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.

scholarly journals Illicit drug use and sexually transmitted infections among young adults in the US: evidence from a nationally representative survey

2020 ◽  
Vol 31 (13) ◽  
pp. 1238-1246
Author(s):  
Mohammad Rifat Haider ◽  
Caroline Kingori ◽  
Monique J Brown ◽  
Michele Battle-Fisher ◽  
Ilana Azulay Chertok
Keyword(s):  
Young Adults ◽  
Drug Use ◽  
Sexually Transmitted Infections ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
The United States ◽  
Sexually Transmitted ◽  
The Past ◽  
History Of

Young people aged 15–24 years account for half of all new sexually transmitted infections (STIs) in the United States. The aim of this study was to examine the cross-sectional associations of factors linked to STIs among US young adults (18–25 years). This study used the 2015–2018 pooled National Survey on Drug Use and Health data on 55,690 young adults. Almost 3.4% of the respondents reported having an STI in the past year. Among the participants, 38.4% used illicit drugs and 3.7% reported a history of delinquency in the past year. In the survey-weighted logistic regression model, odds for contracting STIs in the preceding year was higher among adults aged 22–25 versus 18–21 years (OR:1.26, 95%CI:1.12–1.42); male versus female (OR:2.44, 95%CI:2.11–2.82); non-Hispanic African American versus non-Hispanic White (OR:1.77, 95%CI:1.55–2.02); widowed/separated/divorced (OR:1.93, 95%CI:1.36–2.75) and never married (OR:1.29, 95%CI:1.07–1.55) versus married; full-time/part-time employed (aOR:1.17, 95% CI:1.04–1.31) compared to unemployed/other; history of delinquency (OR:2.31, 95%CI:1.89–2.83); and use of illicit drugs in the last year (OR:3.10, 95%CI:2.77–3.47). High incidence of illicit drug use by the young adults and its strong association with STI incidence in recent years warrant special attention. Tailored preventive measures should be focused on key predictors.

The interaction between maternal smoking, illicit drug use and alcohol consumption associated with neonatal outcomes

2019 ◽  
Vol 42 (2) ◽  
pp. 277-284
Author(s):  
Ciara M E Reynolds ◽  
Brendan Egan ◽  
Niamh Daly ◽  
Aoife McKeating ◽  
Sharon R Sheehan ◽  
...  
Keyword(s):  
Drug Use ◽  
Maternal Smoking ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
Smoking During Pregnancy ◽  
Adverse Neonatal Outcomes ◽  
Maternal Smoking During Pregnancy

Abstract Background The adverse effects of smoking on neonatal outcomes, such as small-for-gestational-age (SGA), has been extensively studied however, the consequences of smoking combined with alcohol and/or drug use is less clear. Methods This retrospective observational study analyzed clinical and sociodemographic details of 40156 women who delivered a singleton baby between the years 2011 and 2015. Results Compared with women who had never smoked, smokers who did not engage in alcohol or drug use had an odds ratio (OR) of delivering a baby who was SGA of 3.2 (95% CI: 3.1–3.5). Smokers who used illicit drugs in isolation or in combination with alcohol during pregnancy had higher ORs for SGA (1.4, 95% CI: 1.1–1.7, P = 0.006 and 1.8, 95% CI: 1.2–2.7, P = 0.007) compared to women who smoked but did not engage in alcohol or drug use in pregnancy. These women also delivered babies with lower mean birthweights (125 g, P < 0.001 and 181.4 g, P = 0.003) and head circumferences (0.4 cm, P < 0.001 and 0.3 cm, P = 0.048). Women who smoked and used alcohol, but not illicit drugs were not associated adverse outcomes above that of smoking in isolation. Conclusion Illicit drug use combined with maternal smoking during pregnancy increases the risk of adverse neonatal outcomes above that of smoking in isolation.

Acculturation and Tobacco/Illicit Drug Use in Hispanic Youth

2017 ◽  
Author(s):  
Alan Meca ◽  
Lauren G. Reinke ◽  
Lawrence M. Scheier
Keyword(s):  
Drug Use ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Empirical Studies ◽  
Illicit Drug Use ◽  
The United States ◽  
Future Research ◽  
Hispanic Youth ◽  
Conceptual Foundations

This chapter explores the incipient role of acculturation in cigarette smoking, tobacco use, and use of illicit drugs in Hispanic youth in the United States. It first examines the conceptual foundations of acculturation, including early unidimensional models and later bidimensional and multicomponent perspectives of acculturation. It then reviews empirical studies linking acculturation with cigarette/tobacco and, separately, illicit drug use among Hispanic youth. The cumulative body of evidence is reviewed in terms of methodological strengths and weaknesses and how they sharpen our focus on acculturation in development. The chapter also examines three key developmental mechanisms that may account for the underlying relations between acculturation and drug use: (1) cultural stress, (2) family functioning, and (3) change in cognitive functioning related to drug use. The chapter closes with several recommendations that may help clarify the developmental linkages between acculturation and Hispanic youth drug use and should be addressed by future research.

Fire on the Mountain: Reinvigorating Legislative Measures to Quench the Flame of Illicit Drug Use in South Africa

2020 ◽  
Vol 3 (2) ◽  
pp. 15-29
Author(s):  
Sogo Angel Olofinbiyi ◽  
Thembelihle Mtambo
Keyword(s):  
South Africa ◽  
Drug Use ◽  
South African ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Critical Discussion ◽  
African Government ◽  
Clear Cut ◽  
Legislative Measures

South African societies have been characterized by the prolific incidence of illicit drug use in recent times.  The paper attempts to examine the legislations implemented on the use of illicit drugs in South Africa. The study adopts a review of the literature to identify and describe the most common illicit drugs used around South Africa communities, placing emphasis on the policies developed by the South African government in combating these situations. The research follows a critical   discussion on the issues associated with drug use, its causes, as well as its effects on humans and the environment. The study recommends relevant initiatives to combat all intricacies associated with drug use within the country. This approach will be appropriate in facilitating a clear-cut   understanding of the possible remedies to quench the burning flame of illicit drug use across a broad range of South African communities.

Silent severe myocardial ischemia in a past illicit drug user imaged with myocardial perfusion scintigraphy

Perfusion ◽  
2021 ◽  
pp. 026765912110281
Author(s):  
Chrissa Sioka ◽  
Georgios Georgiou ◽  
Christos Katsouras ◽  
Konstantinos Pappas ◽  
Dimitris-Nikiforos Kiortsis ◽  
...  
Keyword(s):  
Drug Use ◽  
Myocardial Perfusion ◽  
Myocardial Ischemia ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Microvascular Dysfunction ◽  
Illicit Drug Use ◽  
Coronary Microvascular Dysfunction ◽  
Illicit Drug User ◽  
Cardiac Symptoms

Patients with illicit drug use may have deleterious acute and chronic cardiac effects. We present a case of a 42-year-old man, former alcohol and various illicit drugs user, who was admitted to the psychiatric unit for management of psychosis. Because of his previous drug and alcohol history, a cardiological evaluation was performed which revealed silent severe myocardial ischemia detected by myocardial perfusion imaging (MPI). The myocardial ischemia was attributed to coronary microvascular dysfunction, occurring several years after quitting the illicit drugs. This study highlights the potential myocardial ischemia that may occur in patients with previous alcohol and illicit drug use, and the role of MPI, a non-invasive test that can provide important information regarding the myocardial status of such patients, even without obvious cardiac symptoms or findings.

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

scholarly journals Use of illicit drugs by adolescents and young adults of an urban settlement in Brazil

2018 ◽  
Vol 64 (2) ◽  
pp. 114-118
Author(s):  
Rafael Alves Guimarães ◽  
Márcia Maria de Souza ◽  
Karlla Antonieta Amorim Caetano ◽  
Sheila Araujo Teles ◽  
Marcos André de Matos
Keyword(s):  
Young Adults ◽  
Drug Use ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Self Report ◽  
Adolescents And Young Adults ◽  
Cross Sectional ◽  
Urban Settlement ◽  
Factors Associated

Summary Objective: To estimate the prevalence and factors associated with illicit drug use by adolescents and young adults of a formal urban settlement. Method: Cross-sectional study including adolescents and young adults 12-24 years of an urban settlement in the Midwest Region of Brazil. Data were collected using a structured questionnaire and analyzed using Stata, version 12.0. We used Poisson regression model to estimate the factors associated with illicit drug use. Results: Of the total participants (n=105), 27.6% (95CI 20.0-36.9%) had used illicit drugs such as marijuana, cocaine, crack, LSD and inhalants. The consumption of these substances was associated with male gender, use of body piercing and/or tattoos, licit drug use and self-report of signs and/or symptoms of sexually transmitted infections. Conclusion: High prevalence of illicit drug use was found in the individuals investigated, ratifying the presence of risk factors to the vulnerability of the settlers to use these substances in the urban settlement population.

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 How far can you go? Association between illicit drug use and academic migration

2019 ◽  
Vol 68 (1) ◽  
pp. 8-15
Author(s):  
Lauro Miranda Demenech ◽  
Samuel C. Dumith ◽  
Luiza Santos Ferreira ◽  
Mariana Lima Corrêa ◽  
Pedro San Martin Soares ◽  
...  
Keyword(s):  
Drug Use ◽  
Undergraduate Students ◽  
Illicit Drugs ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Religious Practice ◽  
Cross Sectional Study ◽  
Study Data ◽  
Systematic Sampling ◽  
Cross Sectional

ABSTRACT Objective: To measure the prevalence of illicit drugs use in the lifetime, last year and last month, as well as the factors associated to the last year's use and its association with academic migration, among undergraduate students of a university in southern Brazil. Methods: In this cross-sectional study, data were collected through self-administered questionnaire. It was conducted a clustered systematic sampling. For multivariate analyses, it was used Poisson regression. Results: 1,423 students participated. The prevalence of illicit drug use in the lifetime, last year and last month were 42.4%, 25.5% and 17.7%, respectively. Regarding illicit substances, marijuana use was the most prevalent. The variables independently associated with illicit drugs use in the last year were academic migration, being male, younger, single, high parent's educational level, living with peers, tobacco use in the last year, and having friend and relative that have used illicit drugs. Religious practice had a protective effect. Conclusion: Individuals who migrated from their cities to study at the university are more exposed to the main risk factors pointed out by this research and hence to the use of illicit drugs. Based on these results, we suggest that universities develop evaluation, prevention, treatment or referral strategies considering specific needs of this population

scholarly journals Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda

2020 ◽  
Vol 17 (7) ◽  
pp. 2401 ◽  
Author(s):  
Monica O. Kuteesa ◽  
Helen A. Weiss ◽  
Sarah Cook ◽  
Janet Seeley ◽  
Josephine N. Ssentongo ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Young People ◽  
Drug Use ◽  
Illicit Drugs ◽  
Alcohol Misuse ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Older Age ◽  
Fishing Communities ◽  
Low Education

Background: We determined the prevalence of and risk factors for alcohol misuse and illicit drug use among young Ugandans in fishing communities, a recognised “key population” for human immunodeficiency virus (HIV) infection. Methods: We conducted a cross-sectional survey among young people (15–24 years) in fishing communities in Koome, Uganda, in December 2017–July 2018. Using Audio-Assisted Self-Interviewing, we collected data on socio-demographic characteristics and alcohol use, including the Alcohol Use Disorders Identification Test (AUDIT) and timeline follow-back calendar (TLFB). Blood samples were analysed for HIV, herpes simplex virus 2 (HSV2), and Phosphatidyl ethanol (PEth 16:0/18:1). Urine samples were analysed for illicit drugs. Results: Among 1281 participants (52.7% male, mean age 20 years), 659 (51.4%) reported ever drinking alcohol, 248 (19.4%) had 12-month-AUDIT ≥ 8, and 261 (20.5%) had whole-blood PEth 16:0/18:1 concentration ≥ 20 ng/mL, indicating significant consumption. In multivariable analyses, PEth 16:0/18:1 ≥ 20ng/mL, AUDIT ≥ 8 and binge drinking (≥6 standard drinks per drinking occasion in the previous month from TLFB) were all strongly associated with older age, low education, smoking, and HSV2. Illicit drug use prevalence was 5.2% and was associated with older age, low education, being single, and smoking. Conclusion: Levels of alcohol misuse were high among young people in fishing communities and associated with HSV2, a proxy for risky sexual behaviour. Alcohol and illicit drug harm reduction services and HIV prevention programs in Uganda should prioritise young fisherfolk.

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