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The opioid crisis: a contextual, social-ecological framework
The prevalence of opioid use and misuse has provoked a staggering number of deaths over the past two and a half decades. Much attention has focused on individual risks according to various characteristics and experiences. However, broader social and contextual domains are also essential contributors...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409444/ https://www.ncbi.nlm.nih.gov/pubmed/32762700 http://dx.doi.org/10.1186/s12961-020-00596-8 |
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author | Jalali, Mohammad S. Botticelli, Michael Hwang, Rachael C. Koh, Howard K. McHugh, R. Kathryn |
author_facet | Jalali, Mohammad S. Botticelli, Michael Hwang, Rachael C. Koh, Howard K. McHugh, R. Kathryn |
author_sort | Jalali, Mohammad S. |
collection | PubMed |
description | The prevalence of opioid use and misuse has provoked a staggering number of deaths over the past two and a half decades. Much attention has focused on individual risks according to various characteristics and experiences. However, broader social and contextual domains are also essential contributors to the opioid crisis such as interpersonal relationships and the conditions of the community and society that people live in. Despite efforts to tackle the issue, the rates of opioid misuse and non-fatal and fatal overdose remain high. Many call for a broad public health approach, but articulation of what such a strategy could entail has not been fully realised. In order to improve the awareness surrounding opioid misuse, we developed a social-ecological framework that helps conceptualise the multivariable risk factors of opioid misuse and facilitates reviewing them in individual, interpersonal, communal and societal levels. Our framework illustrates the multi-layer complexity of the opioid crisis that more completely captures the crisis as a multidimensional issue requiring a broader and integrated approach to prevention and treatment. |
format | Online Article Text |
id | pubmed-7409444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74094442020-08-07 The opioid crisis: a contextual, social-ecological framework Jalali, Mohammad S. Botticelli, Michael Hwang, Rachael C. Koh, Howard K. McHugh, R. Kathryn Health Res Policy Syst Commentary The prevalence of opioid use and misuse has provoked a staggering number of deaths over the past two and a half decades. Much attention has focused on individual risks according to various characteristics and experiences. However, broader social and contextual domains are also essential contributors to the opioid crisis such as interpersonal relationships and the conditions of the community and society that people live in. Despite efforts to tackle the issue, the rates of opioid misuse and non-fatal and fatal overdose remain high. Many call for a broad public health approach, but articulation of what such a strategy could entail has not been fully realised. In order to improve the awareness surrounding opioid misuse, we developed a social-ecological framework that helps conceptualise the multivariable risk factors of opioid misuse and facilitates reviewing them in individual, interpersonal, communal and societal levels. Our framework illustrates the multi-layer complexity of the opioid crisis that more completely captures the crisis as a multidimensional issue requiring a broader and integrated approach to prevention and treatment. BioMed Central 2020-08-06 /pmc/articles/PMC7409444/ /pubmed/32762700 http://dx.doi.org/10.1186/s12961-020-00596-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Commentary Jalali, Mohammad S. Botticelli, Michael Hwang, Rachael C. Koh, Howard K. McHugh, R. Kathryn The opioid crisis: a contextual, social-ecological framework |
title | The opioid crisis: a contextual, social-ecological framework |
title_full | The opioid crisis: a contextual, social-ecological framework |
title_fullStr | The opioid crisis: a contextual, social-ecological framework |
title_full_unstemmed | The opioid crisis: a contextual, social-ecological framework |
title_short | The opioid crisis: a contextual, social-ecological framework |
title_sort | opioid crisis: a contextual, social-ecological framework |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7409444/ https://www.ncbi.nlm.nih.gov/pubmed/32762700 http://dx.doi.org/10.1186/s12961-020-00596-8 |
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