scholarly journals Commentary on Hoots et al . (2019): The gap between evidence and policy calls into question the extent of a public health approach to the opioid overdose epidemic

Addiction ◽  
2020 ◽  
Vol 115 (5) ◽  
pp. 959-960
Author(s):  
Michelle L. Nolan ◽  
Bennett Allen ◽  
Denise Paone
Keyword(s):  
Public Health ◽  
Public Health Approach ◽  
Opioid Overdose

scholarly journals PUBLIC HEALTH APPROACH TO OPIOID OVERDOSE

2007 ◽  
Vol 97 (4) ◽  
pp. 587-588 ◽  
Author(s):  
Susan J. Klein ◽  
Daniel A. O’Connell ◽  
Alma R. Candelas ◽  
James G. Giglio ◽  
Guthrie S. Birkhead
Keyword(s):  
Public Health ◽  
Public Health Approach ◽  
Opioid Overdose

Disparities in Opioid Overdose Death Trends by Race/Ethnicity, 2018–2019, From the HEALing Communities Study

2021 ◽  
pp. e1-e4
Author(s):  
Marc R. Larochelle ◽  
Svetla Slavova ◽  
Elisabeth D. Root ◽  
Daniel J. Feaster ◽  
Patrick J. Ward ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
Public Health Approach ◽  
Opioid Overdose ◽  
Death Rates ◽  
Overdose Death ◽  
Race Ethnicity ◽  
State Death ◽  
Rate Ratios ◽  
Hispanic White

Objectives. To examine trends in opioid overdose deaths by race/ethnicity from 2018 to 2019 across 67 HEALing Communities Study (HCS) communities in Kentucky, New York, Massachusetts, and Ohio. Methods. We used state death certificate records to calculate opioid overdose death rates per 100 000 adult residents of the 67 HCS communities for 2018 and 2019. We used Poisson regression to calculate the ratio of 2019 to 2018 rates. We compared changes by race/ethnicity by calculating a ratio of rate ratios (RRR) for each racial/ethnic group compared with non-Hispanic White individuals. Results. Opioid overdose death rates were 38.3 and 39.5 per 100 000 for 2018 and 2019, respectively, without a significant change from 2018 to 2019 (rate ratio = 1.03; 95% confidence interval [CI] = 0.98, 1.08). We estimated a 40% increase in opioid overdose death rate for non-Hispanic Black individuals (RRR = 1.40; 95% CI = 1.22, 1.62) relative to non-Hispanic White individuals but no change among other race/ethnicities. Conclusions. Overall opioid overdose death rates have leveled off but have increased among non-Hispanic Black individuals. Public Health Implications. An antiracist public health approach is needed to address the crisis of opioid-related harms. (Am J Public Health. Published online ahead of print September 9, 2021:e1–e4. https://doi.org/10.2105/AJPH.2021.306431 )

Fault-Lines in the Public Health Approach to Covid-19: Recognizing Inequities and Ground Realities of Poor Residents Lives in the Slums of Dhaka City, Bangladesh

2020 ◽  
Author(s):  
Sabina Faiz Rashid ◽  
Bachera Aktar ◽  
Nadia Farnaz ◽  
Sally Theobald ◽  
Samiha Ali ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Approach ◽  
Dhaka City ◽  
The Public ◽  
Fault Lines

Transformation of HIV from pandemic to low-endemic levels: a public health approach to combination prevention

The Lancet ◽  
2014 ◽  
Vol 384 (9939) ◽  
pp. 272-279 ◽  
Author(s):  
Alexandra Jones ◽  
Ide Cremin ◽  
Fareed Abdullah ◽  
John Idoko ◽  
Peter Cherutich ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Approach ◽  
Combination Prevention

scholarly journals Designing a Graphic Novel: Engaging Community, Arts, and Culture Into Public Health Initiatives

2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 35S-43S
Author(s):  
Sarah Febres-Cordero ◽  
Athena D. F. Sherman ◽  
Joseph Karg ◽  
Ursula Kelly ◽  
Lisa M. Thompson ◽  
...  
Keyword(s):  
Public Health ◽  
Service Industry ◽  
Community Setting ◽  
Graphic Novel ◽  
Community Advisory Board ◽  
Opioid Antagonist ◽  
Dissemination And Implementation ◽  
Opioid Overdose ◽  
Negative Stereotypes ◽  
Community Based Research

The opioid epidemic was declared a national public health emergency in 2017. In Georgia, standing orders for the opioid antagonist, naloxone, have been implemented to reduce mortality from opioid overdoses. Service industry workers in the Atlanta, Georgia, inner-city community of Little Five Points (L5P) have access to naloxone, potentially expanding overdose rescue efforts in the community setting. To explore the issues facing L5P, our research brings together qualitative descriptive inquiry, ethnography, community-based research, a community advisory board, and a local artist to maximize community dissemination of research findings through a graphic novel that describes encountering an opioid overdose. This format was chosen due to the ethical responsibility to disseminate in participants’ language and for its potential to empower and educate readers. This article describes the process of working on this study with the community and a local artist to create sample pages that will be tested for clarity of the message in a later phase. Working with an artist has revealed that while dissemination and implementation for collaboration begin before findings are ready, cross-collaboration with the artist requires early engagement, substantial funding, artist education in appropriate content, and member checking to establish community acceptability altering illustrations that reinforce negative stereotypes. By sharing the experiences of actions taken during an opioid overdose in L5P through a graphic novel, we can validate service industry workers’ experiences, acknowledge their efforts to contribute to harm reduction, and provide much-needed closure to those who encounter opioid overdoses in the community.

scholarly journals Examining public knowledge, attitudes and perceptions towards palliative care: a mixed method sequential study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja McIlfatrick ◽  
Paul Slater ◽  
Esther Beck ◽  
Olufikayo Bamidele ◽  
Sharon McCloskey ◽  
...  
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
End Of Life ◽  
Current Knowledge ◽  
Care Delivery ◽  
Public Awareness ◽  
Public Understanding ◽  
Public Health Issue ◽  
Public Health Approach ◽  
Cross Sectional Survey

Abstract Background Palliative care is recognised as a public health issue with the need for earlier integration in the wider healthcare system. However, research indicates that it continues to be accessed late in the course of an illness, public understanding of palliative care is limited, and common misconceptions prevail. Strategies to address this are needed in order to reduce barriers to palliative care delivery and improve access. Methods An explanatory sequential mixed methods study, comprising a cross-sectional survey and interviews was undertaken. Sociodemographic characteristics, public awareness, knowledge and perceptions of palliative care were examined and strategies to raise awareness and overcome barriers within a public health framework were identified. Survey data were analysed using SPSS v25 with factor analysis and non-parametric statistics and qualitative data were analysed using thematic analysis. Results A total of 1201 participants completed the survey (58.3% female, mean age 61 years) and 25 took part in interviews. A fifth of participants (20.1%) had previously heard about palliative care and had an accurate understanding of the term. Being female, higher educated, married, and older, increased respondents’ levels of awareness. The three most commonly held misconceptions included: Palliative care is exclusively for people who are in the last 6 months of life (55.4% answered incorrectly); A goal of palliative care is to address any psychological issues brought up by serious illness (42.2% answered incorrectly); and a goal of palliative care is to improve a person’s ability to participate in daily activities (39.6% answered incorrectly). Talking about palliative and end of life care was advocated but societal taboos restricted this occurring with exposure limited to personal experience. Conclusions Current knowledge gaps and misconceptions derived from limited ad hoc personal experiences and fear of engaging in taboo conversations may deter people from accessing integrated palliative care services early in a disease trajectory. The results indicate the need for public education programmes that move beyond merely raising awareness but provide key messages within a public health approach, which may change attitudes to palliative care thus ultimately improving end of life outcomes.

scholarly journals Take-Home Naloxone for the Emergency Interim Management of Opioid Overdose: The Public Health Application of an Emergency Medicine

Drugs ◽  
2019 ◽  
Vol 79 (13) ◽  
pp. 1395-1418 ◽  
Author(s):  
John Strang ◽  
Rebecca McDonald ◽  
Gabrielle Campbell ◽  
Louisa Degenhardt ◽  
Suzanne Nielsen ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Medicine ◽  
Opioid Overdose ◽  
The Public ◽  
Interim Management ◽  
Health Application
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