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.
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]
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  Data: Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City.
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Jul-Dec022, Vol. 48 Issue 4, p320-330. 11p. 3 Charts.
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  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]
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  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.)
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      – Type: doi
        Value: 10.1080/08964289.2021.1922347
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      – Code: eng
        Text: English
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      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
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      – SubjectFull: Harm reduction
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      – SubjectFull: Homelessness
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      – SubjectFull: Poverty
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      – SubjectFull: Heroin
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      – 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.
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              Text: Jul-Dec022
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              Y: 2022
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