scholarly journals Federal and State Action Needed to End the Infectious Complications of Illicit Drug Use in the United States: IDSA and HIVMA’s Advocacy Agenda

2020 ◽  
Vol 222 (Supplement_5) ◽  
pp. S230-S238
Author(s):  
Sandra A Springer ◽  
Joshua A Barocas ◽  
Alysse Wurcel ◽  
Ank Nijhawan ◽  
Kinna Thakarar ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Infectious Diseases ◽  
Substance Use Disorder ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Infectious Complications ◽  
State Action ◽  
Treatment Services

Abstract In response to the opioid crisis, IDSA and HIVMA established a working group to drive an evidence- and human rights-based response to illicit drug use and associated infectious diseases. Infectious diseases and HIV physicians have an opportunity to intervene, addressing both conditions. IDSA and HIVMA have developed a policy agenda highlighting evidence-based practices that need further dissemination. This paper reviews (1) programs most relevant to infectious diseases in the 2018 SUPPORT Act; (2) opportunities offered by the “End the HIV Epidemic” initiative; and (3) policy changes necessary to affect the trajectory of the opioid epidemic and associated infections. Issues addressed include leveraging harm reduction tools and improving integrated prevention and treatment services for the infectious diseases and substance use disorder care continuum. By strengthening collaborations between infectious diseases and addiction specialists, including increasing training in substance use disorder treatment among infectious diseases and addiction specialists, we can decrease morbidity and mortality associated with these overlapping epidemics.

scholarly journals Economic conditions, illicit drug use, and substance use disorders in the United States

2017 ◽  
Vol 52 ◽  
pp. 63-73 ◽  
Author(s):  
Christopher S. Carpenter ◽  
Chandler B. McClellan ◽  
Daniel I. Rees
Keyword(s):  
United States ◽  
Substance Use ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Economic Conditions

scholarly journals Economic Conditions, Illicit Drug Use, and Substance Use Disorders in the United States

2016 ◽  
Author(s):  
Christopher Carpenter ◽  
Chandler McClellan ◽  
Daniel Rees
Keyword(s):  
United States ◽  
Substance Use ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Economic Conditions

Characteristics of men with substance use disorder consequent to illicit drug use: comparison of a random sample and volunteers☆

2004 ◽  
Vol 75 (3) ◽  
pp. 241-251 ◽  
Author(s):  
Maureen D. Reynolds ◽  
Ralph E. Tarter ◽  
Levent Kirisci
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Random Sample ◽  
Substance Use Disorder ◽  
Illicit Drug ◽  
Illicit Drug Use

Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences

2021 ◽  
pp. 073112142110187
Author(s):  
Haley Stritzel
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Adverse Childhood Experiences ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Peer Influences ◽  
Childhood Experiences ◽  
Community Influences ◽  
Adverse Childhood ◽  
Peer Substance Use

Both adverse childhood experiences (ACEs) and peer influences consistently predict early tobacco, alcohol, and illicit drug use. However, less research considers how peer and community influences contribute to or modify the association between ACEs and early substance use. This study addresses these gaps in the literature by analyzing multilevel, longitudinal data from the Project on Human Development in Chicago Neighborhoods (PHDCN; N = 1,912). Unstructured socializing and peer substance use largely explained the association between ACEs and drinking, smoking cigarettes, and illicit drug use in the past month. A history of ACEs magnified the association between peer substance use and the number of cigarettes smoked. Collective efficacy also shaped the associations between peer influences, ACEs, and substance use, but in different ways depending on the substance use outcome analyzed.

Racial and ethnic trends in illicit drug use and binge drinking among adolescent and young adult offenders in the United States

2018 ◽  
Vol 59 ◽  
pp. 71-80 ◽  
Author(s):  
Michael G. Vaughn ◽  
Christopher P. Salas-Wright ◽  
David Cordova ◽  
Erik J. Nelson ◽  
Lisa Jaegers
Keyword(s):  
United States ◽  
Young Adult ◽  
Drug Use ◽  
Binge Drinking ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Adolescent And Young Adult

Khat Use is Associated with Tobacco, Alcohol, and Illicit Drug Use: A Cross-Sectional Examination in the United States

2017 ◽  
Vol 49 (5) ◽  
pp. 413-419 ◽  
Author(s):  
Motohiro Nakajima ◽  
Kalkidan Molla ◽  
Brook Belachew ◽  
Abduselam Mohammed ◽  
Abdikadir Hassan ◽  
...  
Keyword(s):  
United States ◽  
Drug Use ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Cross Sectional ◽  
Khat Use

scholarly journals Impact of Abstinence and of Reducing Illicit Drug Use Without Abstinence on Human Immunodeficiency Virus Viral Load

2019 ◽  
Vol 70 (5) ◽  
pp. 867-874 ◽  
Author(s):  
Robin M Nance ◽  
Maria Esther Perez Trejo ◽  
Bridget M Whitney ◽  
Joseph A C Delaney ◽  
Fredrick L Altice ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Substance Use ◽  
Viral Load ◽  
Drug Use ◽  
Viral Suppression ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Hiv Viral Load ◽  
Immunodeficiency Virus ◽  
The Impact

Abstract Background Substance use is common among people living with human immunodeficiency virus (PLWH) and a barrier to achieving viral suppression. Among PLWH who report illicit drug use, we evaluated associations between HIV viral load (VL) and reduced use of illicit opioids, methamphetamine/crystal, cocaine/crack, and marijuana, regardless of whether or not abstinence was achieved. Methods This was a longitudinal cohort study of PLWH from 7 HIV clinics or 4 clinical studies. We used joint longitudinal and survival models to examine the impact of decreasing drug use and of abstinence for each drug on viral suppression. We repeated analyses using linear mixed models to examine associations between change in frequency of drug use and VL. Results The number of PLWH who were using each drug at baseline ranged from n = 568 (illicit opioids) to n = 4272 (marijuana). Abstinence was associated with higher odds of viral suppression (odds ratio [OR], 1.4–2.2) and lower relative VL (ranging from 21% to 42% by drug) for all 4 drug categories. Reducing frequency of illicit opioid or methamphetamine/crystal use without abstinence was associated with VL suppression (OR, 2.2, 1.6, respectively). Reducing frequency of illicit opioid or methamphetamine/crystal use without abstinence was associated with lower relative VL (47%, 38%, respectively). Conclusions Abstinence was associated with viral suppression. In addition, reducing use of illicit opioids or methamphetamine/crystal, even without abstinence, was also associated with viral suppression. Our findings highlight the impact of reducing substance use, even when abstinence is not achieved, and the potential benefits of medications, behavioral interventions, and harm-reduction interventions.

scholarly journals In-Hospital Illicit Drug Use and Patient-Directed Discharge: Barriers to Care for Patients With Injection-Related Infections

2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Ellen F Eaton ◽  
Andrew O Westfall ◽  
Brandi McClesky ◽  
Cayce S Paddock ◽  
Peter S Lane ◽  
...  
Keyword(s):  
Drug Use ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Models Of Care ◽  
Medical Advice ◽  
Adverse Outcomes ◽  
Against Medical Advice ◽  
Persons Who Inject Drugs

Abstract Background Hospitalized persons who inject drugs are at a greater risk of adverse hospital outcomes including discharge against medical advice, inpatient illicit drug use, overdose, and death. However, there are limited data on the frequency and outcomes of these events in the United States. Methods This retrospective analysis included patients with injection-related infections receiving a protocol for injection drug use (IDU) at University of Alabama at Birmingham Hospital from 2016 to 2017. In-hospital IDU was suspected or reported drug usage plus confirmatory drug screen, and documented discharges “against medical advice” were deemed patient-directed discharges (PDD). We analyzed the frequency of and associations between in-hospital IDU, PDD, 30-day readmission, and deaths (between 2016 and 2019) using McNemar’s tests. Logistic regression models evaluated the association between PDD, in-hospital IDU, readmission, and death. Results Overall, 83 patients met inclusion criteria: 28 (34%) with in-hospital IDU, 12 (14%) PDD, 9 (11%) died, and 12 (14%) 30-day readmission. In-hospital IDU was significantly associated with PDD (P = .003), 30-day readmission (P = .005), and death (P = .0003). Patient-directed discharges and 30-day readmission were not significantly associated with death nor with each other. Conclusions In a cohort of patients receiving inpatient care for injection-related infections, illicit drug use, PDD, 30-day readmissions, and death were common. Furthermore, patients who use illicit drugs while hospitalized are significantly more likely to leave early, be readmitted, and/or die. We must design models of care that prevent adverse outcomes, including drug use and PDD, to reduce barriers to evidence-based treatment of infections.

Do men who have sex with men who report alcohol and illicit drug use before/during sex (chemsex) present moderate/high risk for substance use disorders?

2020 ◽  
Vol 209 ◽  
pp. 107908 ◽  
Author(s):  
Thiago S. Torres ◽  
Leonardo S. Bastos ◽  
Luciana Kamel ◽  
Daniel R.B. Bezerra ◽  
Nilo M. Fernandes ◽  
...  
Keyword(s):  
Substance Use ◽  
High Risk ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Sex With Men
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