Details:

Alternative Title:
Subst Abus
Publisher's site:
http://dx.doi.org/10.1080/08897077.2021.1946893
Personal Author:
Hughto, Jaclyn M. W. ; Gordon, Lily ; Stopka, Thomas J. ; Case, Patricia ; Palacios, Wilson R. ; ... More +
Hughto, Jaclyn M. W. ; Gordon, Lily ; Stopka, Thomas J. ; Case, Patricia ; Palacios, Wilson R. ; Tapper, Abigail ; Green, Traci C. Less -
Description:
Background:

Fatal overdoses involving cocaine (powdered or crack) and fentanyl have increased nationally and in Massachusetts. It is unclear how overdose risk and preparedness to respond to an overdose differs by patterns of cocaine and opioid use.

Methods:

From 2017 to 2019, we conducted a nine-community mixed-methods study of Massachusetts residents who use drugs. Using survey data from 465 participants with past-month cocaine and/or opioid use, we examined global differences (p < 0.05) in overdose risk and response preparedness by patterns of cocaine and opioid use. Qualitative interviews (n = 172) contextualized survey findings.

Results:

The majority of the sample (66%) used cocaine and opioids in the past month; 18.9% used opioids alone; 9.2% used cocaine and had no opioid use history; and 6.2% used cocaine and had an opioid use history. Relative to those with a current/past history of opioid use, significantly fewer of those with no opioid use history were aware of fentanyl in the drug supply, carried naloxone, and had received naloxone training. Qualitative interviews documented how people who use cocaine and have no history of opioid use are largely unprepared to recognize and respond to an overdose.

Conclusions:

Public health efforts are needed to increase fentanyl awareness and overdose prevention preparedness among people primarily using cocaine.


Subjects:
[+]
Analgesics, Opioid Article Cocaine Crack Drug Overdose Fentanyl Humans Naloxone Opiate Overdose Opioid-Related Disorders Opioids Overdose Substance Use
Source:
Subst Abus. 43(1):465-478
Pubmed ID:
34228944
Pubmed Central ID:
PMC9155258
Document Type:
Journal Article
Funding:
P20 GM125507/GM/NIGMS NIH HHSUnited States/ ; U17 CE002724/CE/NCIPC CDC HHSUnited States/
P20 GM125507/GM/NIGMS NIH HHSUnited States/ ; U17 CE002724/CE/NCIPC CDC HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:b98d4a934c30db65a1ba6dcd5d4c6c24ffd85e3a2394e093c83d1972b91a049b
Download URL:
https://stacks.cdc.gov/view/cdc/119209/cdc_119209_DS1.pdf
File Type:

Supporting Files

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