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Examination of evolving opioid misuse and overdose risk among American Indians

检查美洲印第安人中不断变化的阿片类药物滥用和过量风险

基本信息

批准号：
10438466
负责人：
Tommi Lynn Gaines
金额：
$ 37.89万
依托单位：
INDIAN HEALTH COUNCIL, INC.
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-15 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10438466
关键词：
Address Adult Affect Age Alaska Native American Indians Area Attention Back COVID-19 pandemic California Chairperson Communities Community Actions Country Cross-Sectional Studies Data Drug usage Emergency department visit Environment Epidemic Ethnic group Etiology Fatality rate Geographic Locations Geography Goals Harm Reduction Health Heroin Hospitalization Illicit Drugs Indian reservation Individual Interview Lead Medical Examiners Morphologic artifacts Naloxone National Institute of Drug Abuse Native American Research Center for Health Opioid Overdose Pattern Pharmaceutical Preparations Population Prevention Program Sustainability Public Health Reaction Time Reporting Research Research Methodology Resources Risk Services Social isolation Source Strategic Planning Surveys Sustainable Development Time Tribes United States Work addiction base community engagement community intervention diverse data experience health care availability medication-assisted treatment mortality opioid epidemic opioid misuse opioid mortality opioid overdose opioid use opioid use disorder overdose death overdose risk pill prescription opioid prescription opioid misuse prevention service programs racial and ethnic response social social structure surveillance data synthetic opioid tool treatment services trend

项目摘要

Project Summary American Indian communities have been greatly affected by the opioid epidemic with many communities being overwhelmed by opioid use and opioid overdose. Among all racial/ethnic groups in the U.S, American Indians and Alaska Natives have the second highest rate of overdose fatalities from all opioids and second and third highest overdose fatality rates from heroin and synthetic opioids. As with other parts of the country, opioids are the main driver of drug overdose deaths in California. Within Southern California, surveillance data indicates that areas encompassing American Indian reservations have experienced some of the highest age- adjusted rates of opioid-related overdose deaths, hospitalization, and emergency department visits. While there have been efforts to curtail the opioid crisis, much of this work has focused on population-level strategies without enough focus on the community dynamics and local-level context of opioid use. The overarching goal of this study is to characterize the changing etiology of opioid misuse and overdose risk among Southern California American Indian (AI) adults by implementing research methods to promote community engagement and inform a timely public health response to the opioid epidemic. Over a 4-year period, we will collect locally relevant data from diverse sources (80 interviews, 200 surveys, and population-level data on opioid overdose fatalities) to capture emerging patterns of risks and triangulate that information to inform the planning and allocation of prevention and treatment services for AI adults. Our study will be guided by the following Specific Aims: 1. Identify the epidemic profile of individuals at risk for opioid misuse and opioid overdose; 2. Examine community assets and capacity to address prevention and treatment of opioid use/misuse and resulting overdose; and 3. Develop community-based surveillance tool to inform community action towards reducing opioid overdose fatalities. By combining multiple information sources, a more comprehensive analysis and accurate picture of the opioid crisis can be generated. The public health significance of this study will be to continuously assess the environment contributing to opioid misuse and overdose risk across different social and geographical settings among AI Tribes. We anticipate that our findings will inform the short-term and long-term planning of prevention and treatment services that are responsive to the needs of California Tribes.

项目总结