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Harm Reduction Journal

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https://www.readbyqxmd.com/read/29145882/what-goes-around-the-process-of-building-a-community-based-harm-reduction-research-project
#1
Chelsea Jalloh, Shohan Illsley, John Wylie, Paula Migliardi, Ethan West, Debbie Stewart, Javier Mignone
BACKGROUND: Often, research takes place on underserved populations rather than with underserved populations. This approach can further isolate and stigmatize groups that are already made marginalized. What Goes Around is a community-based research project that was led by community members themselves (Peers). CASE PRESENTATION: This research aimed to implement a community-based research methodology grounded in the leadership and growing research capacity of community researchers and to investigate a topic which community members identified as important and meaningful...
November 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29117858/measuring-improvement-in-knowledge-of-drug-policy-reforms-following-a-police-education-program-in-tijuana-mexico
#2
J Arredondo, S A Strathdee, J Cepeda, D Abramovitz, I Artamonova, E Clairgue, E Bustamante, M L Mittal, T Rocha, A Bañuelos, H O Olivarria, M Morales, G Rangel, C Magis, L Beletsky
BACKGROUND: Mexico's 2009 "narcomenudeo reform" decriminalized small amounts of drugs, shifting some drug law enforcement to the states and mandating drug treatment diversion instead of incarceration. Data from Tijuana suggested limited implementation of this harm reduction-oriented policy. We studied whether a police education program (PEP) improved officers' drug and syringe policy knowledge, and aimed to identify participant characteristics associated with improvement of drug policy knowledge...
November 8, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29096647/hepatitis-c-infection-related-services-and-barriers-to-hcv-treatment-among-drug-users-in-methadone-maintenance-treatment-mmt-clinics-in-shanghai-china
#3
Zhi-Bin Li, Lei Zhang, Jun Wang, Le-Ping Huang, Zhi-Rong Zhou, Yi-Ning Cao, Min Zhao, Jiang Du
BACKGROUND: The purpose of this study was to document the prevalence of hepatitis C among MMT patients, hepatitis C virus (HCV) knowledge of patients and MMT staff members, and the barriers preventing them from receiving or delivering HCV-related services in MMT clinics of China. METHODS: Data were collected from 240 MMT patients and 58 staff members in Shanghai MMT clinics. Structured questionnaires (HCV Knowledge Scale and Alcohol Use Disorders Identification Test) and several self-developed questionnaires were used to assess (1) patient and staff HCV knowledge, (2) attitudes toward HCV-related services in MMT clinics, and (3) what type of HCV-related services the staff members have provided in their routine work...
November 2, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29065896/harm-reduction-principles-for-healthcare-settings
#4
Mary Hawk, Robert W S Coulter, James E Egan, Stuart Fisk, M Reuel Friedman, Monique Tula, Suzanne Kinsky
BACKGROUND: Harm reduction refers to interventions aimed at reducing the negative effects of health behaviors without necessarily extinguishing the problematic health behaviors completely. The vast majority of the harm reduction literature focuses on the harms of drug use and on specific harm reduction strategies, such as syringe exchange, rather than on the harm reduction philosophy as a whole. Given that a harm reduction approach can address other risk behaviors that often occur alongside drug use and that harm reduction principles have been applied to harms such as sex work, eating disorders, and tobacco use, a natural evolution of the harm reduction philosophy is to extend it to other health risk behaviors and to a broader healthcare audience...
October 24, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29047371/needle-acquisition-patterns-network-risk-and-social-capital-among-rural-pwid-in-puerto-rico
#5
Ian Duncan, Patrick Habecker, Roberto Abadie, Ric Curtis, Bilal Khan, Kirk Dombrowski
BACKGROUND: People who inject drugs (PWID) take on significant risks of contracting blood-borne infection, including injecting with a large number of partners and acquiring needles from unsafe sources. When combined, risk of infection can be magnified. METHODS: Using a sample of PWID in rural Puerto Rico, we model the relationship between a subject's number of injection partners and the likelihood of having used an unsafe source of injection syringes. Data collection with 315 current injectors identified six sources of needles...
October 18, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28985738/mitigating-risks-of-students-use-of-study-drugs-through-understanding-motivations-for-use-and-applying-harm-reduction-theory-a-literature-review
#6
REVIEW
Dor David Abelman
As postsecondary students' use of "study drugs" becomes more popular with increasingly reported negative effects on health and academic performance, failing prohibitionist policies to reduce consumption, and ambiguity in literature towards best practices to address this population, we present a literature review that seeks effective solutions educational institutions can apply to improve outcomes for students who use drugs. Motivations for use, effects of the substances, an analysis of efforts to control use from educational institutions, and suggestions on promoting most effective outcomes based on harm reduction, are described...
October 6, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28962652/perceived-benefits-of-the-hepatitis-c-peer-educators-a-qualitative-investigation
#7
A W Batchelder, L Cockerham-Colas, D Peyser, S P Reynoso, I Soloway, A H Litwin
BACKGROUND: Although opioid-dependent patients are disproportionately impacted by hepatitis C (HCV), many do not receive treatment. In addition to HCV treatment-access barriers, substance-using patients may be reluctant to pursue treatment because of wariness of the medical system, lack of knowledge, or stigma related to HCV treatment. Implementation of a formal peer education program is one model of reducing provider- and patient-level barriers to HCV treatment, by enhancing mutual trust and reducing stigma...
September 29, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28946906/methadone-maintenance-lessons-from-two-systems-in-china
#8
LETTER
Shui-Shan Lee, Robert Newman
In Hong Kong, methadone maintenance treatment (MMT) was launched in the 1970s, almost 30 years before the counterpart programme's inauguration in Mainland China. Both were established in response to perceived public crises-addiction-related crime and HIV outbreak, respectively-and both are now regular services under two systems in the same country. Effectiveness of MMT in achieving the stated goals was evident in each case and provides useful lessons on strategies for dealing with the varied concerns related to illicit drug use...
September 25, 2017: Harm Reduction Journal
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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