The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis
Abstract Objective To characterize and address the opioid crisis disproportionately impacting rural U.S. regions. Methods The Rural Opioid Initiative (ROI) is a two-phase project to collect and harmonize quantitative and qualitative data and develop tailored interventions to address rural opioid use...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Addiction Science & Clinical Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13722-022-00322-5 |
| _version_ | 1828778316717359104 |
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| author | Richard A. Jenkins Bridget M. Whitney Robin M. Nance Todd M. Allen Hannah L. F. Cooper Judith Feinberg Rob Fredericksen Peter D. Friedmann Vivian F. Go Wiley D. Jenkins P. Todd Korthuis William C. Miller Mai T. Pho Abby E. Rudolph David W. Seal Gordon S. Smith Thomas J. Stopka Ryan P. Westergaard April M. Young William A. Zule Joseph A. C. Delaney Judith I. Tsui Heidi M. Crane the Rural Opioid Initiative |
| author_facet | Richard A. Jenkins Bridget M. Whitney Robin M. Nance Todd M. Allen Hannah L. F. Cooper Judith Feinberg Rob Fredericksen Peter D. Friedmann Vivian F. Go Wiley D. Jenkins P. Todd Korthuis William C. Miller Mai T. Pho Abby E. Rudolph David W. Seal Gordon S. Smith Thomas J. Stopka Ryan P. Westergaard April M. Young William A. Zule Joseph A. C. Delaney Judith I. Tsui Heidi M. Crane the Rural Opioid Initiative |
| author_sort | Richard A. Jenkins |
| collection | DOAJ |
| description | Abstract Objective To characterize and address the opioid crisis disproportionately impacting rural U.S. regions. Methods The Rural Opioid Initiative (ROI) is a two-phase project to collect and harmonize quantitative and qualitative data and develop tailored interventions to address rural opioid use. The baseline quantitative survey data from people who use drugs (PWUD) characterizes the current opioid epidemic (2018–2020) in eight geographically diverse regions. Results Among 3,084 PWUD, 92% reported ever injecting drugs, 86% reported using opioids (most often heroin) and 74% reported using methamphetamine to get high in the past 30 days; 53% experienced homelessness in the prior 6 months; and 49% had ever overdosed. Syringe service program use varied by region and 53% had ever received an overdose kit or naloxone prescription. Less than half (48%) ever received medication for opioid use disorder (MOUD). Conclusions The ROI combines data across eight rural regions to better understand drug use including drivers and potential interventions in rural areas with limited resources. Baseline ROI data demonstrate extensive overlap between opioid and methamphetamine use, high homelessness rates, inadequate access to MOUD, and other unmet needs among PWUD in the rural U.S. By combining data across studies, the ROI provides much greater statistical power to address research questions and better understand the syndemic of infectious diseases and drug use in rural settings including unmet treatment needs. |
| first_indexed | 2024-12-11T16:38:52Z |
| format | Article |
| id | doaj.art-1eb92f40a6514a9a92a5eeadd072f686 |
| institution | Directory Open Access Journal |
| issn | 1940-0640 |
| language | English |
| last_indexed | 2024-12-11T16:38:52Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj.art-1eb92f40a6514a9a92a5eeadd072f6862022-12-22T00:58:22ZengBMCAddiction Science & Clinical Practice1940-06402022-07-0117111210.1186/s13722-022-00322-5The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid CrisisRichard A. Jenkins0Bridget M. Whitney1Robin M. Nance2Todd M. Allen3Hannah L. F. Cooper4Judith Feinberg5Rob Fredericksen6Peter D. Friedmann7Vivian F. Go8Wiley D. Jenkins9P. Todd Korthuis10William C. Miller11Mai T. Pho12Abby E. Rudolph13David W. Seal14Gordon S. Smith15Thomas J. Stopka16Ryan P. Westergaard17April M. Young18William A. Zule19Joseph A. C. Delaney20Judith I. Tsui21Heidi M. Crane22the Rural Opioid InitiativePrevention Research Branch, National Institute on Drug AbuseUniversity of Washington Harborview Medical CenterUniversity of Washington Harborview Medical CenterRagon Institute of MGH, MIT and HarvardRollins School of Public Health, Emory UniversityWest Virginia UniversityUniversity of Washington Harborview Medical CenterBaystate Medical Center—University of Massachusetts, Office of Research, UMass Chan Medical School - BaystateUniversity of North Carolina—Chapel HillSouthern Illinois UniversityOregon Health & Science UniversityThe Ohio State UniversityUniversity of ChicagoDepartment of Epidemiology and Biostatistics, Temple University College of Public HealthTulane UniversityWest Virginia UniversityTufts University School of Medicine Public Health and Community MedicineUniversity of Wisconsin-MadisonUniversity of KentuckyRTI InternationalCollege of Pharmacy, University of ManitobaUniversity of Washington Harborview Medical CenterUniversity of Washington Harborview Medical CenterAbstract Objective To characterize and address the opioid crisis disproportionately impacting rural U.S. regions. Methods The Rural Opioid Initiative (ROI) is a two-phase project to collect and harmonize quantitative and qualitative data and develop tailored interventions to address rural opioid use. The baseline quantitative survey data from people who use drugs (PWUD) characterizes the current opioid epidemic (2018–2020) in eight geographically diverse regions. Results Among 3,084 PWUD, 92% reported ever injecting drugs, 86% reported using opioids (most often heroin) and 74% reported using methamphetamine to get high in the past 30 days; 53% experienced homelessness in the prior 6 months; and 49% had ever overdosed. Syringe service program use varied by region and 53% had ever received an overdose kit or naloxone prescription. Less than half (48%) ever received medication for opioid use disorder (MOUD). Conclusions The ROI combines data across eight rural regions to better understand drug use including drivers and potential interventions in rural areas with limited resources. Baseline ROI data demonstrate extensive overlap between opioid and methamphetamine use, high homelessness rates, inadequate access to MOUD, and other unmet needs among PWUD in the rural U.S. By combining data across studies, the ROI provides much greater statistical power to address research questions and better understand the syndemic of infectious diseases and drug use in rural settings including unmet treatment needs.https://doi.org/10.1186/s13722-022-00322-5OpioidsMethamphetamineRuralSubstance useInjection drug useOverdose |
| spellingShingle | Richard A. Jenkins Bridget M. Whitney Robin M. Nance Todd M. Allen Hannah L. F. Cooper Judith Feinberg Rob Fredericksen Peter D. Friedmann Vivian F. Go Wiley D. Jenkins P. Todd Korthuis William C. Miller Mai T. Pho Abby E. Rudolph David W. Seal Gordon S. Smith Thomas J. Stopka Ryan P. Westergaard April M. Young William A. Zule Joseph A. C. Delaney Judith I. Tsui Heidi M. Crane the Rural Opioid Initiative The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis Addiction Science & Clinical Practice Opioids Methamphetamine Rural Substance use Injection drug use Overdose |
| title | The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis |
| title_full | The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis |
| title_fullStr | The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis |
| title_full_unstemmed | The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis |
| title_short | The Rural Opioid Initiative Consortium description: providing evidence to Understand the Fourth Wave of the Opioid Crisis |
| title_sort | rural opioid initiative consortium description providing evidence to understand the fourth wave of the opioid crisis |
| topic | Opioids Methamphetamine Rural Substance use Injection drug use Overdose |
| url | https://doi.org/10.1186/s13722-022-00322-5 |
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