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Barriers to naloxone use and acceptance among opioid users, first responders, and emergency department providers in New Hampshire, USA.
Bessen, Sarah; Metcalf, Stephen A; Saunders, Elizabeth C; Moore, Sarah K; Meier, Andrea; McLeman, Bethany; Walsh, Olivia; Marsch, Lisa A.
Afiliación
  • Bessen S; Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA. Electronic address: Sarah.Y.Bessen.MED@dartmouth.edu.
  • Metcalf SA; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: stephen.a.metcalf@dartmouth.edu.
  • Saunders EC; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA. Electronic address: elizabeth.c.saunders.GR@dartmouth.edu.
  • Moore SK; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: sarah.k.moore@dartmouth.edu.
  • Meier A; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: andrea.l.meier@dartmouth.edu.
  • McLeman B; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: bethany.m.mcleman@dartmouth.edu.
  • Walsh O; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: olivia.e.walsh@dartmouth.edu.
  • Marsch LA; Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 315, Lebanon, NH, USA. Electronic address: lisa.a.marsch@dartmouth.edu.
Int J Drug Policy ; 74: 144-151, 2019 12.
Article en En | MEDLINE | ID: mdl-31590090
BACKGROUND: The United States is in the midst of a devastating opioid crisis, and the state of New Hampshire (NH) has been disproportionately impacted. Naloxone is an opioid overdose reversal medication that is critical for saving lives. This study was conducted to understand emergency responders' and opioid users' experiences with, and opinions about, naloxone use and distribution in NH. METHODS: Semi-structured interviews were conducted with 76 opioid users and 36 emergency responders in six NH counties in 2016-2017. Interviews focused on respondents' experiences with opioid use and overdose. Interviews were transcribed, coded, and reviewed for consensus among coders. Directed content analysis was used to review high-level domains and identify subthemes. RESULTS: Users and responders largely agreed that naloxone had become increasingly available in NH at the time of the study. Reported responder barriers to naloxone acceptance included perceptions that increased naloxone availability may enable riskier opioid use and fails to address the underlying causes of addiction. Reported opioid-user barriers included cost, legality, and lack of knowledge regarding distribution locations and indications for use. CONCLUSION: Opioid users' and emergency responders' perceptions about naloxone may limit the optimal use of naloxone within the community. This study identifies opportunities to address misconceptions about naloxone and challenges in accessing naloxone, which may improve opioid overdose prevention strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sobredosis de Droga / Naloxona / Antagonistas de Narcóticos / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Drug Policy Asunto de la revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2019 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sobredosis de Droga / Naloxona / Antagonistas de Narcóticos / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Drug Policy Asunto de la revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2019 Tipo del documento: Article Pais de publicación: Países Bajos