The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis
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Published:2022-07-26
Issue:1
Volume:17
Page:
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ISSN:1940-0640
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Container-title:Addiction Science & Clinical Practice
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language:en
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Short-container-title:Addict Sci Clin Pract
Author:
Jenkins Richard A., Whitney Bridget M., Nance Robin M., Allen Todd M., Cooper Hannah L. F., Feinberg Judith, Fredericksen Rob, Friedmann Peter D., Go Vivian F., Jenkins Wiley D., Korthuis P. Todd, Miller William C., Pho Mai T., Rudolph Abby E., Seal David W., Smith Gordon S., Stopka Thomas J., Westergaard Ryan P., Young April M., Zule William A., Delaney Joseph A. C., Tsui Judith I., Crane Heidi M.ORCID,
Abstract
Abstract
Objective
To characterize and address the opioid crisis disproportionately impacting rural U.S. regions.
Methods
The Rural Opioid Initiative (ROI) is a two-phase project to collect and harmonize quantitative and qualitative data and develop tailored interventions to address rural opioid use. The baseline quantitative survey data from people who use drugs (PWUD) characterizes the current opioid epidemic (2018–2020) in eight geographically diverse regions.
Results
Among 3,084 PWUD, 92% reported ever injecting drugs, 86% reported using opioids (most often heroin) and 74% reported using methamphetamine to get high in the past 30 days; 53% experienced homelessness in the prior 6 months; and 49% had ever overdosed. Syringe service program use varied by region and 53% had ever received an overdose kit or naloxone prescription. Less than half (48%) ever received medication for opioid use disorder (MOUD).
Conclusions
The ROI combines data across eight rural regions to better understand drug use including drivers and potential interventions in rural areas with limited resources. Baseline ROI data demonstrate extensive overlap between opioid and methamphetamine use, high homelessness rates, inadequate access to MOUD, and other unmet needs among PWUD in the rural U.S. By combining data across studies, the ROI provides much greater statistical power to address research questions and better understand the syndemic of
infectious diseases and drug use in rural settings including unmet treatment
needs.
Funder
National Institute on Drug Abuse
Publisher
Springer Science and Business Media LLC
Reference34 articles.
1. Peters PJ, Pontones P, Hoover KW, Patel MR, Galang RR, Shields J, et al. HIV infection linked to injection use of oxymorphone in Indiana, 2014–2015. N Engl J Med. 2016;375(3):229–39. 2. Suryaprasad AG, White JZ, Xu F, Eichler BA, Hamilton J, Patel A, et al. Emerging epidemic of hepatitis C virus infections among young nonurban persons who inject drugs in the United States, 2006–2012. Clin Infect Dis. 2014;59(10):1411–9. 3. Paquette CE, Pollini RA. Injection drug use, HIV/HCV, and related services in nonurban areas of the United States: A systematic review. Drug Alcohol Depend. 2018;188:239–50. 4. Draus P, Siegal HA, Carlson RG, Falck RS, Wang J. Cracking the cornfields: Recruiting illicit stimulant drug users in rural Ohio. Sociol Q. 2005;46:165–89. 5. Broadhead RS, Heckathorn DD, Weakliem DL, Anthony DL, Madray H, Mills RJ, et al. Harnessing peer networks as an instrument for AIDS prevention: results from a peer-driven intervention. Public Health Rep. 1998;113(Suppl 1):42–57.
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