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Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs
BACKGROUND: The purpose of this study was to identify characteristics of people who respond to two or more overdoses (i.e., multiple overdose responders; MOR) compared to those who respond to zero or one, and the association between MOR status and changes in network size. METHODS: Secondary analysis...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9854250/ https://www.ncbi.nlm.nih.gov/pubmed/36688935 http://dx.doi.org/10.1016/j.dadr.2022.100107 |
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author | Wagner, Karla D. Marks, Charles Felsher, Marisa Latkin, Carl Pearson, Jennifer L. Falade-Nwulia, Oluwaseun O |
author_facet | Wagner, Karla D. Marks, Charles Felsher, Marisa Latkin, Carl Pearson, Jennifer L. Falade-Nwulia, Oluwaseun O |
author_sort | Wagner, Karla D. |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to identify characteristics of people who respond to two or more overdoses (i.e., multiple overdose responders; MOR) compared to those who respond to zero or one, and the association between MOR status and changes in network size. METHODS: Secondary analysis of data from a randomized trial among 199 PWUD in Baltimore, MD (2016-2019). We used cross-tabulation, χ(2), and ANOVA models to identify cross-sectional associations between overdose response and demographic, drug use, and network size; and ANCOVA models to examine the relationship between baseline MOR status and change in network size. RESULTS: From the cohort of 199, 185 people provided data on overdose response at baseline; 197 provided data at 6-month follow-up. At baseline, 27.6% of participants were classified as MORs (ever). Correlates of MOR status included homelessness; age; injecting drug use; quality of interactions with police (respectful vs. not); and use of powder cocaine, prescription opioids, and heroin. MORs had larger networks and their network size decreased more over time, but the association was not statistically significant. At follow-up, 16% were classified as MORs (past 6 months); correlates of follow-up MOR status were similar to those at baseline. CONCLUSIONS: Overdose prevention interventions rely on PWUD to respond to overdoses. Identifying factors associated with MOR status could increase intervention efficiency and providing MORs with support could increase sustainability. Our findings suggest that PWUD experiencing homelessness, using cocaine and heroin, and demonstrating increased salience of overdose in their lives would benefit from targeted programs. |
format | Online Article Text |
id | pubmed-9854250 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-98542502023-01-20 Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs Wagner, Karla D. Marks, Charles Felsher, Marisa Latkin, Carl Pearson, Jennifer L. Falade-Nwulia, Oluwaseun O Drug Alcohol Depend Rep Full Length Report BACKGROUND: The purpose of this study was to identify characteristics of people who respond to two or more overdoses (i.e., multiple overdose responders; MOR) compared to those who respond to zero or one, and the association between MOR status and changes in network size. METHODS: Secondary analysis of data from a randomized trial among 199 PWUD in Baltimore, MD (2016-2019). We used cross-tabulation, χ(2), and ANOVA models to identify cross-sectional associations between overdose response and demographic, drug use, and network size; and ANCOVA models to examine the relationship between baseline MOR status and change in network size. RESULTS: From the cohort of 199, 185 people provided data on overdose response at baseline; 197 provided data at 6-month follow-up. At baseline, 27.6% of participants were classified as MORs (ever). Correlates of MOR status included homelessness; age; injecting drug use; quality of interactions with police (respectful vs. not); and use of powder cocaine, prescription opioids, and heroin. MORs had larger networks and their network size decreased more over time, but the association was not statistically significant. At follow-up, 16% were classified as MORs (past 6 months); correlates of follow-up MOR status were similar to those at baseline. CONCLUSIONS: Overdose prevention interventions rely on PWUD to respond to overdoses. Identifying factors associated with MOR status could increase intervention efficiency and providing MORs with support could increase sustainability. Our findings suggest that PWUD experiencing homelessness, using cocaine and heroin, and demonstrating increased salience of overdose in their lives would benefit from targeted programs. Elsevier 2022-10-07 /pmc/articles/PMC9854250/ /pubmed/36688935 http://dx.doi.org/10.1016/j.dadr.2022.100107 Text en © 2022 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Full Length Report Wagner, Karla D. Marks, Charles Felsher, Marisa Latkin, Carl Pearson, Jennifer L. Falade-Nwulia, Oluwaseun O Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title | Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title_full | Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title_fullStr | Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title_full_unstemmed | Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title_short | Individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
title_sort | individual and social network correlates of responding to multiple overdoses among a cohort of people who use drugs |
topic | Full Length Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9854250/ https://www.ncbi.nlm.nih.gov/pubmed/36688935 http://dx.doi.org/10.1016/j.dadr.2022.100107 |
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