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"Harm reduction"

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https://www.readbyqxmd.com/read/28646844/prevalence-and-associated-factors-of-hiv-infection-among-male-prisoners-in-tehran-iran
#1
SeyedAhmad SeyedAlinaghi, Behnam Farhoudi, Minoo Mohraz, Fatemeh Golsoorat Pahlaviani, Mostafa Hosseini, Marzieh Farnia, Mohammad Shahbazi, Ramin Alasvand, Mehrzad Tashakoriyan
BACKGROUND: This is a cross-sectional survey conducted on 6900 male prisoners in Great Tehran Prison from October 2013 to May 2014. METHODS: In order to find HIV positive prisoners in the prison's quarantine and two housing units, we used HIV active case finding (ACF) strategy by rapid screening test. In ACF, healthcare staff and trained prisoners asked inmates to answer relevant questions about history of risky behaviors related to HIV as well as to be tested voluntarily by HIV rapid test...
June 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28645060/young-people-who-use-drugs-engaged-in-harm-reduction-programs-in-new-york-city-overdose-and-other-risks
#2
Michele Calvo, Jessica MacFarlane, Heather Zaccaro, Matthew Curtis, María Cabán, Jamie Favaro, Marian R Passannante, Taeko Frost
BACKGROUND: Little is known about the engagement of young people who use drugs (PWUD) in harm reduction programs (HRPs), and few studies have included non-opioid users and non-injectors. While HRPs have effectively engaged PWUD, young people are under-represented in their services. METHODS: The Injection Drug Users Health Alliance Citywide Study (IDUCS) is the largest community-based study of PWUD in HRPs in the US. From 2014-2015, 2421 HRP participants across New York City (NYC) completed a cross-sectional survey...
June 15, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28637344/nicotine-delivery-to-the-aerosol-of-a-heat-not-burn-tobacco-product-comparison-with-a-tobacco-cigarette-and-e-cigarettes
#3
Konstantinos E Farsalinos, Nikoletta Yannovits, Theoni Sarri, Vassilis Voudris, Konstantinos Poulas
Introduction: The purpose was to measure nicotine levels to the tobacco and levels emitted to the aerosol of a heat-not-burn product (HnB, IQOS) compared to e-cigarettes (ECs) and a tobacco cigarette. Methods: The HnB device and regular and menthol sticks were purchased from Italy. Three types of ECs (ciga-like, eGo-style and variable wattage) and a commercially-available tobacco cigarette were also tested. A custom-made liquid containing 2% nicotine was used with ECs...
June 16, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28635343/primary-psychopathy-and-alcohol-pathology-in-college-students-the-role-of-protective-behavioral-strategies
#4
Matthew P Kramer, Brittany L Stevenson, Robert D Dvorak
OVERVIEW: Though not an official diagnosis, psychopathy has become an important area of research due to the litany of deleterious outcomes associated with this aspect of temperament. Psychopathy is composed of primary and secondary traits. Research consistently links psychopathy to alcohol pathology, though often only via secondary traits which are comprised of intractable aspects of behavior (e.g., poor impulse control). In contrast, primary psychopathy is comprised of behaviors that can be learned and thus may be more malleable (i...
February 13, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28634153/beyond-basic-feedback-in-mobile-brief-interventions-designing-sms-message-content-for-delivery-to-young-adults-during-risky-drinking-events
#5
Cassandra J C Wright, Paul M Dietze, Megan S C Lim
BACKGROUND: Brief interventions can reduce alcohol consumption in young people through screening and delivery of personally relevant feedback. Recently, Web and mobile platforms have been harnessed to increase the reach of brief interventions. Existing literature on mobile-based alcohol brief interventions indicates mixed use of theory in developing interventions. There is no research available to guide the development of SMS text messaging (short message service, SMS) interventions delivered during risky drinking events...
June 20, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28632952/injecting-drug-use-in-low-and-middle-income-countries-opportunities-to-improve-care-and-prevent-harm
#6
Daniel O'Keefe, Mark Stoové, Joseph Doyle, Paul Dietze, Margaret Hellard
Inadequate response to injecting drug use (IDU) is a significant problem the world over. Low levels of funding, political inaction, poor levels of health service coverage, high prevalence and incidence of IDU-related blood-borne viruses (BBVs), and ongoing stigmatisation/marginalisation affect people who inject drugs (PWID) regardless of the income status of the country they reside in. These barriers and system failings are, however, exacerbated in low and middle income countries (LMICs), meaning that the potential consequences of inaction are more pressing...
June 20, 2017: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/28629463/how-understanding-and-application-of-drug-related-legal-instruments-affects-harm-reduction-interventions-in-cambodia-a-qualitative-study
#7
Sovannary Tuot, Chanrith Ngin, Khuondyla Pal, Sochenda Sou, Ghazal Sawez, Phylicia Morgan, Mony Srey, Tola Chan, Pheak Chhoun, Olga Golichenko, Sok Chamreun Choub, Siyan Yi
BACKGROUND: Harm reduction interventions in Cambodia face numerous obstacles because of conflicting understanding and interests and inconsistencies in the implementation by law enforcement officials. This study aims to examine how understanding and application of Drug Control Law (DCL) and Village/Commune Safety Policy (VCSP) affects harm reduction interventions in Cambodia from the standpoints of law enforcement officials, people who inject drugs and people who use drugs (PWID/PWUD), as well as other key stakeholders...
June 19, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28617025/confronting-the-new-epidemic-integrated-care-for-opioid-use-disorders
#8
Christine N Runyan, Amber L Hewitt, Stephen A Martin, Daniel Mullin
The inaugural Collaborative Family Health Care (CFHA) regional conference took place March 17, 2017, in St. Louis, Missouri. The conference theme was opioid use disorders and the potential of medication-assisted treatment using team-based care to address this epidemic. The conference ended with an emphasis on the importance of and strategies for self-care among caregivers working with this population and their families. This intensive meeting was crafted as a proof in concept for CFHA; however, the content was timely with regard to its importance in health care as well as compelling in the opportunity for collaborative care to offer an effective approach...
June 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28606391/tensions-in-relation-how-peer-support-is-experienced-and-received-in-a-hepatitis-c-treatment-intervention
#9
Oliver Bonnington, Magdalena Harris
BACKGROUND: Peer support and involvement is recognised as a vital component of hepatitis C (HCV) treatment provision for marginalised populations, such as people who inject drugs (PWID). Developments in HCV treatments enable increased provision in community settings - expanding the possibilities for meaningful peer involvement in HCV treatment plans. To date, HCV peer support has generally been viewed as a positive intervention, with little critical reflection on the ways social structures, policies, health and drug services and social identity impact on how peer support is experienced and received...
June 9, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28606093/two-steps-forward-one-step-back-current-harm-reduction-policy-and-politics-in-the-united-states
#10
Ethan Nadelmann, Lindsay LaSalle
Harm reduction policies and attitudes in the United States have advanced substantially in recent years but still lag behind more advanced jurisdictions in Europe and elsewhere. The Obama administration, particularly in its last years, embraced some harm reduction policies that had been rejected by previous administrations but shied away from more cutting edge interventions like supervised consumption sites and heroin-assisted treatment. The Trump administration will undermine some of the progress made to date but significant state and local control over drug policies in the US, as well as growing Republican support for pragmatic drug policies, motivated in part by the opioid crisis, ensures continuing progress for harm reduction...
June 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28605275/exploring-social-work-student-education-the-effect-of-a-harm-reduction-curriculum-on-student-knowledge-and-attitudes-regarding-opioid-use-disorders
#11
Anthony Estreet, Paul Archibald, M Taqi Tirmazi, Sapphire Goodman, Tracy Cudjoe
BACKGROUND: This study evaluates the degree to which a harm reduction intervention course module impacted MSW students' knowledge and attitudes towards addressing opioid use disorder issues and clients. METHODS: Using a mixed-methods approach, data from 124 MSW students was collected between 2011 and 2015. Students completed a 3 hour-course module that focused on harm reduction (HR) philosophy and interventions specifically for opioid use disorders. Students completed pre and posttest of the Harm Reduction Attitude Scale...
June 12, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28605272/methamphetamine-use-among-iranian-youth-a-population-based-knowledge-attitude-and-practice-study
#12
Hamid Sharifi, Mostafa Shokoohi, Ali Ahmad RafieiRad, Maryam Sargolzaie Moghadam, Ali-Akbar Haghdoost, Ali Mirzazadeh, Mohammad Karamouzian
Despite the increasing prevalence of methamphetamine use among the young population in Iran, the body of literature on their methamphetamine use remains slim. This study was designed to investigate the knowledge, attitude, and practices of Iranian youth about methamphetamine to help inform harm reduction policies catered towards young men and women. In a cross-sectional study using multistage sampling in 13 provinces, 4868 participants aged 15-29 years old were recruited. Knowledge, attitude and practices of youth about methamphetamine were assessed through a pilot-tested interviewer-administered questionnaire...
June 12, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28604842/to-be-or-not-to-be-referred-a-qualitative-study-of-women-from-burma-s-access-to-legal-abortion-care-in-thailand
#13
Grady Arnott, Eh Tho, Niru Guroong, Angel M Foster
BACKGROUND: Reproductive health outcomes among women from Burma who live along the Thailand-Burma border demonstrate an unmet need for access to safe abortion services. In 2014, a multi-national team launched a collaborative three-year initiative to expand a program that refers eligible women for safe and legal abortion care to government Thai hospitals in Tak province, Thailand. METHODS: Over a six-month period we conducted 14 in-depth open-ended interviews with women from Burma who were referred through the program or denied a wanted abortion after being deemed ineligible for referral by staff at the participating clinic...
2017: PloS One
https://www.readbyqxmd.com/read/28601512/epidemiology-of-fentanyl-involved-drug-overdose-deaths-a-geospatial-retrospective-study-in-rhode-island-usa
#14
Brandon D L Marshall, Maxwell S Krieger, Jesse L Yedinak, Patricia Ogera, Priya Banerjee, Nicole E Alexander-Scott, Josiah D Rich, Traci C Green
BACKGROUND: We conducted an epidemiological investigation of fentanyl and non-fentanyl overdose deaths in Rhode Island to inform overdose prevention efforts. METHODS: All drug overdose deaths occurring in Rhode Island between January 1, 2014 and September 30, 2016 were included. Overdose circumstances and decedent characteristics were ascertained from medical examiner files. Toxicological reports provided quantification of fentanyl and metabolites. ArcGIS was used to map exact overdose locations...
June 7, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28600704/steering-clear-of-driving-after-drinking-a-tailored-e-health-intervention-for-reducing-repeat-offending-and-modifying-alcohol-use-in-a-high-risk-cohort
#15
Hollie Jai Wilson, Gavan Palk, Mary Christina Sheehan, Darren Wishart, Barry Watson
PURPOSE: Digital interventions to reduce risk behaviours are emerging as effective public health measures; however, few have been applied to drink driving and associated alcohol use based on a harm reduction perspective. This paper reports on the design, development, and pilot of a novel intervention which aims to reduce repeat offending by first-time convicted drink driving offenders. It explores whether an online program is acceptable and user friendly and contains useful and relevant content, with a sample of first-time drink driving offenders recruited at the time of conviction...
June 9, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28600490/treating-tobacco-dependence-guidance-for-primary-care-on-life-saving-interventions-position-statement-of-the-ipcrg
#16
O C P Van Schayck, S Williams, V Barchilon, N Baxter, M Jawad, P A Katsaounou, B J Kirenga, C Panaitescu, K W I G Tsiligianni, N Zwar, A Ostrem
Tobacco smoking is the world's leading cause of premature death and disability. Global targets to reduce premature deaths by 25% by 2025 will require a substantial increase in the number of smokers making a quit attempt, and a significant improvement in the success rates of those attempts in low, middle and high income countries. In many countries the only place where the majority of smokers can access support to quit is primary care. There is strong evidence of cost-effective interventions in primary care yet many opportunities to put these into practice are missed...
June 9, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28594786/hospitalizations-for-endocarditis-and-associated-health-care-costs-among-persons-with-diagnosed-drug-dependence-north-carolina-2010-2015
#17
Aaron T Fleischauer, Laura Ruhl, Sarah Rhea, Erin Barnes
Opioid dependence and overdose have increased to epidemic levels in the United States. The 2014 National Survey on Drug Use and Health estimated that 4.3 million persons were nonmedical users of prescription pain relievers (1). These users are 40 times more likely than the general population to use heroin or other injection drugs (2). Furthermore, CDC estimated a near quadrupling of heroin-related overdose deaths during 2002-2014 (3). Although overdose contributes most to drug-associated mortality, infectious complications of intravenous drug use constitute a major cause of morbidity leading to hospitalization (4)...
June 9, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28592246/using-a-programmatic-mapping-approach-to-plan-for-hiv-prevention-and-harm-reduction-interventions-for-people-who-inject-drugs-in-three-south-african-cities
#18
Andrew Scheibe, Shaun Shelly, Andrew Lambert, Andrea Schneider, Rudolf Basson, Nelson Medeiros, Kalvanya Padayachee, Helen Savva, Harry Hausler
BACKGROUND: Stigma, criminalisation and a lack of data on drug use contribute to the "invisibility" of people who inject drugs (PWID) and make HIV prevention and treatment service delivery challenging. We aimed to confirm locations where PWID congregate in Cape Town, eThekwini and Tshwane (South Africa) and to estimate PWID population sizes within selected electoral wards in these areas to inform South Africa's first multi-site HIV prevention project for PWID. METHODS: Field workers (including PWID peers) interviewed community informants to identify suspected injecting locations in selected electoral wards in each city and then visited these locations and interviewed PWID...
June 7, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28590391/misuse-of-novel-synthetic-opioids-a-deadly-new-trend
#19
Matthew P Prekupec, Peter A Mansky, Michael H Baumann
: Novel synthetic opioids (NSOs) include various analogs of fentanyl and newly emerging non-fentanyl compounds. Together with illicitly manufactured fentanyl (IMF), these drugs have caused a recent spike in overdose deaths, whereas deaths from prescription opioids have stabilized. NSOs are used as stand-alone products, as adulterants in heroin, or as constituents of counterfeit prescription medications. During 2015 alone, there were 9580 deaths from synthetic opioids other than methadone. Most of these fatalities were associated with IMF rather than diverted pharmaceutical fentanyl...
June 5, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28583136/social-structural-factors-influencing-periods-of-injection-cessation-among-marginalized-youth-who-inject-drugs-in-vancouver-canada-an-ethno-epidemiological-study
#20
Jade Boyd, Danya Fast, Megan Hobbins, Ryan McNeil, Will Small
BACKGROUND: Injection drug use is associated with HIV and hepatitis C transmission, overdose, and other preventable harms. These harms are heightened for structurally vulnerable injection drug-using populations, as their social conditions pose barriers to safer injecting. Previous research on injection cessation has largely focused on adult drug-using populations. Little qualitative work has examined the social, structural, and environmental factors that shape periods of injection cessation among youth and young adults...
June 5, 2017: Harm Reduction Journal
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