View in EDS HTML Full Text PDF Full Text

Overdose, Naloxone Receipt, and Willingness to Distribute Naloxone Among People Who Use Drugs on An American Indian Reservation of a Tribal Nation in the Southern Plains of the United States.

Saved in:
Bibliographic Details
Title: Overdose, Naloxone Receipt, and Willingness to Distribute Naloxone Among People Who Use Drugs on An American Indian Reservation of a Tribal Nation in the Southern Plains of the United States.
Authors: Schneider, Kristin E. (AUTHOR), Allen, Sean T. (AUTHOR), Reid, Molly C. (AUTHOR), O'Rourke, Allison (AUTHOR), Conrad, Maisie (AUTHOR), Garrett, Brady (AUTHOR), Lewis, Kendra (AUTHOR), Lewis, Sierra (AUTHOR), Wilson, Lisa (AUTHOR), Walls, Melissa (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 4, p581-586. 6p.
Subjects: Substance abuse, Drug overdose, Cross-sectional method, Medical prescriptions, T-test (Statistics), Research funding, Food security, Drug administration, Smoking, Questionnaires, Age distribution, Descriptive statistics, Chi-squared test, Psychology of drug abusers, Surveys, Statistics, Naloxone, Drugs, Data analysis software, Patients' attitudes, Psychology of Native Americans, Social stigma
Geographic Terms: United States
Abstract: Background: Indigenous populations in the United States experience disproportionate substance use and opioid overdose burdens. Yet, little is known about naloxone distribution in Indigenous communities on Tribal reservation lands. Methods: We used survey data from 209 people who use drugs (PWUD), collected on the reservation lands of a southern plains Tribal Nation to understand the prevalence of overdose, naloxone receipt, and interest in participating in secondary naloxone distribution. We assessed bivariate associations between each outcome of interest and sociodemographics, drug use, witnessing overdoses, and drug use stigma. Results: The average age of participants was 42, 57% were men, 54% identified as Indigenous, and 27% were currently experiencing homelessness. One third had witnessed a non-fatal overdose in the past 6 months and 15% had witnessed a fatal overdose. 19% had experienced an overdose in the past 6 months. Witnessing both fatal and non-fatal overdoses and high drug use stigma scores were associated with increased prevalence of overdose. One quarter had received naloxone in the past 6 months. Receiving naloxone was more common among those who witnessed fatal and non-fatal overdoses and who had experienced overdoses themselves. The majority (61%) of participants were willing to distribute naloxone to others. Willingness to distribute naloxone was more common among participants who had witnessed non-fatal overdoses and who had higher drug use stigma scores. Conclusions: There is a pressing need to enhance naloxone coverage for PWUD in Indigenous communities. Secondary naloxone distribution may be a promising strategy to address this need. [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: 191629587
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Overdose, Naloxone Receipt, and Willingness to Distribute Naloxone Among People Who Use Drugs on An American Indian Reservation of a Tribal Nation in the Southern Plains of the United States.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Schneider%2C+Kristin+E%2E%22">Schneider, Kristin E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Allen%2C+Sean+T%2E%22">Allen, Sean T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reid%2C+Molly+C%2E%22">Reid, Molly C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Rourke%2C+Allison%22">O'Rourke, Allison</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Conrad%2C+Maisie%22">Conrad, Maisie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Garrett%2C+Brady%22">Garrett, Brady</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis%2C+Kendra%22">Lewis, Kendra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis%2C+Sierra%22">Lewis, Sierra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson%2C+Lisa%22">Wilson, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walls%2C+Melissa%22">Walls, Melissa</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 4, p581-586. 6p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+prescriptions%22">Medical prescriptions</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Food+security%22">Food security</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+administration%22">Drug administration</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+drug+abusers%22">Psychology of drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Naloxone%22">Naloxone</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+Native+Americans%22">Psychology of Native Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Indigenous populations in the United States experience disproportionate substance use and opioid overdose burdens. Yet, little is known about naloxone distribution in Indigenous communities on Tribal reservation lands. Methods: We used survey data from 209 people who use drugs (PWUD), collected on the reservation lands of a southern plains Tribal Nation to understand the prevalence of overdose, naloxone receipt, and interest in participating in secondary naloxone distribution. We assessed bivariate associations between each outcome of interest and sociodemographics, drug use, witnessing overdoses, and drug use stigma. Results: The average age of participants was 42, 57% were men, 54% identified as Indigenous, and 27% were currently experiencing homelessness. One third had witnessed a non-fatal overdose in the past 6 months and 15% had witnessed a fatal overdose. 19% had experienced an overdose in the past 6 months. Witnessing both fatal and non-fatal overdoses and high drug use stigma scores were associated with increased prevalence of overdose. One quarter had received naloxone in the past 6 months. Receiving naloxone was more common among those who witnessed fatal and non-fatal overdoses and who had experienced overdoses themselves. The majority (61%) of participants were willing to distribute naloxone to others. Willingness to distribute naloxone was more common among participants who had witnessed non-fatal overdoses and who had higher drug use stigma scores. Conclusions: There is a pressing need to enhance naloxone coverage for PWUD in Indigenous communities. Secondary naloxone distribution may be a promising strategy to address this need. [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=191629587
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2568156
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 581
    Subjects:
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Drug overdose
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Medical prescriptions
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Food security
        Type: general
      – SubjectFull: Drug administration
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Psychology of drug abusers
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Naloxone
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Psychology of Native Americans
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Overdose, Naloxone Receipt, and Willingness to Distribute Naloxone Among People Who Use Drugs on An American Indian Reservation of a Tribal Nation in the Southern Plains of the United States.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Schneider, Kristin E.
      – PersonEntity:
          Name:
            NameFull: Allen, Sean T.
      – PersonEntity:
          Name:
            NameFull: Reid, Molly C.
      – PersonEntity:
          Name:
            NameFull: O'Rourke, Allison
      – PersonEntity:
          Name:
            NameFull: Conrad, Maisie
      – PersonEntity:
          Name:
            NameFull: Garrett, Brady
      – PersonEntity:
          Name:
            NameFull: Lewis, Kendra
      – PersonEntity:
          Name:
            NameFull: Lewis, Sierra
      – PersonEntity:
          Name:
            NameFull: Wilson, Lisa
      – PersonEntity:
          Name:
            NameFull: Walls, Melissa
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: 2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 10826084
          Numbering:
            – Type: volume
              Value: 61
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Substance Use & Misuse
              Type: main
ResultId 1