This paper studies trends in deaths in the United States for 1999-2020 involving gabapentinoids/Z-drugs and opioid co-involvement. These trends were studied overall and by sex, race, age, and education.
Features explore ways to address the opioid crisis with a whole-systems approach and how truth decay — the diminishing role of facts and analysis in public life — is putting U.S. national security at risk.
People who have an opioid use disorder and either clinical depression or PTSD are hard to reach, hard to treat, and hard to hold onto. A new collaborative care model called CLARO aims to help patients who otherwise might disappear into the cracks of the U.S. health care system.
The opioid crisis is metastasizing throughout society, reaching across public health and public safety, but also education, employment, and the child welfare system. Without profound change and new approaches to the crisis, hundreds of thousands of people could die in the coming years.
This report describes the development, pilot test, and validity testing of a set of prevention capability metrics to improve the deterrence of sexual assault, sexual harassment, suicide, and domestic violence among military service members.
We conducted 13 focus groups with urban AI/AN emerging adults, parents, and providers. We found risks of substance use from cultural isolation and that culture provided a source of strength and resilience for urban AI/AN emerging adults.
Individuals with a first DUI were surveyed about pre- and post-DUI social networks. Participants reduced risky network members and increased supportive network members. Reducing drinking partners was associated with improved drinking outcomes.
Very few opioid prevention programs exist for urban Native American emerging adults. Community participation enhances opioid prevention programs for urban Native Americans. Engaging in Native American traditional practices promotes healthy behaviors.
A community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults and can help to build resilience and hopefully decrease opioid use among this underserved population.
Characteristics of romantic relationships and contraceptive use were examined among 1,043 female and 961 male Add Health respondents. Females (but not males) were less likely to use condom with partners not from their schools or older partners.
A higher proportion of network members engaging in traditional practices but not heavy substance use was associated with lower intentions to use cannabis or drink alcohol. Traditional practices may be an important part of prevention.
Individuals convicted of driving under the influence (DUI) having networks with more substance use individuals had greater substance use and drinking and driving behaviors. Network support was associated with lower drinking and driving.
Far too many Americans, and especially veterans, fail to receive treatment for substance use disorder. Improved data collection on the availability and accessibility of treatment could help increase the number of veterans who get treatment and prevent unnecessary drug overdose deaths.