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Substance Abuse Treatment, Prevention, and Policy

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https://www.readbyqxmd.com/read/29321039/strategies-to-control-hiv-and-hcv-in-methadone-maintenance-treatment-in-guangdong-province-china-a-system-dynamic-modeling-study
#1
Xia Zou, Yong Xu, Wen Chen, Yinghua Xia, Yin Liu, Cheng Gong, Li Ling
BACKGROUND: Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections among methadone maintenance treatment (MMT) participants remain high. Optimized HIV and HCV prevention strategies for MMT clinics in resource-limited regions are urgently needed. This study aims to develop an MMT system dynamic model (SDM) to compare and optimize HIV and HCV control strategies in the MMT system. METHODS: We developed an MMT-SDM structure based on literature reviews...
January 10, 2018: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29262838/quality-measurers-of-therapeutic-communities-for-substance-dependence-an-international-collaborative-study-survey-in-latin-america
#2
Carlos Gómez-Restrepo, Patricia Maldonado, Nelcy Rodríguez, Rafael Ruiz-Gaviria, Miguel Ángel Escalante, Raúl Ángel Gómez, Marcelo Ribeiro de Araujo, Ana Carolina Schmidt de Oliveira, Joel Salvador Chávez Rivera, Jorge Alberto Godínez García, Marina Piazza Ferrand, Dora Blitchtein-Winicki
BACKGROUND: In Latin America, substance related disorders are highly prevalent and one of the treatment strategies is the Therapeutic Communities (TCs), however, in Latin America there is scarce data about this treatment strategies, their quality, drop-out rates and patient satisfaction. METHODS: Based on a previous study in 5 Latin American countries, the TCs who had a score equal or higher than 9 according to the De Leon criteria which are some fundamental items that the TCs should meet, were selected to carry out a descriptive and retrospective study of qualitative and quantitative characteristics of the TCs...
December 20, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29233177/influences-of-perfectionism-and-motivational-climate-on-attitudes-towards-doping-among-korean-national-athletes-a-cross-sectional-study
#3
Moonjung Bae, Jungjoong Yoon, Hyunyong Kang, Taegyu Kim
BACKGROUND: The motives for elite athletes to dope are related primarily to maintaining and improving their physical performance. Especially, elite athletes training to compete in the Olympics may feel unique situational pressure, which may in turn induce powerful motivation for doping and predict doping behavior. This study aimed to investigate possible factors associated with attitudes towards doping in Korean national athletes who competed in the Rio 2016 Olympic Games. METHODS: A total of 198 athletes (95 female, 103 male) completed the questionnaire, which covered demographic information, doping-related experiences, Performance Enhancement Attitude Scale (PEAS), Perfectionism in Sports Scale (PSS; coach's criticism, concern over mistakes, and personal standards), and Perceived Motivational Climate in Sport Questionnaire-2 (PMCSQ-2; ego-involving and task-involving climates)...
December 12, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29216882/case-report-surgical-removal-of-a-migrated-needle-in-right-ventricle-of-an-intravenous-drug-user
#4
Xianming Fu, Kai Chen, Xiaobo Liao, Kangjun Shen
BACKGROUND: Illicit drug use has become an increasing public health and social concern in the past decades worldwide. Intravenous injection has an elevated risk of infection. Needle embolism is a rare complication of intravenous drug users, Retained broken needles can lead to local complications, such as infection, but they also have the potential to embolize to heart or lung, and lead to serious complications. METHOD: We reported a rare case of an intravenous drug user which a retained broken needle fragments in the inferior wall of the right ventricle...
December 8, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29212504/socioeconomic-factors-associated-with-cessation-of-injection-drug-use-among-street-involved-youth
#5
Derek C Chang, Scott E Hadland, Ekaterina Nosova, Evan Wood, Thomas Kerr, Kora DeBeck
BACKGROUND: Although the initiation of injection drug use has been well characterized among at-risk youth, factors that support or impede cessation of injection drug use have received less attention. We sought to identify socioeconomic factors associated with cessation of injection drug use among street-involved youth. METHODS: From September 2005 to May 2015, data were collected from the At-Risk Youth Study (ARYS), a prospective cohort study of street-involved youth in Vancouver, Canada...
December 7, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29208008/-i-just-feel-comfortable-out-here-there-s-something-about-the-place-staff-and-client-perceptions-of-a-remote-australian-aboriginal-drug-and-alcohol-rehabilitation-service
#6
Alice Munro, Julaine Allan, Anthony Shakeshaft, Courtney Breen
BACKGROUND: The need for effective, culturally safe residential rehabilitation services for Aboriginal people is widely acknowledged, however the combination of treatment components that is optimally effective, is not well defined. Most existing Aboriginal residential rehabilitation research has focused on describing client characteristics, and largely ignored the impact of treatment and service factors, such as the nature and quality of therapeutic components and relationships with staff...
December 6, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29141650/neuropsychological-function-is-improved-among-opioid-dependent-adults-who-adhere-to-opiate-agonist-treatment-with-buprenorphine-naloxone-a-preliminary-study
#7
Travis M Scott, Monica Rivera Mindt, Chinazo O Cunningham, Franchesca Arias, Kelly Coulehan, Aprille Mangalonzo, Pat Olsen, Julia H Arnsten
BACKGROUND: Among persons with opioid use disorder (OUD), neuropsychological dysfunction is associated with depression, and better neuropsychological function is associated with opioid abstinence. However, it is unknown whether depressive symptomatology or adherence to opiate agonist treatment are associated with neuropsychological change over time. METHODS: We recruited 20 buprenorphine/naloxone-treated adults with OUD (M Age = 45.2 years [SD = 8.1]; 25% female) to complete baseline and 6 month visits containing a neuropsychological test battery and self-reported measures of depressive symptomatology and medication adherence...
November 15, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29096691/problematic-khat-use-as-a-possible-risk-factor-for-harmful-use-of-other-psychoactive-substances-a-mixed-method-study-in-ethiopia
#8
Awoke Mihretu, Solomon Teferra, Abebaw Fekadu
BACKGROUND: Substance use disorders along with neuropsychiatric disorders contributed about 14% of the global burden of disease. Harmful alcohol use, is a known contributor for many harms (accidents, suicide, violence, and complication of other psychiatric and medical disorders). In the Western countries, alcohol and nicotine are gateway drugs to cannabis use, and cannabis use is a risk factor for other illicit drugs such as cocaine and heroin. Khat use is another psychoactive substance which is common in East African and Arabian Peninsula...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29096661/willingness-to-receive-intravenous-buprenorphine-treatment-in-opioid-dependent-people-refractory-to-oral-opioid-maintenance-treatment-results-from-a-community-based-survey-in-france
#9
Perrine Roux, Daniela Rojas Castro, Khadim Ndiaye, Laélia Briand Madrid, Virginie Laporte, Marion Mora, Gwenaelle Maradan, Stéphane Morel, Bruno Spire, Patrizia Carrieri
BACKGROUND: Injectable opioids are an interesting option for people who inject drugs (PWID) that do not respond to oral Opioid Maintenance Treatment (OMT). To date, intravenous (IV) buprenorphine - a safer drug than full-opioid agonists in terms of overdose risk - has never been tested in a clinical trial on opioid dependence. We designed a survey to better understand the profile of PWID eligible for IV buprenorphine, and their willingness to receive it. METHODS: This cross-sectional community-based national survey was conducted through face-to-face interviews (in low-threshold and addiction care services) and online questionnaires (on https://psychoactif...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29096653/the-opioid-crisis-past-present-and-future-policy-climate-in-ontario-canada
#10
LETTER
Kristen A Morin, Joseph K Eibl, Alexandra M Franklyn, David C Marsh
BACKGROUND: Addressing opioid use disorder has become a priority in Ontario, Canada, because of its high economic, social and health burden. There continues to be stigma and criticism relating to opioid use disorder and treatment options. The result has been unsystematic, partial, reactive policies and programs developed based on divergent points of view. The aim of this manuscript is to describe how past and present understandings, narratives, ideologies and discourse of opioid use, have impacted policies over the course of the growing opioid crisis...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29058635/licit-and-illicit-substance-use-patterns-among-university-students-in-germany-using-cluster-analysis
#11
Laura Schilling, Hajo Zeeb, Claudia Pischke, Stefanie Helmer, Andrea Schmidt-Pokrzywniak, Ralf Reintjes, Ulla Walter, Maria Girbig, Alexander Krämer, Andrea Icks, Sven Schneider
BACKGROUND: The use of multiple licit and illicit substances plays an important role in many university students' lives. Previous research on multiple substance use patterns of university students, however, often fails to examine use of different illicit substances and/or hookah. Our objective was to complement and advance the current knowledge about common consumption patterns regarding illicit substances and hookah use in this group. METHODS: Students from eight German universities completed an online survey as part of the INSIST study ('INternet-based Social norms Intervention for the prevention of substance use among STudents') regarding their consumption of alcohol, tobacco, hookah, cannabis and other illicit substances...
October 23, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28982369/lead-poisoning-among-opium-users-in-iran-an-emerging-health-hazard
#12
Mohammad Mahdi Hayatbakhsh, Zohreh Oghabian, Elvira Conlon, Samaneh Nakhaee, Ali Reza Amirabadizadeh, Mohammad Javad Zahedi, Sodief Darvish Moghadam, Bighan Ahmadi, Somayeh Soroush, Jan Aaseth, Omid Mehrpour
BACKGROUND: Lead (Pb) poisoning among people using opium has been an increasing problem in Iran. The present study highlights the clinical effects of lead toxicity associated with opium use in Iran, Kerman province. METHODS: Between January 2016 and June 2016, patients with signs and symptoms of Pb poisoning were questioned to assess whether they had a history of opium dependency. In total, 249 patients were enrolled onto this cross-sectional study, all were opium dependent...
October 5, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28974239/history-of-medication-assisted-treatment-and-its-association-with-initiating-others-into-injection-drug-use-in-san-diego-ca
#13
Maria Luisa Mittal, Devesh Vashishtha, Shelly Sun, Sonia Jain, Jazmine Cuevas-Mota, Richard Garfein, Steffanie A Strathdee, Dan Werb
BACKGROUND: Medication-assisted treatment (MAT) remains the gold standard for the treatment of opioid use disorder. MAT also reduces the frequency of injecting among people who inject drugs (PWID). Relatedly, data suggest that PWID play a key role in the initiation of others into drug injecting by exposing injecting practices to injection-naïve drug users. Our primary objective was to test whether a history of MAT enrollment is associated with a reduced odds of PWID providing injection initiation assistance...
October 3, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28915841/is-there-room-for-resilience-a-scoping-review-and-critique-of-substance-use-literature-and-its-utilization-of-the-concept-of-resilience
#14
REVIEW
Katherine Rudzinski, Peggy McDonough, Rosemary Gartner, Carol Strike
Research in the area of illicit substance use remains preoccupied with describing and analyzing the risks of people who use drugs (PWUD), however more recently there has been a drive to use a strengths-based or resilience approach as an alternative to investigating drug use. This leads us to ask: what can be known about PWUD from the point of view of resilience? The objective of this scoping review is to analyze how the concept of resilience is defined, operationalized, and applied in substance use research...
September 15, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28877727/zonnic%C3%A2-a-new-player-in-an-old-field
#15
REVIEW
Min Gong, Michael S Dunbar, Claude Setodji, William G Shadel
The tobacco industry is continually evolving to adapt to increasing tobacco control pressure and regulation, and to cater to consumer preferences. Recently, RJ Reynolds rolled-out a nicotine-containing gum, Zonnic®, which is marketed as a smoking cessation and reduction product and is sold at convenience stores at a lower price and in a smaller quantity than existing brands sold at pharmacies. The introduction of Zonnic® products is a critical first step in tobacco industry's involvement in the NRT market and a serious indication of the evolving tobacco and nicotine-delivery industry and environment...
September 6, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28841918/sexual-behaviors-among-methadone-maintenance-patients-in-a-mountainous-area-in-northern-vietnam
#16
Victoria L Boggiano, Huong Lan Thi Nguyen, Long Hoang Nguyen, Tho Dinh Tran, Hung Van Nguyen, Huong Thi Le, Hai Quan Le, Canh Dinh Hoang, Cuong Tat Nguyen, Bach Xuan Tran, Carl A Latkin, Nabil Zary, Thuc Minh Thi Vu
BACKGROUND: Methadone maintenance treatment (MMT) improves patients' ability to access HIV-related services and reduces needle sharing and other risky HIV-related behaviors. However, patients may continue to engage in risky sexual practices. In this study, we evaluate sexual behaviors of MMT patients in a mountainous province in Northern Vietnam. METHODS: We explored the health status, MMT and substance use history, and sexual practices of 241 male MMT patients in Tuyen Quang province...
August 25, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28818114/the-impact-of-subsidized-low-aromatic-fuel-laf-on-petrol-gasoline-sniffing-in-remote-australian-indigenous-communities
#17
Peter d'Abbs, Gillian Shaw, Emma Field
BACKGROUND: Since 2005, the Australian Government has subsidized the production and distribution of Low Aromatic Fuel (LAF) as a deterrent against petrol (gasoline) sniffing in remote Indigenous communities. LAF is used in place of unleaded petrol as a fuel for vehicles and other engines. This paper reports findings from an independent evaluation of the LAF rollout. METHODS: Forty one Indigenous communities were surveyed between 2010 and 2014, with each community being visited twice at a two yearly interval...
August 17, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28814313/a-mixed-methods-study-of-hiv-related-services-in-buprenorphine-treatment
#18
Hannah K Knudsen, Jennifer Cook, Michelle R Lofwall, Sharon L Walsh, Jamie L Studts, Jennifer R Havens
BACKGROUND: Opioid use disorder (OUD) is a major risk factor in the acquisition and transmission of HIV. Clinical practice guidelines call for the integration of HIV services in OUD treatment. This mixed methods study describes the integration of HIV services in buprenorphine treatment and examines whether HIV services vary by prescribers' medical specialty and across practice settings. METHODS: Data were obtained via qualitative interviews with buprenorphine experts (n = 21) and mailed surveys from US buprenorphine prescribers (n = 1174)...
August 16, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28810899/chronic-pain-and-opioid-misuse-a-review-of-reviews
#19
REVIEW
Pauline Voon, Mohammad Karamouzian, Thomas Kerr
OBJECTIVE: The crisis of prescription opioid (PO) related harms has focused attention toward identifying and treating high-risk populations. This review aims to synthesize systematic reviews on the epidemiology and clinical management of comorbid chronic pain and PO or other substance misuse. METHODS: A systematic database search was conducted to identify systematic reviews published between 2000 and 2016. Eligible studies were systematic reviews related to chronic non-cancer pain and PO or other substance misuse...
August 15, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28716045/barriers-to-accessing-and-using-health-insurance-cards-among-methadone-maintenance-treatment-patients-in-northern-vietnam
#20
Bach Xuan Tran, Victoria L Boggiano, Cuong Tat Nguyen, Long Hoang Nguyen, Anh Tuan Le Nguyen, Carl A Latkin
BACKGROUND: Methadone maintenance treatment (MMT) patients face unique costs associated with their healthcare expenditures. As such, it is important that these patients have access to health insurance (HI) to help them pay for both routine and unforeseen health services. In this study, we explored factors related to health insurance enrollment and utilization among MMT patients, to move Vietnam closer to universal coverage among this patient population. METHODS: A cross-sectional study was conducted with 1003 patients enrolled in MMT in five clinics in Hanoi and Nam Dinh provinces...
July 17, 2017: Substance Abuse Treatment, Prevention, and Policy
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