Evidence map›Paper›PMID 28622067›Full record

ArticleSubstance use & misuse2017

Opioid-Involved Overdose Among Male Afghanistan/Iraq-Era U.S. Military Veterans: A Multidimensional Perspective.

Alex S Bennett, Luther Elliott, Andrew Golub, Brett Wolfson-Stofko, Honoria Guarino

Open access · greenAbstract read
In one paragraph

Article in Substance use & misuse, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  5. Naloxone's role in the national opioid crisis-past struggles, current efforts, and future opportunities.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alex S Bennetta Center for Community and Health Disparities Research , National Development and Research Institutes, Inc. , New York , NY , USA.
Luther Elliotta Center for Community and Health Disparities Research , National Development and Research Institutes, Inc. , New York , NY , USA.
Andrew Goluba Center for Community and Health Disparities Research , National Development and Research Institutes, Inc. , New York , NY , USA.
Brett Wolfson-Stofkoa Center for Community and Health Disparities Research , National Development and Research Institutes, Inc. , New York , NY , USA.
Honoria Guarinoa Center for Community and Health Disparities Research , National Development and Research Institutes, Inc. , New York , NY , USA.
National Development and Research Institutes · USNew York University · US

Funding

BEHAVIORAL SCI TRAINING IN DRUG ABUSE RESEARCHT32DA007233 · NIDA · PUBLIC HEALTH SOLUTIONS · PI GOLDSAMT, LLOYD A · 1985 to 2023
$20.2M
Opioid Misuse and Overdose Risk Patterns among Recent VeteransR01DA036754 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI BENNETT, ALEXANDER S · 2014 to 2017
$1.9M
NIDA NIH HHS R01 DA036754NIDA NIH HHS T32 DA007233
6 · The paper itself

Abstract

backgroundMirroring nationwide trends in a broad range of U.S. populations, an alarming number of Afghanistan/Iraq-era U.S. Military veterans have experienced opioid-related overdoses. A growing body of research has examined the proximal behaviors that can precipitate an overdose; considerably less is known about more distal physiological, psychosocial and structural influences on these risk behaviors.

objectivesThis study adopts a multidimensional approach to better understand opioid-related overdose among U.S. Military veterans, and seeks to explore not only the proximal behavioral precipitants of overdose events, but also the complex nexus of physiological, psychological, and sociological influences that undergird overdose events.

methodsThis qualitative examination is based on interview data from 36 male veterans who were discharged from the military after September 2001 and experienced at least one opioid-related overdose during or after military service. Participants were recruited in New York City during 2014 to share narrative accounts of their overdoses.

resultsVeterans' accounts indicate that background experiences, such as self-medication for social and psychological pain, trauma, social alienation and isolation, and histories of illicit drug use, precondition the more immediate factors and behaviors that precipitate overdose (including bingeing on drugs, mixing drugs, naiveté about dosage, and ambivalence about life/death).

conclusionsFindings suggest the need for comprehensive drug safety and overdose education that is sensitive to veterans' physiological, psychological, and sociological conditions. A multidimensional understanding of the distal and proximal overdose risks faced by veterans and other vulnerable groups may help lay a foundation for more inclusive/holistic approaches to overdose prevention and education.

Indexed as

Drug OverdoseAdultAfghanistanAnalgesics, OpioidHumansInterviews as TopicIraqMaleMiddle AgedNew York CityPainQualitative ResearchRisk-TakingSelf MedicationSubstance-Related DisordersVeteransAnalgesics, OpioidopioidsOverdosepain managementphysiological, psychological, and social conditionspolysubstance useself-medication, U.S. military veterans

Identifiers

PMID28622067
PMCPMC5628147
OpenAlexW2625693882

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.