View in EDS HTML Full Text PDF Full Text

Fentanyl and Drug Overdose: Perceptions of Fentanyl Risk, Overdose Risk Behaviors, and Opportunities for Intervention among People who use Opioids in Baltimore, USA.

Saved in:
Bibliographic Details
Title: Fentanyl and Drug Overdose: Perceptions of Fentanyl Risk, Overdose Risk Behaviors, and Opportunities for Intervention among People who use Opioids in Baltimore, USA.
Authors: Latkin, Carl. A. (AUTHOR), Dayton, Lauren (AUTHOR), Davey-Rothwell, Melissa A. (AUTHOR), Tobin, Karin E. (AUTHOR)
Source: Substance Use & Misuse. 2019, Vol. 54 Issue 6, p998-1006. 9p. 3 Charts.
Subjects: Drug overdose, Fentanyl, Heroin, Interviewing, Naloxone, Narcotics, Risk-taking behavior, Support groups, Intravenous drug abusers, Psychology of drug abusers, Prevention
Geographic Terms: Maryland
Abstract: Background: Fentanyl-related mortality has skyrocketed among people who use opioids (PWUO) in North America. The current study of PWUO aims to examine the perceived fentanyl risk and training needs; fatal overdose prevention behaviors; and, feasibility of a peer education approach to reducing fentanyl-related fatal overdoses in Baltimore, Maryland, USA. Methods: 316 street-recruited PWUO were interviewed about fentanyl in Baltimore, MD. Results: Most participants (56%) reported that "all" or "almost all" heroin in Baltimore was adulterated with fentanyl and were worried (75%) about their drug buddies overdosing on fentanyl. Half (54%) the participants felt that they needed more training to respond to an overdose. Many participants (66%) reported receiving naloxone or a prescription for it, yet only 17% carried naloxone with them "often" or "always." Among people who inject drugs (PWID) only 13% had naloxone available "often" or "always" when they injected with others, and 51% "often" or "always" injected alone. Almost half of participants (47%) were "very willing" to talk with people in their neighborhood about fentanyl. Conclusions: The majority of PWUO perceived that most heroin in Baltimore was adulterated with fentanyl, yet most did not carry naloxone and PWID often did so alone. Given the high perceived risk of fentanyl and relatively low uptake of fatal overdose prevention behaviors, there is an urgency for safe injection facilities, access to medically assisted treatment, and programs that work with the drug-using community to deliver overdose prevention training as well as promote behaviors to carry naloxone and not use drugs alone. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 135991622
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Fentanyl and Drug Overdose: Perceptions of Fentanyl Risk, Overdose Risk Behaviors, and Opportunities for Intervention among People who use Opioids in Baltimore, USA.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Latkin%2C+Carl%2E+A%2E%22">Latkin, Carl. A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dayton%2C+Lauren%22">Dayton, Lauren</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davey-Rothwell%2C+Melissa+A%2E%22">Davey-Rothwell, Melissa A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tobin%2C+Karin+E%2E%22">Tobin, Karin E.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2019, Vol. 54 Issue 6, p998-1006. 9p. 3 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Fentanyl%22">Fentanyl</searchLink><br /><searchLink fieldCode="DE" term="%22Heroin%22">Heroin</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Naloxone%22">Naloxone</searchLink><br /><searchLink fieldCode="DE" term="%22Narcotics%22">Narcotics</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Support+groups%22">Support groups</searchLink><br /><searchLink fieldCode="DE" term="%22Intravenous+drug+abusers%22">Intravenous drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+drug+abusers%22">Psychology of drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Maryland%22">Maryland</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Fentanyl-related mortality has skyrocketed among people who use opioids (PWUO) in North America. The current study of PWUO aims to examine the perceived fentanyl risk and training needs; fatal overdose prevention behaviors; and, feasibility of a peer education approach to reducing fentanyl-related fatal overdoses in Baltimore, Maryland, USA. Methods: 316 street-recruited PWUO were interviewed about fentanyl in Baltimore, MD. Results: Most participants (56%) reported that "all" or "almost all" heroin in Baltimore was adulterated with fentanyl and were worried (75%) about their drug buddies overdosing on fentanyl. Half (54%) the participants felt that they needed more training to respond to an overdose. Many participants (66%) reported receiving naloxone or a prescription for it, yet only 17% carried naloxone with them "often" or "always." Among people who inject drugs (PWID) only 13% had naloxone available "often" or "always" when they injected with others, and 51% "often" or "always" injected alone. Almost half of participants (47%) were "very willing" to talk with people in their neighborhood about fentanyl. Conclusions: The majority of PWUO perceived that most heroin in Baltimore was adulterated with fentanyl, yet most did not carry naloxone and PWID often did so alone. Given the high perceived risk of fentanyl and relatively low uptake of fatal overdose prevention behaviors, there is an urgency for safe injection facilities, access to medically assisted treatment, and programs that work with the drug-using community to deliver overdose prevention training as well as promote behaviors to carry naloxone and not use drugs alone. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=135991622
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2018.1555597
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 998
    Subjects:
      – SubjectFull: Drug overdose
        Type: general
      – SubjectFull: Fentanyl
        Type: general
      – SubjectFull: Heroin
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Naloxone
        Type: general
      – SubjectFull: Narcotics
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Support groups
        Type: general
      – SubjectFull: Intravenous drug abusers
        Type: general
      – SubjectFull: Psychology of drug abusers
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: Maryland
        Type: general
    Titles:
      – TitleFull: Fentanyl and Drug Overdose: Perceptions of Fentanyl Risk, Overdose Risk Behaviors, and Opportunities for Intervention among People who use Opioids in Baltimore, USA.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Latkin, Carl. A.
      – PersonEntity:
          Name:
            NameFull: Dayton, Lauren
      – PersonEntity:
          Name:
            NameFull: Davey-Rothwell, Melissa A.
      – PersonEntity:
          Name:
            NameFull: Tobin, Karin E.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: 2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 54
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1