Reported Heroin Use, Use Disorder, and Injection Among Adults in the United States, 2002-2018

Han, Beth; Volkow, Nora D.; Compton, Wilson M.; McCance‐Katz, Elinore F.

doi:10.1001/jama.2019.20844

Cited by 37 publications

(21 citation statements)

References 4 publications

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“…Parameters were selected to represent the situation in New Hampshire and are based on data from the National Surveys on Drug Use and Health, state reporting, and available literature. 21 , 22 , 23 , 24 , 25 , 26 , 27 We used data through 2020 when available; final analysis was conducted in May 2021. The Common Rule exempts this study from institutional board review because no human participants were involved.…”

Section: Methodsmentioning

confidence: 99%

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Modeling Hepatitis C Elimination Among People Who Inject Drugs in New Hampshire

Blake

Smith

2021

JAMA Netw Open

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Key Points Question What improvements in the hepatitis C (HCV) care cascade are required to eliminate HCV among people who inject drugs (PWID)? Findings This decision analytic model of HCV transmission found that improved testing, treatment, and access to harm reduction were all associated with reductions in HCV prevalence and mortality among PWID. Improvements in both testing and treatment were associated with HCV prevalence of less than 2% by 2030. Meaning These findings suggest that HCV elimination may be possible among PWID by 2030 with improved testing and treatment; improved harm reduction may reduce the time and number of treatments required to achieve similar outcomes.

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Section: Methodsmentioning

confidence: 99%

“… 12 , 26 , 34 After 2018, we assumed a dampening of the opioid epidemic with the population of active PWID declining to 90% of the 2019 peak by 2022. 22 , 26 , 27 The new PWID inflow rates in the model were different in the pre-2013, 2013 to 2018, and 2018 to 2045 periods and are calibrated to match these population estimates.…”

Section: Methodsmentioning

confidence: 99%

Modeling Hepatitis C Elimination Among People Who Inject Drugs in New Hampshire

Blake

Smith

2021

JAMA Netw Open

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“…Adult diagnoses of opioid use disorders decreased 0.3% from 2018 to 2019, 1 following an almost doubled prevalence of heroin use and heroin use disorder between 2002 and 2018 7 . Prescription opioid volume peaked in 2011, and prescriptions have declined 60% since this time, after a sharp increase in the mid to late 1990s.…”

Section: Nicotinementioning

confidence: 99%

The Epidemiology of Drug Abuse

Ignaszewski

2021

The Journal of Clinical Pharma

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Many Americans use alcohol and recreational drugs. Some will develop substance use disorders that affect a person's brain and behavior, leading to continued use despite problems caused. We review the epidemiology of addiction in the United States, including changes in use patterns over time, highlighting rates in adolescents and young adults, as well as adults. An overview of the health and societal impacts of substance use is provided alongside the importance of multimodal, evidence‐based treatment comprising psychosocial interventions and medication management. The article concludes by exploring the impact of the coronavirus disease 2019 pandemic on people who use drugs and their access to treatment.

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“…5 Yet, the number of deaths from heroin and illicitly manufactured fentanyl and fentanyl analogs are at historic levels. 6,7,8 Key findings include the following:…”

Section: Professional Responsibility In Opioid Epidemic Responsesmentioning

confidence: 99%

Advocacy and Action to End the Opioid Epidemic by the AMA Opioid Task Force

Harris

Mukkamala

2020

AMA Journal of Ethics

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Members of the AMA Opioid Task Force include the American Medical Association, the American Osteopathic Association, 25 specialty and state medical societies, and the American Dental Association. In 2015, the task force issued 6 recommendations focused on specific actions to help reverse the nation's opioid epidemic. Clinicians have demonstrated progress in each of these areas, and, while much work remains, making good policy will be key to motivating continued progress. Recommendations adopted in 2019 focus on tangible actions policymakers can take to help end the epidemic. This article offers an overview of task force recommendations.

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Reported Heroin Use, Use Disorder, and Injection Among Adults in the United States, 2002-2018

Abstract: Park, who provided consultations on survey design and sampling and were compensated for their efforts.

Cited by 37 publications

References 4 publications

Modeling Hepatitis C Elimination Among People Who Inject Drugs in New Hampshire

Modeling Hepatitis C Elimination Among People Who Inject Drugs in New Hampshire

The Epidemiology of Drug Abuse

Advocacy and Action to End the Opioid Epidemic by the AMA Opioid Task Force

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