Naloxone Knowledge and Attitudes Towards Overdose Response Among Family Members of People who Misuse Opioids.

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Title: Naloxone Knowledge and Attitudes Towards Overdose Response Among Family Members of People who Misuse Opioids.
Authors: Resko, Stella M.1,2 (AUTHOR) stella@wayne.edu, Pasman, Emily1 (AUTHOR), Hicks, Danielle L.1 (AUTHOR), Lee, Guijin3 (AUTHOR), Ellis, Jennifer D.4 (AUTHOR), O'Shay, Sydney5 (AUTHOR), Brown, Suzanne1 (AUTHOR), Agius, Elizabeth1 (AUTHOR)
Source: Journal of Community Health. Feb2024, Vol. 49 Issue 1, p70-77. 8p.
Subject Terms: *Attitude (Psychology), *Families, *Family attitudes, *Access to information, Therapeutics, Substance abuse, Extended families, Drug overdose, Multiple regression analysis, Race, Naloxone, Health literacy, Psychosocial factors, Descriptive statistics, Research funding, Opioid abuse, Drug abusers
Abstract: Providing family members of individuals with opioid use disorders (OUD) naloxone is a cost-effective way to prevent overdose deaths. However, misconceptions and negative attitudes towards naloxone hinder family engagement with naloxone programs. This study examines factors associated with knowledge and attitudes toward naloxone among adults with close family members who misused opioids. Adults with family members (parent, step-parent, child, spouse, sibling, or step-sibling) who misused opioids (N = 299) completed a web-based survey. Participants were recruited through treatment providers, community groups, and social media. Surveys assessed naloxone knowledge, attitudes toward overdose response, demographics, completion of naloxone training, attitude toward medications for OUD, and family members' overdose history. Multiple regression was used to identify factors associated with naloxone knowledge (Model 1) and attitudes toward overdose response (Model 2). A graduate degree (B =.35, p <.003) and a history of overdose (B = 0.21, p =.032) were associated with greater naloxone knowledge. Age (B =.11, p <.001), race/ethnicity (B = -1.39, p =.037), naloxone training (B = 2.70, p <.001), and more positive attitude toward medications for OUD (B = 1.50, p =.003) were associated with attitudes toward overdose response. Family members are potential allies in reducing drug overdose deaths, and families may need broader education about naloxone. Awareness of previous overdose was associated with greater naloxone knowledge. Findings related to race/ethnicity suggest the need to reach family members of minoritized racial groups to provide access to naloxone training. Findings point to where education and distribution efforts may focus on increasing knowledge and improving attitudes among those closest to people with OUD. [ABSTRACT FROM AUTHOR]
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Abstract:Providing family members of individuals with opioid use disorders (OUD) naloxone is a cost-effective way to prevent overdose deaths. However, misconceptions and negative attitudes towards naloxone hinder family engagement with naloxone programs. This study examines factors associated with knowledge and attitudes toward naloxone among adults with close family members who misused opioids. Adults with family members (parent, step-parent, child, spouse, sibling, or step-sibling) who misused opioids (N = 299) completed a web-based survey. Participants were recruited through treatment providers, community groups, and social media. Surveys assessed naloxone knowledge, attitudes toward overdose response, demographics, completion of naloxone training, attitude toward medications for OUD, and family members' overdose history. Multiple regression was used to identify factors associated with naloxone knowledge (Model 1) and attitudes toward overdose response (Model 2). A graduate degree (B =.35, p <.003) and a history of overdose (B = 0.21, p =.032) were associated with greater naloxone knowledge. Age (B =.11, p <.001), race/ethnicity (B = -1.39, p =.037), naloxone training (B = 2.70, p <.001), and more positive attitude toward medications for OUD (B = 1.50, p =.003) were associated with attitudes toward overdose response. Family members are potential allies in reducing drug overdose deaths, and families may need broader education about naloxone. Awareness of previous overdose was associated with greater naloxone knowledge. Findings related to race/ethnicity suggest the need to reach family members of minoritized racial groups to provide access to naloxone training. Findings point to where education and distribution efforts may focus on increasing knowledge and improving attitudes among those closest to people with OUD. [ABSTRACT FROM AUTHOR]
ISSN:00945145
DOI:10.1007/s10900-023-01257-x