Title |
A Dissemination and Implementation Science Approach to the Epidemic of Opioid Use Disorder in the United States
|
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Published in |
Current HIV/AIDS Reports, August 2018
|
DOI | 10.1007/s11904-018-0409-9 |
Pubmed ID | |
Authors |
Stephanie M. Mathis, Nicholas Hagemeier, Angela Hagaman, John Dreyzehner, Robert P. Pack |
Abstract |
This review aims to (1) conceptualize the complexity of the opioid use disorder epidemic using a conceptual model grounded in the disease continuum and corresponding levels of prevention and (2) summarize a select set of interventions for the prevention and treatment of opioid use disorder. Epidemiologic data indicate non-medical prescription and illicit opioid use have reached unprecedented levels, fueling an opioid use disorder epidemic in the USA. A problem of this magnitude is rooted in multiple supply- and demand-side drivers, the combined effect of which outweighs current prevention and treatment efforts. Multiple primary, secondary, and tertiary prevention interventions, both evidence-informed and evidence-based, are available to address each point along the disease continuum-non-use, initiation, dependence, addiction, and death. If interventions grounded in the best available evidence are disseminated and implemented across the disease continuum in a coordinated and collaborative manner, public health systems could be increasingly effective in responding to the epidemic. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 56% |
Djibouti | 1 | 11% |
Unknown | 3 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 58 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 8 | 14% |
Student > Ph. D. Student | 6 | 10% |
Student > Master | 5 | 9% |
Student > Doctoral Student | 5 | 9% |
Student > Bachelor | 3 | 5% |
Other | 10 | 17% |
Unknown | 21 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 21% |
Social Sciences | 8 | 14% |
Nursing and Health Professions | 6 | 10% |
Engineering | 3 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 3% |
Other | 5 | 9% |
Unknown | 22 | 38% |