This analysis used data from drug seizures and undercover purchases to address two questions: To what extent does supply of illegally manufactured fentanyl (IMF) vary over time and geography? What has happened to the purity-adjusted price of IMF?
This study demonstrates the differences in surveillance methodology for concurrent drug abuse epidemics using hospital claims and PC data. Both systems provide incomplete reports, but in combination can provide a more complete picture.
The primary objective of this study was to evaluate the association between presence of recreational cannabis dispensaries and prevalence of cannabis-involved pregnancy hospitalizations in Colorado.
Substance use disorders (SUDs) are common among sex trafficking victims. In this report, researchers describe the results of a panel in which participants discussed the intersections between SUDs and sex trafficking and how they complicate victims' identification, screening, and ability to access treatment and legal remedies. The report also presents recommendations for service providers, victim advocates, and criminal justice practitioners.
We examined disparities by sexual identity and sex for 8 illicit and prescription drugs using 2015-2019 National Survey on Drug Use and Health data.
At the same levels of alcohol/cannabis use from middle school through young adulthood, SGM individuals show disparities in multiple domains compared to non-SGM peers. Efforts to reduce substance use and structural disadvantages experienced by SGM youths are needed.
In 2020, there were 60,000 overdose deaths involving synthetic opioids in the US, where data lags and limited cross-agency coordination impedes understanding of transitioning illicit drug markets. Better data from Canada can offer some understanding.
Family support has important impacts on recovery from substance use disorders (SUDs). This paper illustrates how financing gaps limit SUD service systems from offering family services. We offer two sets of recommendations for funding family involvement in SUD services.
In this Perspective, the authors examine similarities between violent extremism and substance dependence. They review evidence from psychology, neuroscience, sociology, and public health that suggests that there are similarities in violent extremism and substance dependence in terms of the underlying neural pathways, social and psychological causes, behavioral patterns, and opportunities for prevention and intervention.
We compared Colorado's all-payer claims databases with other state-level databases, using analyses comparing quarterly rates of opioid-involved inpatient and emergency department visits and rates of 30-day opioid fills.
The findings of this study suggest that cannabis legalization in Colorado is associated with an increase in annual vomiting-related health care encounters with regard to exposure to these markets.
Qualitatively synthesizing evidence from six systematic reviews, the authors conclude that OEND programs generally produce beneficial outcomes across all domains considered, although the authors' ratings for the strength of the evidence are often "limited" or "moderate."
This report presents the results of the external study on smoke-free environments, and advertising, promotion and sponsorship of tobacco and related products.
The Los Angeles Diversion, Outreach, and Opportunities for Recovery program provides a comprehensive, health-focused, preventative approach that proactively engages individuals at elevated risk of returning to the Los Angeles City Attorney's Office on a new misdemeanor offense related to substance use, mental illness, or homelessness. In this report, the authors summarize their findings from an evaluation of Cohort 1 of the program.
The U.S. faces a maternal health crisis: each year, 700 women die from pregnancy-related complications and there are 25,000 cases of severe maternal morbidity, such as eclampsia or sepsis. In 2020 the DHHS issued an action plan to reduce mortality and improve health.
We found significant longitudinal associations between smoking behavior and eating behavior, perceived stress, and self-rated health. This has implications for the development of behavior change programs and community-level interventions and policies.
South Dakota USA's 24/7 Sobriety Program appears to work in Montana as well. Certain delivery of immediate but modest sanctions for repeat driving under the influence (DUI) arrestees who violate alcohol abstinence orders appears to be able to reduce future DUI arrests.
Legalization for nonmedical purposes may create new sources of disproportionate harm even as it alleviates some inequities associated with cannabis prohibition.
This study is intended to support efforts to better understand the scope and scale of the illicit tobacco market.
To explore the impact of the pandemic and accompanying policy changes on service delivery, we asked OTP clinicians about changes in care patterns and perceptions of impacts on access and quality.
To understand patterns of use and interest in quitting different types of tobacco products among youth experiencing homelessness, a RAND team surveyed these youth in Los Angeles County to inform efforts to reduce their use of tobacco products.
This study examined longitudinal associations of sleep problems with alcohol and cannabis use across six annual waves of data from adolescence to emerging adulthood.
We examined the association of opioid misuse from ages 18 to 20 with four domains at age 21–22: risk behaviors and consequences; health; social functioning; and emerging adult roles.
This is the first study to evaluate the feasibility of using a text messaging-based intervention (TMI) for behavior change with 18–25 year olds experiencing homelessness, and the first to test a TMI to provide ongoing support for smoking cessation.
Wilkins & Rychert highlight challenges to achieving the Cannabis Legalization and Control Bill's objectives of reducing cannabis use and harms.
