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https://www.readbyqxmd.com/read/28723904/impact-of-mass-drug-administration-for-elimination-of-lymphatic-filariasis-in-nepal
#1
Chet Raj Ojha, Basant Joshi, Khagendra Prakash Kc, Shyam Prakash Dumre, Keshav Kumar Yogi, Bandana Bhatta, Tulasi Adhikari, Kathryn Crowley, Babu Ram Marasaini
BACKGROUND: Lymphatic filariasis (LF) is a neglected tropical disease transmitted by mosquitoes. Nepal has implemented a national effort to eliminate LF by 2020 through mass drug administration (MDA) using diethylcarbamazine (DEC) and albendazole (ALB). We assessed the impact of MDAs on LF in selected districts of Nepal after the recommended six MDA rounds had been completed. METHODOLOGY AND PRINCIPAL FINDINGS: Baseline surveys were conducted in seven districts and mapping data were used as baseline in the other three districts before starting MDA in 2009...
July 19, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28716996/long-term-benzodiazepine-and-z-drugs-use-in-the-uk-a-survey-of-general-practice
#2
James Davies, Todd C Rae, Luke Montagu
BACKGROUND: Current British National Formulary (BNF) guidelines state that benzodiazepines and zolpidem, zopiclone, and zaleplon, commonly known as Z-drugs (BZD), be prescribed for no more than 4 weeks, although anecdotal data suggest that many patients are prescribed BZDs for much longer. As there are no recent, evidence-based estimates of long-term (>12 months) BZD use in the UK, the scale of this potential problem is unknown. AIM: To produce the first reliable, evidence-based estimate of long-term BZD use in the UK...
July 17, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28715729/consistent-association-between-hypnotics-sedatives-and-non-traffic-injuries-results-from-a-national-household-survey
#3
María Del Mar Martín-Rodríguez, José Pulido, Eladio Jiménez-Mejías, Juan Hoyos, Pablo Lardelli-Claret, Gregorio Barrio
AIM: To quantify the relationship between patterns of psychostimulants, hypnotics/sedatives and alcohol consumption and the frequency of unintentional non-traffic injuries (UNTIs) requiring medical assistant in Spain. METHODS: We carried out a cross sectional study using a randomized pooled sample from two household surveys on psychoactive drugs use (n=51,649 subjects aged 15-64 years). We estimated the magnitude of the association between the use of psychostimulants and hypnotics/sedatives in the last 12 months as well as alcohol consumption in the last 30days with the occurrence of UNTIs in the last 12 months (falls, knocks/bumps and cuts) by building several logistic regression models, which took into account the effect of sociodemographic characteristics and the use of other psychoactive drugs (including cannabis)...
July 14, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28711814/problem-alcohol-use-and-healthcare-utilization-among-persons-with-cannabis-use-disorder-in-the-united-states
#4
William S John, Li-Tzy Wu
BACKGROUND: The emergency department (ED) and hospital settings represent crucial opportunities for engaging treatment for cannabis use disorder (CUD). Thus, there is a need to identify factors associated with healthcare utilization among persons with CUD to improve screening and intervention approaches. Problematic alcohol use may be a salient risk factor. METHODS: Using data from the 2005-2013 National Surveys on Drug Use and Health, we determined factors, including different patterns of alcohol use, associated with past-year ED admission and inpatient hospitalization among persons aged 12 years or older meeting criteria for CUD in the past year (N=16,757)...
June 30, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28709510/sleep-apnea-psychopathology-and-mental-health-care
#5
Christopher N Kaufmann, Ryoko Susukida, Colin A Depp
OBJECTIVE: Sleep apnea has been shown to be associated with mental health conditions. This study examined the association between sleep apnea and psychopathology and mental health service utilization in a US nationally-representative sample. DESIGN: National Survey on Drug Use and Health (NSDUH). SETTING: United States. PARTICIPANTS: We used data on 264,653 individuals who participated in the 2008-2014 waves of the NSDUH, of which 5498 (3...
August 2017: Sleep Health
https://www.readbyqxmd.com/read/28704106/prescription-drug-misuse-and-arrest-history
#6
Jason Ford, Lauren Wright
BACKGROUND: Prescription drug misuse is widely acknowledged as a major public health issue in the United States. Surprisingly little research examines the association between prescription drug misuse and history of arrest among adults. METHODS: We use data from the 2013 National Survey on Drug Use and Health to examine this association. Arrest was self-reported and separated into three categories: any, property crime, or violent crime. Prescription drug misuse was defined as use without a prescription or solely for the feeling or experience caused by the drug...
July 13, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28703947/insurance-coverage-and-health-outcomes-in-young-adults-with-mental-illness-following-the-affordable-care-act-dependent-coverage-expansion
#7
Nicole Kozloff, Benjamin D Sommers
OBJECTIVE: As a provision of the Affordable Care Act, young adults were able to remain on their parents' health insurance plans until age 26. We examined the impact of the 2010 dependent coverage expansion on insurance coverage and health outcomes among young adults with mental illness. METHODS: Data are from the 2008-2013 National Survey on Drug Use and Health, an annual population-based survey of noninstitutionalized US individuals aged 12 and older. We used a difference-in-differences approach to compare young adults with mental illness subject to the provision (aged 19-25 years, n = 19,051) with an older comparison group (aged 26-34 years, n = 7,958) before (2008-2009) and after (2011-2013) the dependent coverage expansion in their insurance coverage, use of health services, and self-reported health...
July 11, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28699829/association-between-nonmedical-marijuana-and-pain-reliever-uses-among-individuals-aged-50
#8
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Bryan Y Choi
Marijuana and pain reliever use for medical and nonmedical purposes has been increasing among older adults. Using the 2012-2013 U.S. National Survey on Alcohol and Related Conditions (NESARC-III), this study examined: (1) the association between past-year nonmedical marijuana and pain reliever use among adults aged 50+ years (N = 14,715); and (2) sociodemographic, health, and pain-related correlates of nonmedical marijuana and/or pain reliever use. The findings show that 3.87% and 3.12%, respectively, used marijuana and pain relievers nonmedically and 14...
July 12, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28697732/an-assessment-of-equity-in-the-distribution-of-non-financial-health-care-inputs-across-public-primary-health-care-facilities-in-tanzania
#9
August Kuwawenaruwa, Josephine Borghi, Michelle Remme, Gemini Mtei
BACKGROUND: There is limited evidence on how health care inputs are distributed from the sub-national level down to health facilities and their potential influence on promoting health equity. To address this gap, this paper assesses equity in the distribution of health care inputs across public primary health facilities at the district level in Tanzania. METHODS: This is a quantitative assessment of equity in the distribution of health care inputs (staff, drugs, medical supplies and equipment) from district to facility level...
July 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28694273/barriers-rural-physicians-face-prescribing-buprenorphine-for-opioid-use-disorder
#10
C Holly A Andrilla, Cynthia Coulthard, Eric H Larson
Opioid use disorder is a serious public health problem. Management with buprenorphine is an effective, office-based, medication-assisted treatment, but 60.1% of rural counties in the United States lack a physician with a Drug Enforcement Agency waiver to prescribe buprenorphine. This national study surveyed all rural physicians who have received a waiver in the United States and found that those who were not actively prescribing buprenorphine reported significantly more barriers than those who were, regardless of whether they were treating the maximum number of patients their waiver allowed...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28692946/victimization-as-a-mediator-of-alcohol-use-disparities-between-sexual-minority-subgroups-and-sexual-majority-youth-using-the-2015-national-youth-risk-behavior-survey
#11
Gregory Phillips, Blair Turner, Paul Salamanca, Michelle Birkett, Mark L Hatzenbuehler, Michael E Newcomb, Rachel Marro, Brian Mustanski
BACKGROUND: Alcohol use among underage youth is a significant public health concern. According to the National Institute on Alcohol Abuse and Alcoholism, alcohol is the "drug of choice" among adolescents, meaning more youth use and abuse alcohol than any other substance. Prevalence of alcohol use is disproportionately higher among sexual minority youth (SMY) than among their heterosexual peers. We examined sexual identity and sexual behavior disparities in alcohol use, and the mediational role of bullying in a sample of high school students...
June 29, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28692607/exposure-to-work-and-nonwork-stressors-and-the-development-of-heart-disease-among-canadian-workers-aged-40-years-and-older-a-16-year-follow-up-study-1994-to-2010
#12
Alain Marchand, Marie-Eve Blanc, Nancy Beauregard
OBJECTIVE: The aim of this study was to evaluate the contribution of work, nonwork, and individual factors to self-reported heart disease, and to evaluate gender-related differences over a period of 16 years among Canadian workers aged 40 years and more. METHODS: Using the National Population Health Survey (NPHS, 1994 to 2010), we estimated multilevel logistic regression models (N = 2996). RESULTS: Couple-related strains, being a man, age, hypertension, and body mass index, are associated with an increased risk of heart disease...
July 7, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28686820/cannabis-use-and-cannabis-use-disorders-among-youth-in-the-united-states-2002-2014
#13
Beth Han, Wilson M Compton, Christopher M Jones, Carlos Blanco
OBJECTIVE: To examine trends in past-year cannabis use (CU) and cannabis use disorders (CUD) among youth in the United States, when related changes began, and factors associated with these changes. METHODS: This study used data from 288,300 persons aged 12-17 years who participated in the 2002-2014 National Survey on Drug Use and Health. Descriptive analyses and bivariable and multivariable logistic regressions were applied (using the year 2002 as the reference group for most analyses)...
July 5, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28685885/mental-health-and-substance-use-care-among-young-adults-before-and-after-affordable-care-act-aca-implementation-a-rural-and-urban-comparison
#14
Laura J Chavez, Kelly J Kelleher, Steven C Matson, Thomas M Wickizer, Deena J Chisolm
PURPOSE: Rural young adults experience greater unmet need for mental health (MH) and alcohol or drug (AOD) treatment and lower health insurance coverage than urban residents. It is unknown whether Affordable Care Act (ACA) reforms in 2010 (dependent coverage extended to age 26) or 2014 (Medicaid expansion) closed rural/urban gaps in insurance and treatment. The present study compared changes in rates of health insurance, MH treatment, and AOD treatment for rural and urban young adults over a period of ACA reforms...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28678649/do-painkillers-serve-as-hillbilly-heroin-for-rural-adults-with-high-levels-of-psychosocial-stress
#15
Pamela Black, Helen M Hendy
Nonmedical use of painkillers has increased in recent years, with some authors suggesting that painkillers serve as "hillbilly heroin": a drug chosen by rural adults to cope with psychosocial stresses in their lives. The present study compared rural and urban adults for their reported use of 5 drugs during the past year (painkillers, marijuana, cocaine, methamphetamine, heroin) and for associations between these 5 drugs and their reported psychosocial stressors. This study conducted secondary analyses of anonymous survey data provided by the 2014 National Survey on Drug Use and Health with responses from 8,699 rural and 18,481 urban adults...
July 5, 2017: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/28674622/use-of-non-steroidal-anti-inflammatory-drugs-in-us-adults-changes-over-time-and-by-demographic
#16
Jennifer S Davis, Hwa Young Lee, Jihye Kim, Shailesh M Advani, Ho-Lan Peng, Emilyn Banfield, Ernest T Hawk, Shine Chang, Alexis C Frazier-Wood
OBJECTIVE: Aspirin and non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs) are preventive against cardiovascular disease (CVD) and several cancer types, but long-term use has been associated with significant health risks, resulting in conflicting recommendations on NSAID use for prevention of CVD and cancer. Previous research indicates that aspirin use increases with age and CVD risk factors and that a large percentage of the US population regularly use analgesics, including NSAIDs, but there has not been a recent, in-depth assessment of NSAID use prevalence, changes in use over time or predictors of NSAID use in the USA...
2017: Open Heart
https://www.readbyqxmd.com/read/28673532/drug-use-among-asian-americans-differentiating-use-by-acculturation-status-and-gender
#17
Clifford S Bersamira, Yu-An Lin, Keunhye Park, Jeanne C Marsh
This study examined past-year drug use among Asian Americans with respect to ethnic subgroup, acculturation, and gender differences. Survey data were collected during the National Latino and Asian American Survey, a national epidemiological household survey of behavioral health prevalence and service utilization rates. The analytical sample consisted of 505 Filipino, 598 Chinese, 518 Vietnamese, and 466 other Asian respondents. Results indicated that among ethnic subgroups, Filipinos had the highest rates of drug use...
August 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28659157/supporting-medication-discontinuation-provider-preferences-for-interventions-to-facilitate-deprescribing
#18
Amy Linsky, Mark Meterko, Kelly Stolzmann, Steven R Simon
BACKGROUND: One approach to prevent adverse drug events is to discontinue ("deprescribe") medications that are outdated, not indicated, or of limited benefit relative to risk for a particular patient. However, there is little guidance to clinicians about how to integrate the process of deprescribing into the workflow of clinical practice. We sought to determine clinical prescribers' preferences for interventions that would improve their ability to appropriately and proactively discontinue medications...
June 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28657698/mental-and-physical-health-conditions-in-us-combat-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#19
Melissa M Thomas, Ilan Harpaz-Rotem, Jack Tsai, Steven M Southwick, Robert H Pietrzak
Objective: To identify sociodemographic and military characteristics of combat-exposed and non-combat-exposed veterans in the United States and to compare rates of mental and physical health conditions in these populations. Methods: Data were analyzed from the National Health and Resilience in Veterans Study (NHRVS), a contemporary, nationally representative survey of 1,480 US veterans conducted September-October 2013. Poststratification weights were applied to analyses to permit generalizability of results to the US veteran population...
June 22, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28655677/private-pharmacy-staff-in-five-main-towns-in-benin-burkina-faso-and-mali-knowledge-and-practices-concerning-malaria-care-in-2014
#20
H Ganfon, T Diallo, C Nanga, N Coulibaly, V Benao, G Ekanmian, A Sandouidi, E Daniel Garcia
The Global Fund's involvement in the fight against malaria has led to significant improvements, but mostly through programs supporting public-sector health facilities and personnel. The authors report the results of the preliminary survey preceding their intervention with private pharmacies. A simple random sampling technique was used to select the sample of pharmacies in urban areas in Burkina Faso, Benin, and Mali. A pretested questionnaire was administered to the supervisor present in each pharmacy at the time of the survey...
June 1, 2017: Médecine et Santé Tropicales
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