Social and Behavioral Sciences Commons^™

How Financial Beliefs And Behaviors Influence The Financial Health Of Individuals Struggling With Opioid Use Disorder, James R Langabeer, Francine R Vega, Marylou Cardenas-Turanzas, A Sarah Cohen, Karima Lalani, Tiffany Champagne-Langabeer

Student and Faculty Publications

The surge in opioid use disorder (OUD) over the past decade escalated opioid overdoses to a leading cause of death in the United States. With adverse effects on cognition, risk-taking, and decision-making, OUD may negatively influence financial well-being. This study examined the financial health of individuals diagnosed with OUD by reviewing financial beliefs and financial behaviors. We evaluated quality of life, perceptions of financial condition during active use and recovery, and total debt. We distributed a 20-item survey to 150 individuals in an outpatient treatment program for OUD in a large metropolitan area, yielding a 56% response rate. The results …

Two-Year Opioid Prescription Trends In Local Sanitary Agency Naples 3 South, Campania Region, Italy. Descriptive Analyses And Ai-Based Translational Perspectives, Marco Cascella, Maurizio Capuozzo, Francesco Ferrara, Alessandro Ottaiano, Francesco Perri, Francesco Sabbatino, Valeria Conti, Vittorio Santoriello, Alfonso Maria Ponsiglione, Maria Romano, Francesco Amato, Ornella Piazza

Translational Medicine @ UniSa

Aims: This study delves into the two-year opioid prescription trends in the Local Sanitary Agency Naples 3 South, Campania Region, Italy. The research aims to elucidate prescribing patterns, demographics, and dosage categories within a population representing 1.7% of the national total. Perspectives on artificial intelligence research are discussed.

Methods: From the original dataset, spanning from January 2022 to October 2023, we processed multiple variables including demographic data, medications, dosages, drug consumption, and administration routes.

Results: The analysis reveals a conservative approach to opioid therapy. In subjects under the age of 20, prescriptions accounted for 2.1% in 2022 and declined to …

A Phenomenological Study Of Barriers And Needs Related To Opioid Prevention, Treatment, And Recovery In Rural Alabama, Joshua C. Eyer, Cho Rong Won, Megan Sawyer, Yan Luo, Kun Wang, Edson Chipalo, Gwen Thomas-Leblanc, Hee Lee

The Qualitative Report

Rural areas with limited access to preventive care, treatment, and recovery services are particularly affected by the opioid crisis. This study identified four rural areas in Alabama that had higher opioid prescription rates than the state and national average. This study explores the views of three groups [healthcare service providers, persons who use/used opioids (PWUO), and community stakeholders] on the barriers to and needs for opioid prevention, treatment, and recovery services using a phenomenological qualitative design. Purposeful and snowball sampling was used to recruit 95 participants across 12 focus groups which were audio-recorded and transcribed verbatim. A seven-member analysis team …

Similarities And Differences In Correlates And Trends In Prescription Stimulant And Prescription Opioid Misuse Among College Students, Julie Murray

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

When used as medically intended, prescription opioid and stimulant medications can have therapeutic benefits. Misuse of these medications, however, presents significant health risks, including increased risk of death and injury. Young adults, ages 18 to 25, have the highest rates of misuse of prescription opioids and stimulants nationally and within this age group, college students may be particularly at risk. This two-study dissertation explored factors related to prescription opioid and prescription stimulant misuse in college students in order to assess similarities and differences in correlates and trends.

Study #1 assessed for similarities and differences in correlates of prescription opioid misuse …

Neighborhood Disadvantage And Pediatric Inpatient Opioid Prescription Patterns, Ashley W. Kranjac, Dinko Kranjac, Zeev N. Kain, Louis Ehwerhemuepha, Candice Donaldson, Brooke N. Jenkins

Sociology Faculty Articles and Research

Background

To explore the role of children's residential environment on opioid prescribing patterns in a predominantly Latinx sample.

Methods

We connected geocoded data from electronic medical records in a diverse sample of pediatric patients to neighborhood environments constructed using latent profile modeling techniques. We then estimated a series of multilevel models to determine whether opioid prescribing patterns vary by residential context.

Results

A stepwise pattern exists between neighborhood disadvantage and pediatric opioid prescription patterns, such that higher levels of disadvantage associate with a greater likelihood of opioid prescription, independent of the patient's individual profile.

Conclusion

In a largely Latinx sample …

Cognitive Behavioral Therapy Strategies And Adult Opioid Abuse: A Phenomenological Study Of Precontemplation To Contemplation Stage In Residential Treatment Programs, Victor White

Doctoral Dissertations and Projects

Cognitive Behavioral Therapy (CBT) for drug addiction is an effective treatment strategy, as a monotherapy and in combination with other therapies and treatment strategies. This phenomenological qualitative study described the struggles of adults diagnosed with opioid use disorder (OUD) and their experiences with how CBT strategies moved them to the contemplation stage of change in a residential treatment program. In the contemplation of change stage, the adults acknowledged that their opioid addiction behaviors are problems that need to be addressed, beginning with motivational interviewing. Utilizing the Cycle of Change Model (Prochaska and DiClemente), the Cognitive-Behavioral Theory (Aaron Beck), the Social …

Anxiety-Like Behavior In C57bl/6j Mice Is Sexually Dimorphic And Altered By Buprenorphine, Ohm Sharma

Chancellor’s Honors Program Projects

No abstract provided.

County Characteristics And Opioid Mortality Rates In The United States, Baksun Sung

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Opioid overdose deaths are not equally distributed across the United States. While some areas have a less severe problem with opioid abuse, others face serious challenges, which are affected by various social factors. To address that question, in Chapter 1, I investigate how opioid mortality trends differ according to opioid types, race, and region to identify susceptible populations and areas. In Chapter 1, I contend that synthetic opioid is a main trigger for the current opioid epidemic and that the epidemic is concentrated among blacks and in the Eastern United States. Next, the following studies examine how varying social vulnerabilities …

Comparing Substance Use Social Issues In Appalachian And Non-Appalachian Regions In Kentucky, Erica C. Bellamy, James N. Maples

Kentucky Journal of Undergraduate Scholarship

Substance use and abuse is not a uniquely Appalachian problem, but it remains a prevalent social problem for the geographical region. Kentucky has been one of the central states experiencing generations of substance abuse, ranging from methamphetamines to OxyContin to heroin. Eastern Kentucky, which includes a portion of Central Appalachia, has been a focal point for the proposed war against substance use. What remains undemonstrated in studies is exactly how substance abuse differs between the Central Appalachian counties of Eastern Kentucky and the remainder of the state, if any difference exists at all. In this study, the researchers examine how …

Opioids For Dyspnea End Of Life Review, Lindsey Obarzanek, Wendy Wu, Victoria Tutag-Lehr

Library Scholarly Publications

Objective: The objective of this systematic review is to consolidate the existing evidence on opioid use, including administration, dosing and efficacy, for the relief of dyspnea at end-of-life. The overarching goal is to optimize clinical management of dyspnea by identifying patterns in opioid use, improving opioid management of dyspnea, and to prioritize future research.

Background: Opioids are commonly used in the management of dyspnea at end of life; yet specific administration guidelines are limited. A greater understanding of the effectiveness of opioids in relieving end-of-life dyspnea with consideration of study design, patients, and opioids, including dyspnea evaluation tools …

Opioid-Related Content On Twitter And The Impact Of Covid-19 Government Stimulus Distribution, Alyssa Seeman

All Theses

The United States has continuously faced an opioid epidemic that has resulted in a severe loss of human life. The coronavirus pandemic began in December 2019 and affected many aspects of daily life. One result of this pandemic was government financial aid in the form of stimulus checks that were directly deposited into peoples’ bank accounts. This study aims to understand better the impact stimulus checks had on opioid overdose rates within America by using content collected from Twitter to gauge public opinion. The sample consisted of a stratified random sample of 600 overall tweets that contained at least one …

The Effect Of The Affordable Care Act On Opioid Overdose Mortality, Caleb Jordan

All Theses

The opioid epidemic is an ongoing health crisis in the United States, claiming the lives of thousands over the past two decades. In 2014, provisions of the Affordable Care Act expanding Medicaid officially came in effect, extending healthcare to millions of people in the United States. However, Medicaid expansion was optional for states, so some states greatly expanded healthcare to low-income people while others did not. People in expansion states gained more affordable access to prescription drugs and treatment centers, making opioids easier to obtain and addictions more affordable to treat. This makes the effect of the Affordable Care Act …

Examining Racial, Ethnic, And Gender Disparities In The Treatment Of Pain And Injury Emergencies, Laurel A. Wimbish, Janelle R. Simpson, Lauren R. Gilbert, Andria Blackwood, Emily A. Grant

HCA Healthcare Journal of Medicine

Background

Racial, ethnic, and gender disparities in effective pain management have been well-documented across healthcare settings. However, discrepancies in the treatment of patients in prehospital pain management settings have not been well researched. The objective of this study was to determine whether Wyoming emergency medical service (EMS) providers’ use of opioids to treat prehospital pain or injury varies by patient race/ethnicity or gender.

Methods

This cross-sectional study of EMS records examined 27 448 patient care reports (PCRs) generated during emergency medical responses to pain/injury emergencies in the state of Wyoming between January 2016 and March 2019. We included PCRs in …

Utilizing Primary Care To Engage Patients On Opioids In A Psychological Intervention For Chronic Pain, Sikander Chohan, Lyuba Gavrilova Bs, Leah Hect, Kristi Autio, Erin Tobin, Brian K. Ahmedani, Lisa R. Miller-Matero

Medical Student Research Symposium

Introduction: Chronic pain is commonly encountered in primary care. It is often treated with opioids, which can cause overdose and death. Psychological interventions are an effective alternative, yet difficulty engaging patients with opioid prescriptions has led to their underutilization. Offering these interventions in primary care settings may alleviate this barrier.

Objective: Determine whether opioid prescriptions are related to patients engaging in a brief psychological intervention for chronic pain management in primary care.

Study Design: Secondary analysis of a pilot randomized clinical trial (RCT) of a 5-session psychological intervention for chronic pain. Patients with chronic pain (N= 220) were approached to …

The Effects Of Recreational Marijuana Dispensaries On Local Opioid Mortality, Patrick Morrison

Honors Theses

This study examines how recreational marijuana dispensaries in Colorado affect opioid mortality at the county level. Using a difference-in-difference model with county and year fixed effects, I estimate the impact of recreational marijuana dispensary access on fatal opioid overdoses. Additionally, I employ distance from a major roadway and border as two instrumental variables to help limit the endogeneity associated with the location of dispensaries. Previous studies have shown that medical and recreational marijuana dispensary access decreases opioid mortality at the state level. Still, no study has explored the connection between recreational marijuana dispensaries and overdoses at the county level. Using …

Ginanaandawi'idizomin: Anishinaabe Intergenerational Healing Models Of Resistance, Zoe V. Allen

American Studies Honors Projects

Since the early 2000s, the opioid epidemic has had a devastating sweep across Indian Country. The White Earth nation declared the epidemic as a public health emergency back in 2011. Since then White Earth has developed community-based harm reduction and culturally grounded models of intervention for substance use disorder that continue to influence Native Nations across the U.S. This project centers on Anishinaabe approaches to the ongoing opioid public health crisis but also elaborates on Anishinaabe forms of healing and resistance. My primary method was conducting oral histories with White Earth community youth workers and advocates. My research project asks: …

Buprenorphine Effects On Anxiety-Like Behavior In B6 Mice, Megan K. Thibert

Select or Award-Winning Individual Scholarship

Buprenorphine, a semi-synthetic opioid prescribed for the treatment of opioid use disorder (OUD), has been suggested as a potential pharmacological treatment for anxiety. Some preclinical and clinical studies provide support for the anxiolytic effects of buprenorphine, but research in this area is scarce, and findings to date have been mixed. The present study was designed to test the hypothesis that buprenorphine alters anxiety-like behavior in C57BL/IJ (B6) mice measured using the elevated zero maze (EZM). Adult, male mice (n=10) were given subcutaneous injections of saline (control) and three doses of buprenorphine (0.3, 1, and 10 mg/kg). One hour following injection, …

House: Homeless Opioid User Service Engagement Program. Year 1 Report, Mary Lindsey Smith Phd, Katharine Knight Mph, Evelyn Ali Bs, Thomas Chalmers Mclaughlin Msw, Phd, Katie Rosingana Ba, Tyler Egeland Ba, Mark Richards Bs, Karen Pearson Mlis, Ma

Substance Use Research & Evaluation

Homelessness and lack of stable housing is often a barrier to achieving stability for individuals who are experiencing homelessness (IWAEH) with an OUD. In order to meet the complex needs of IWAEH with OUD, the Department of Health and Human Services funded a pilot program in 2021, the Homeless Opioid Users Service Engagement (HOUSE) Program; clinicians at Greater Portland Health provide clients with low-barrier Medication Assisted Treatment (MAT), while staff at Preble Street provide casework support and rapid housing assistance to individuals who have been identified as being at high risk of overdose, are experiencing homelessness, and are diagnosed with …

Factors That Predict Prescription Opioid Misuse By Type Of Healthcare Insurance Coverage, Keon Green

Walden Dissertations and Doctoral Studies

The opioid epidemic remains one of the leading causes of unintended deaths in the United States and is still one of the focal points of the public health field. Previous research has increased awareness of the opioid crisis and has focused on sociodemographic factors that may cause or predict prescription opioid misuse. The purpose of this study was to investigate sociodemographic factors that may predict prescription opioid misuse while controlling for healthcare insurance. The theoretical foundation for this secondary data analysis project was the socioecological model using the 2019 National Survey on Drug Use and Health. The population was 56,136 …

The Impact Of Opioid Agonist Treatment On Nicotine Metabolism, Rhiannon Chou Wiley

Graduate College Dissertations and Theses

Nicotine metabolite ratio (NMR) has been positively associated with increased cigarette consumption, greater lung cancer risk, and decreased smoking cessation. Opioid-dependent populations experience higher rates of smoking, difficulties with smoking cessation, and more negative smoking-related health outcomes compared to the general population of smokers. Opioid agonist treatment medications (OAT; i.e., methadone or buprenorphine) might influence NMR and thereby explain some of these disparities. The current study investigated the associations of OAT status (i.e., receiving OAT vs. no OAT), OAT type (i.e., methadone vs. buprenorphine), and OAT dose (i.e., low vs. high dose) on NMR in samples drawn from two prior …

Harm Reduction Policies And The Shaping Of Canada’S Opioid Crisis, Hailey Etchen

Electronic Theses and Dissertations

The growing harms of the opioid crisis in Canada has encouraged proponents of harm reduction to implement safe injection sites. However, harm reduction policies continue to vary throughout the nation, resulting in restricted or no access to these facilities in several provinces and territories (Pelley, 2019). Safe injection sites have been recognized as a valuable harm reduction strategy that successfully reduces the harms associated with illicit drug use of both the individual drug user, as well as the local community (Kral & Davidson, 2017; Jackson, 2020; Mrazovac, et al., 2020; Lovisotto & Baker, 2021). These sites effectively reduce and prevent …

Establishing Peer Recovery Support Services To Address The Central Appalachian Opioid Epidemic: The West Virginia Peers Enhancing Education, Recovery, And Survival (Wv Peers) Pilot Program, Stephen M. Davis, Amanda Stover, Herb Linn, Jon Dower, Dan Mccawley, Erin Winstanley, Judith Feinberg

Journal of Appalachian Health

Introduction: Central Appalachia has been disproportionately affected by the opioid epidemic and overdose fatalities. We developed West Virginia Peers Enhancing Education, Recovery, and Survival (WV PEERS), a program based on peer recovery support, to engage individuals using opioids and link them with a range of services.

Methods: Community partners providing services to individuals with opioid use disorder (OUD) were identified and collaborations were formalized using a standardized memorandum of understanding. The program was structured to offer ongoing peer recovery support specialist (PRSS) services, not just a one-time referral. A website and cards describing the WV PEERS program were developed and …

Drug Addiction & Mental Health, Tyler Burkholder

English Department: Research for Change - Wicked Problems in Our World

Drugs have a serious effect on our mental health, and mental health has a major effect on drug abuse and addiction. There is a reason so many drug users usually need to keep going back to rehab. It is because drugs affect mental health to a point where you aren’t the same person during and even after drug addiction. Poor mental health also can be a major cause influencing people to start doing drugs. People with depression, anxiety disorders, mood disorders are more prone to drug use. That is why we need to make it a public policy to screen …

Placing Bets In A Complex Environment: One Foundation’S Approach To The Opioid Epidemic, Jill Yegian

The Foundation Review

Across the globe, foundations grapple with how to tackle complex, cross-sector societal problems. A major effort by the California Health Care Foundation to reduce opioid-related morbidity and mortality, launched just as opioid use was becoming understood as a problem that could reach epidemic proportions, presents an instructive case study of impact.

Starting in 2015, the foundation placed several “big bets” on initiatives aimed at stopping overdose deaths and preventing new addiction. That early investment had dramatic returns, laying the groundwork for scaling pilot projects statewide as hundreds of millions of dollars in government funding became available to address the crisis. …

Peer Conversation About Substance Use, Danielle M. Pillet-Shore

Communication

What happens when a friend starts talking about her own substance use and misuse? This article provides the first investigation of how substance use is spontaneously topicalized in naturally occurring conversation. It presents a detailed analysis of a rare video-recorded interaction showing American English-speaking university students talking about their own substance (mis)use in a residential setting. During this conversation, several substance (mis)use informings are disclosed about one participant, and this study elucidates what occasions each disclosure, and how participants respond to each disclosure. This research shows how participants use casual conversation to offer important substance (mis)use information to their friends …

Anxiety And Mood Disorders Impacting Physician Opioid Prescribing In The Pediatric Hospital Setting, Candice D. Donaldson, Zeev N. Kain, Louis Ehwerhemuepha, Michelle A. Fortier, Michael T. Phan, Daniel M. Tomaszewski, Sun Yang, William Feaster, Brooke N. Jenkins

Psychology Faculty Articles and Research

This research examined whether pediatric inpatients without an anxiety/mood disorder are more likely to receive opioids in response to pain compared to patients diagnosed with a mental health condition. Research questions were tested using cross-sectional inpatient electronic medical record data. Propensity score matching was used to match patients with a disorder with patients without the disorder (anxiety analyses: N = 2892; mood analyses: N = 1042). Although patients with anxiety and mood disorders experienced greater pain, physicians were less likely to order opioids for these patients. Analyses also disclosed an interaction of anxiety with pain—the pain-opioid relation was stronger for …

Drug Treatment Providers In Nevada, Vanessa Booth, Peter Grema, Caitlin J. Saladino, William E. Brown

Health

This fact sheet reports data from Behavioral Health Nevada’s drug treatment provider database for May 2020. The data focuses on the number of drug treatment providers in Nevada counties and municipalities, how the facilities are funded, and if the facilities accept Medicaid. A breakdown of the number of clinics, the facilities that provide adult services, and the clinics that attain above standard ratings in Clark County are also provided.

From Crib To Bench: Understanding Neonatal Opioid Withdrawal Syndrome (Nows) Using A Novel Rodent Model, Sarah Stevens

Theses, Dissertations and Capstones

As the opioid epidemic continues to grow, opioid use among pregnant women is increasing significantly. This has led to a steady rise in the number of infants born with neonatal opioid withdrawal syndrome (NOWS). Although short-term withdrawal symptoms associated with NOWS are well characterized, there are many gaps in our understanding of the short and long-term effects of prenatal opioid exposure. In CHAPTER 1, we describe the clinical presentation, associated neurodevelopmental challenges, and current treatments of NOWS. Our current understanding of the neuropathology of NOWS is limited, and therefore further research is needed. However, current animal models are limited by …

Athletes, Opioids And The Athletic Therapist, Jacqueline Vandertuin

Publications and Scholarship

Elite-level athletes often identify with the “athletic role” and embody personality characteristics associated with it. As such, athletes often have a “play at all costs” mentality which creates significant issues when injured. Frequently, athletes will play through pain and injury and rely on pain-relieving medication (PRM) to allow continuation of play. This reliance can pose significant risks to the athlete, including addictions to PRM and prevent the health care providers (HCP) from accurately assessing injuries. In 1995, pain was identified as the “fifth vital sign”, ensuring that physicians recognize the importance of pain management. This resulted in pharmaceutical companies expediting …

Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci

Walden Dissertations and Doctoral Studies

In the United States 100 million people live with pain and must negotiate complicated clinical decisions that lead to a variety of treatments to control pain, some of which are effective and some that are not. Social identity theory and attribution theory guided the development of the interview protocol and analysis plan. A qualitative study was conducted to explore the complex nature of living with chronic pain through the narratives of seventeen adults in chronic pain for at least 3 months. Structural and thematic approaches were used to analyze the data. The structural results revealed three groups of participants: those …