Korthuis, P Todd and Cook, Ryan R and Foot, Canyon A and Leichtling, Gillian and Tsui, Judith I and Stopka, Thomas J and Leahy, Judith and Jenkins, Wiley D and Baker, Robin and Chan, Brian and Crane, Heidi M and Cooper, Hannah L and Feinberg, Judith and Zule, William A and Go, Vivian F and Estadt, Angela T and Nance, Robin M and Smith, Gordon S and Westergaard, Ryan P and Van Ham, Brent and Brown, Randall and Young, April M (2022) Association of methamphetamine and opioid use with nonfatal overdose in rural communities. JAMA Network Open, 5, (8), e2226544. doi: 10.1001/jamanetworkopen.2022.26544.
External website: https://jamanetwork.com/journals/jamanetworkopen/f...
Importance: Overdoses continue to increase in the US, but the contribution of methamphetamine use is understudied in rural communities.
Question How frequently are methamphetamine and opioid use associated with nonfatal overdose in rural communities?
Findings: In this cross-sectional, multistate study of rural communities, 79% of people using drugs reported past-30-day methamphetamine use; nonfatal overdose was greatest in people using both methamphetamine and opioids (22%) vs opioids alone (14%), or methamphetamine alone (6%). People using both substances reported the least access to treatment; only 17% of those using methamphetamine alone had naloxone.
Meaning::These findings suggest that harm reduction and substance use disorder treatment interventions must address methamphetamine use as well as opioids to decrease overdose in rural communities.
B Substances > Opioids (opiates)
G Health and disease > Substance use disorder > Drug use disorder > Drug intoxication > Poisoning (overdose)
J Health care, prevention, harm reduction and treatment > Harm reduction > Substance use harm reduction
MA-ML Social science, culture and community > Risk by type of society and culture > Rural society
VA Geographic area > United States
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