Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City.
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| Title: | Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City. |
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| Authors: | Pérez-Figueroa, R. E., Obonyo, D. J., Santoscoy, S., Surratt, H. L., Lekas, H. M., Lewis, C. F., Lyons, J. S., Amesty, S. C. |
| Source: | Behavioral Medicine. Jul-Dec022, Vol. 48 Issue 4, p320-330. 11p. 3 Charts. |
| Subjects: | Drug overdose risk factors, Narcotics, Substance abuse, Health services accessibility, Drug overdose, Psychological vulnerability, Cross-sectional method, Risk assessment, Harm reduction, Descriptive statistics, Homelessness, Logistic regression analysis, Poverty, Heroin, Disease complications |
| Geographic Terms: | New York (State) |
| Abstract: | Nationally, opioid overdose remains strikingly persistent among people experiencing homelessness and housing instability. Limited information is available about the characteristics of this phenomenon in economically disadvantaged communities of color. This study sought to evaluate the association between key contextual factors and experiencing a non-fatal opioid overdose among people who use heroin in Washington Heights, New York City. We conducted a cross-sectional survey (N = 101) among participants seeking harm reduction services who reported heroin use in the last three months. Binary logistic regression models examined the association between key social and structural factors and the likelihood of ever experiencing a non-fatal opioid overdose and recently experiencing a non-fatal opioid overdose. The majority of the sample reported housing instability and lived in poverty; almost 42% were homeless. After adjustment, participants who injected heroin were more likely to have ever experienced a non-fatal opioid overdose. Also, younger participants who reported hunger in the last six months were more likely to have experienced a non-fatal opioid overdose in the last three months. Findings suggest the role of structural vulnerability in shaping overdose risk among the participants. Overdose prevention strategies should consider factors of the social and economic environment to mitigate barriers to accessing health and social services within the context of the current opioid crisis. [ABSTRACT FROM AUTHOR] |
| Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 159687173 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Pérez-Figueroa%2C+R%2E+E%2E%22">Pérez-Figueroa, R. E.</searchLink><br /><searchLink fieldCode="AR" term="%22Obonyo%2C+D%2E+J%2E%22">Obonyo, D. J.</searchLink><br /><searchLink fieldCode="AR" term="%22Santoscoy%2C+S%2E%22">Santoscoy, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Surratt%2C+H%2E+L%2E%22">Surratt, H. L.</searchLink><br /><searchLink fieldCode="AR" term="%22Lekas%2C+H%2E+M%2E%22">Lekas, H. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Lewis%2C+C%2E+F%2E%22">Lewis, C. F.</searchLink><br /><searchLink fieldCode="AR" term="%22Lyons%2C+J%2E+S%2E%22">Lyons, J. S.</searchLink><br /><searchLink fieldCode="AR" term="%22Amesty%2C+S%2E+C%2E%22">Amesty, S. C.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Jul-Dec022, Vol. 48 Issue 4, p320-330. 11p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Drug+overdose+risk+factors%22">Drug overdose risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Narcotics%22">Narcotics</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+vulnerability%22">Psychological vulnerability</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Homelessness%22">Homelessness</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink><br /><searchLink fieldCode="DE" term="%22Heroin%22">Heroin</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22New+York+%28State%29%22">New York (State)</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Nationally, opioid overdose remains strikingly persistent among people experiencing homelessness and housing instability. Limited information is available about the characteristics of this phenomenon in economically disadvantaged communities of color. This study sought to evaluate the association between key contextual factors and experiencing a non-fatal opioid overdose among people who use heroin in Washington Heights, New York City. We conducted a cross-sectional survey (N = 101) among participants seeking harm reduction services who reported heroin use in the last three months. Binary logistic regression models examined the association between key social and structural factors and the likelihood of ever experiencing a non-fatal opioid overdose and recently experiencing a non-fatal opioid overdose. The majority of the sample reported housing instability and lived in poverty; almost 42% were homeless. After adjustment, participants who injected heroin were more likely to have ever experienced a non-fatal opioid overdose. Also, younger participants who reported hunger in the last six months were more likely to have experienced a non-fatal opioid overdose in the last three months. Findings suggest the role of structural vulnerability in shaping overdose risk among the participants. Overdose prevention strategies should consider factors of the social and economic environment to mitigate barriers to accessing health and social services within the context of the current opioid crisis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=159687173 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/08964289.2021.1922347 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 320 Subjects: – SubjectFull: Drug overdose risk factors Type: general – SubjectFull: Narcotics Type: general – SubjectFull: Substance abuse Type: general – SubjectFull: Health services accessibility Type: general – SubjectFull: Drug overdose Type: general – SubjectFull: Psychological vulnerability Type: general – SubjectFull: Cross-sectional method Type: general – SubjectFull: Risk assessment Type: general – SubjectFull: Harm reduction Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Homelessness Type: general – SubjectFull: Logistic regression analysis Type: general – SubjectFull: Poverty Type: general – SubjectFull: Heroin Type: general – SubjectFull: Disease complications Type: general – SubjectFull: New York (State) Type: general Titles: – TitleFull: Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Pérez-Figueroa, R. E. – PersonEntity: Name: NameFull: Obonyo, D. J. – PersonEntity: Name: NameFull: Santoscoy, S. – PersonEntity: Name: NameFull: Surratt, H. L. – PersonEntity: Name: NameFull: Lekas, H. M. – PersonEntity: Name: NameFull: Lewis, C. F. – PersonEntity: Name: NameFull: Lyons, J. S. – PersonEntity: Name: NameFull: Amesty, S. C. IsPartOfRelationships: – BibEntity: Dates: – D: 15 M: 07 Text: Jul-Dec022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 08964289 Numbering: – Type: volume Value: 48 – Type: issue Value: 4 Titles: – TitleFull: Behavioral Medicine Type: main |
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