-from-vancouver-s-downtown-eastside
#1
Iris Torchalla, Isabelle Aube Linden, Verena Strehlau, Erika K Neilson, Michael Krausz
No abstract text is available yet for this article.
September 19, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28915888/stigmatization-of-people-who-inject-drugs-pwid-by-pharmacists-in-tajikistan-sociocultural-context-and-implications-for-a-pharmacy-based-prevention-approach
#2
Umedjon Ibragimov, Hannah L Cooper, Regine Haardörfer, Kristin L Dunkle, William A Zule, Frank Y Wong
BACKGROUND: Pharmacies are an important source of sterile syringes for people who inject drugs (PWID) in Tajikistan who are under high risk of HIV and hepatitis C virus. Accessibility of sterile syringes at pharmacies without prescription may depend on pharmacists' attitudes towards PWID. This qualitative inquiry examines meanings and processes of stigmatization of PWID among pharmacists and pharmacy students in Tajikistan. METHODS: We conducted semi-structured interviews with 19 pharmacists and 9 students (N = 28) in the cities of Dushanbe and Kulob, Tajikistan...
September 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28882155/barriers-to-retention-in-methadone-maintenance-therapy-among-people-who-inject-drugs-in-bangkok-thailand-a-mixed-methods-study
#3
Kanna Hayashi, Lianping Ti, Prempreeda Pramoj Na Ayutthaya, Paisan Suwannawong, Karyn Kaplan, Will Small, Thomas Kerr
BACKGROUND: Methadone maintenance therapy (MMT) is a mainstay for treating opioid use disorder and preventing and managing HIV among people who inject drugs (PWID). While previous research suggested low dosing of methadone and high rates of discontinuation of MMT among PWID in Thailand, little is known about patients' lived experiences with MMT in this setting. Therefore, we conducted a mixed-methods study to examine barriers to retention in MMT among PWID in Bangkok, Thailand, with particular attention to methadone dosing...
September 7, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28882143/characteristics-of-persons-who-inject-drugs-and-who-witness-opioid-overdoses-in-vietnam-a-cross-sectional-analysis-to-inform-future-overdose-prevention-programs
#4
N A Blackburn, K E Lancaster, T V Ha, C A Latkin, W C Miller, C Frangakis, V A Chu, T Sripaipan, V M Quan, N L Minh, P T Vu, V F Go
BACKGROUND: Persons who use opioids have a high risk of overdose and associated mortality. In Vietnam, little is known about the characteristics of this population and the persons who are witness to those overdoses. One approach to combatting fatal overdose has been the use of peer interventions in which a friend or injecting partner administers overdose reversal medication, but availability in Vietnam of these medications is limited to pilot programs with aims to expand in the future (Le Minh and V...
September 7, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28874159/a-critique-of-the-us-surgeon-general-s-conclusions-regarding-e-cigarette-use-among-youth-and-young-adults-in-the-united-states-of-america
#5
Riccardo Polosa, Christopher Russell, Joel Nitzkin, Konstantinos E Farsalinos
BACKGROUND: In December 2016, the Surgeon General published a report that concluded e-cigarette use among youth and young adults is becoming a major public health concern in the United States of America. METHODS: Re-analysis of key data sources on nicotine toxicity and prevalence of youth use of e-cigarettes cited in the Surgeon General report as the basis for its conclusions. RESULTS: Multiple years of nationally representative surveys indicate the majority of e-cigarette use among US youth is either infrequent or experimental, and negligible among never-smoking youth...
September 6, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28870224/psychoactive-substances-as-a-last-resort-a-qualitative-study-of-self-treatment-of-migraine-and-cluster-headaches
#6
Martin Andersson, Mari Persson, Anette Kjellgren
BACKGROUND: Treatment resistant cluster headache and migraine patients are exploring alternative treatments online. The aim of this study was to improve comprehension regarding the use of non-established or alternative pharmacological treatments used by sufferers of cluster headaches and migraines. METHODS: A qualitative thematic analysis of the users' own accounts presented in online forum discussions were conducted. The forum boards https://shroomery.org/ , http://bluelight...
September 5, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28854943/a-longitudinal-and-case-control-study-of-dropout-among-drug-users-in-methadone-maintenance-treatment-in-haiphong-vietnam
#7
Pham Minh Khue, Nguyen Thi Tham, Dinh Thi Thanh Mai, Pham Van Thuc, Vu Minh Thuc, Pham Van Han, Christina Lindan
BACKGROUND: Vietnam began providing methadone maintenance therapy (MMT) in 2008; as of June 2016, 44,479 persons who inject drugs (PWID) were in treatment in 57 provinces. However, 10-23% of patients were estimated to have dropped out of treatment during the first 2 years. We evaluated dropout and factors associated with quitting treatment. METHODS: We followed clients ≥ 18 years old enrolled in five MMT clinics in Haiphong for 3 years. Persons who missed a consecutive month of methadone treatment were considered to have dropped out and were not allowed to return; those who missed greater than five consecutive doses were considered to be non-compliant but were allowed to restart treatment at their initial dose...
August 30, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28821296/rationale-for-cannabis-based-interventions-in-the-opioid-overdose-crisis
#8
LETTER
Philippe Lucas
BACKGROUND: North America is currently in the grips of a crisis rooted in the use of licit and illicit opioid-based analgesics. Drug overdose is the leading cause of accidental death in Canada and the US, and the growing toll of opioid-related morbidity and mortality requires a diversity of novel therapeutic and harm reduction-based interventions. Research suggests that increasing adult access to both medical and recreational cannabis has significant positive impacts on public health and safety as a result of substitution effect...
August 18, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28814336/risk-behaviour-determinants-among-people-who-inject-drugs-in-stockholm-sweden-over-a-10-year-period-from-2002-to-2012
#9
Niklas Karlsson, Michele Santacatterina, Kerstin Käll, Maria Hägerstrand, Susanne Wallin, Torsten Berglund, Anna Mia Ekström
BACKGROUND: People who inject drugs (PWID) frequently engage in injection risk behaviours exposing them to blood-borne infections. Understanding the underlying causes that drive various types and levels of risk behaviours is important to better target preventive interventions. METHODS: A total of 2150 PWID in Swedish remand prisons were interviewed between 2002 and 2012. Questions on socio-demographic and drug-related variables were asked in relation to the following outcomes: Having shared injection drug solution and having lent out or having received already used drug injection equipment within a 12 month recall period...
August 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28814330/novel-remote-electronic-medication-supply-model-for-opioid-dependent-outpatients-with-polypharmacy-first-long-term-case-study
#10
Samuel S Allemann, Kenneth M Dürsteler, Johannes Strasser, Marc Vogel, Marcel Stoeckle, Kurt E Hersberger, Isabelle Arnet
BACKGROUND: Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients...
August 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28814308/are-we-anywhere-near-there-yet-the-state-of-harm-reduction-in-north-america-in-2017
#11
EDITORIAL
Ernest Drucker, Nick Crofts
No abstract text is available yet for this article.
August 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28778212/use-and-knowledge-of-contraceptive-methods-by-patients-in-two-substance-use-disorders-treatment-centers-in-paris
#12
Virgile Clergue-Duval, Suzanne Robin, Maeva Fortias, Gaël Dupuy, Béatrice Badin-de-Montjoye, Florence Vorspan
BACKGROUND: Studies on contraceptive use by patients with substance use disorders (SUD) show a concerning low use of contraception. Mainly conducted in USA, they could be irrelevant to patients attending European SUD treatment centers, especially since these studies mostly investigate women suffering from social exclusion, severe material deprivation andopiates use with frequent high-risk drug use and sexual behaviors including sex trade, frequently not currently attending treatment centers...
August 4, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28760153/an-overview-of-forensic-drug-testing-methods-and-their-suitability-for-harm-reduction-point-of-care-services
#13
REVIEW
Lane Harper, Jeff Powell, Em M Pijl
Given the current opioid crisis around the world, harm reduction agencies are seeking to help people who use drugs to do so more safely. Many harm reduction agencies are exploring techniques to test illicit drugs to identify and, where possible, quantify their constituents allowing their users to make informed decisions. While these technologies have been used for years in Europe (Nightlife Empowerment & Well-being Implementation Project, Drug Checking Service: Good Practice Standards; Trans European Drugs Information (TEDI) Workgroup, Factsheet on Drug Checking in Europe, 2011; European Monitoring Centre for Drugs and Drug Addiction, An Inventory of On-site Pill-Testing Interventions in the EU: Fact Files, 2001), they are only now starting to be utilized in this context in North America...
July 31, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28760146/developing-harm-reduction-in-the-context-of-youth-substance-use-insights-from-a-multi-site-qualitative-analysis-of-young-people-s-harm-minimization-strategies
#14
Emily K Jenkins, Allie Slemon, Rebecca J Haines-Saah
BACKGROUND: Youth substance use programming and educational strategies are frequently informed by prevention approaches that emphasize abstinence goals, which often do not resonate with youth in their lack of acknowledgment of young people's social context and how young people perceive positive effects of substance use. Further, approaches to drug prevention have been critiqued as adopting a one-size-fits-all approach and therefore inadequate in addressing substance use in the context of population variation and inequities...
July 31, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28747189/harm-reduction-in-the-usa-the-research-perspective-and-an-archive-to-david-purchase
#15
LETTER
Don C Des Jarlais
The history of harm reduction in the USA has led to the development of some of the most important methods for treating persons for drug use disorders, such as methadone and buprenorphine for opiate use disorder. However, there has been fierce political resistance to implementation and scale-up of harm reduction in the USA. This resistance is rooted in historical demonization of particular psychoactive drugs that were associated with stigmatized racial/ethnic groups.With the discovery of acquired immunodeficiency syndrome (AIDS) in 1981, harm reduction became important not only for treating substance use disorders, but for reducing transmission of blood-borne infection...
July 26, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28747183/harm-reduction-in-name-but-not-substance-a-comparative-analysis-of-current-canadian-provincial-and-territorial-policy-frameworks
#16
Elaine Hyshka, Jalene Anderson-Baron, Kamagaju Karekezi, Lynne Belle-Isle, Richard Elliott, Bernie Pauly, Carol Strike, Mark Asbridge, Colleen Dell, Keely McBride, Andrew Hathaway, T Cameron Wild
BACKGROUND: In Canada, funding, administration, and delivery of health services-including those targeting people who use drugs-are primarily the responsibility of the provinces and territories. Access to harm reduction services varies across jurisdictions, possibly reflecting differences in provincial and territorial policy commitments. We examined the quality of current provincial and territorial harm reduction policies in Canada, relative to how well official documents reflect internationally recognized principles and attributes of a harm reduction approach...
July 26, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28743300/public-attitudes-towards-gambling-product-harm-and-harm-reduction-strategies-an-online-study-of-16-88%C3%A2-year-olds-in-victoria-australia
#17
Samantha L Thomas, Melanie Randle, Amy Bestman, Hannah Pitt, Steven J Bowe, Sean Cowlishaw, Mike Daube
BACKGROUND: Gambling has quickly emerged as an important global public health issue. With new technologies used to develop high intensity gambling products and promotions aimed at driving consumption, public health organisations and researchers, community groups, and politicians have argued for a range of regulatory and education measures aimed at reducing gambling harm. However, there has been limited research seeking to understand community perceptions of the harms associated with gambling products and environments, and the level of community support for strategies designed to prevent and reduce gambling harm...
July 25, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28732534/information-sought-information-shared-exploring-performance-and-image-enhancing-drug-user-facilitated-harm-reduction-information-in-online-forums
#18
Boden Tighe, Matthew Dunn, Fiona H McKay, Timothy Piatkowski
BACKGROUND: There is good evidence to suggest that performance and image enhancing drug (PIED) use is increasing in Australia and that there is an increase in those using PIEDs who have never used another illicit substance. Peers have always been an important source of information in this group, though the rise of the Internet, and the increased use of Internet forums amongst substance consumers to share harm reduction information, means that PIED users may have access to a large array of views and opinions...
July 21, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28732503/opium-trade-and-the-spread-of-hiv-in-the-golden-crescent
#19
REVIEW
Syeda Ayesha Farooq, Mohammad Hafiz Rasooly, Syed Hani Abidi, Kayvon Modjarrad, Syed Ali
The Golden Crescent region of South Asia-comprising Afghanistan, Iran, and Pakistan-is a principal global site for opium production and distribution. Over the past few decades, war, terrorism, and a shifting political landscape have facilitated an active heroin trade throughout the region. Protracted conflict has exacerbated already dire socio-economic conditions and political strife within the region and contributed to a consequent rise in opiate trafficking and addiction among the region's inhabitants. The worsening epidemic of injection drug use has paralleled the rising incidence of HIV and other blood-borne infections in the region and drawn attention to the broader implications of the growing opiate trade in the Golden Crescent...
July 21, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28709471/acceptability-and-design-preferences-of-supervised-injection-services-among-people-who-inject-drugs-in-a-mid-sized-canadian-city
#20
Sanjana Mitra, Beth Rachlis, Ayden Scheim, Geoff Bardwell, Sean B Rourke, Thomas Kerr
BACKGROUND: Supervised injection services (SIS) have been shown to reduce the public- and individual-level harms associated with injection drug use. While SIS feasibility research has been conducted in large urban centres, little is known about the acceptability of these services among people who inject drugs (PWID) in mid-sized cities. We assessed the prevalence and correlates of willingness to use SIS as well as design and operational preferences among PWID in London, Canada. METHODS: Between March and April 2016, peer research associates administered a cross-sectional survey to PWID in London...
July 14, 2017: Harm Reduction Journal
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