Expanded Naloxone Distribution by Opioid Overdose Prevention Programs to High-Need Populations and Neighborhoods in New York City.
From 2014 to 2017, the drug overdose death rate per 100,000 in New York City (NYC) increased by 81%, with 57% of overdoses in 2017 involving the opioid fentanyl. In response, overdose education and naloxone dispensing (OEND) efforts were expanded in NYC, informed by neighborhood-level and population...
| Publicado en: | Journal of Urban Health Vol. 102; no. 2; pp. 459 - 465 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184745568&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184745568 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Apr2025 vid: 102 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 184745568 10.1007/s11524-024-00951-y ppf: 459 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P size: 550KB tig: atl: Expanded Naloxone Distribution by Opioid Overdose Prevention Programs to High-Need Populations and Neighborhoods in New York City. aug: au: Behrends, Czarina N. Trinidad, Andrew J. Nolan, Michelle L. Dolatshahi, Jennifer Kingsepp, Alexandra Jordan, Ashly E. Welch, Alice E. Harocopos, Alex Shaw, Leah C. Green, Traci C. Marshall, Brandon D. L. Schackman, Bruce R. affil: https://ror.org/05bnh6r87 Department of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA https://ror.org/01gst4g14 Bureau of Alcohol and Drug Use Prevention, Care and Treatment, New York City Department of Health and Mental Hygiene, Queens, NY, USA https://ror.org/05gq02987 Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA https://ror.org/05gq02987 Warren Alpert School of Medicine of Brown University, Providence, RI, USA https://ror.org/05abbep66 The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA https://ror.org/01aw9fv09 Center of Biomedical Research Excellence On Opioids and Overdose, Rhode Island Hospital, Providence, RI, USA su: Race Homeless persons Death rate Drug overdose Naloxone sug: subj: Race Homeless persons Death rate Drug overdose Naloxone keyword: Medical and Health Sciences Public Health and Health Services Medical and Health Sciences Public Health and Health Services ab: From 2014 to 2017, the drug overdose death rate per 100,000 in New York City (NYC) increased by 81%, with 57% of overdoses in 2017 involving the opioid fentanyl. In response, overdose education and naloxone dispensing (OEND) efforts were expanded in NYC, informed by neighborhood-level and population-level opioid overdose fatality rates. We describe the demographic and geographical distribution of naloxone by NYC opioid overdose prevention programs (OOPPs; the primary distributor of naloxone to laypersons in NYC) as OEND was expanded in NYC. We developed and examined a measure of high-need naloxone distribution defined by OEND in a high-priority neighborhood, to a high-need population, or from a high-priority OOPP (i.e., syringe services programs, criminal legal-related programs, programs for unhoused people, substance use disorder treatment programs, etc.). We reported recipient-level naloxone dispensing data by OOPP type from April 2018 to March 2019 using descriptive statistics and age-adjusted population rates. We conducted univariable logistic regression analyses to identify predictors of naloxone receipt by race/ethnicity. Of the 69,333 naloxone recipients, 97.3% met our definition for high-need naloxone dispensing, with 55.8% residing in one of 13 high-priority neighborhoods. Naloxone receipt by race/ethnicity varied by OOPP type. Program goals to expand naloxone distribution to high-need populations were met. We observed racial/ethnic differences in receipt of naloxone by program type, which supports using a variety of OOPP program types to reach racially diverse populations. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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