ArticlePublic health reports (Washington, D.C. : 1974)
A Public Health Strategy for the Opioid Crisis.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
112 citing papers in PubMed, 3 syntheses or guidelines pooled it, 234 citations in OpenAlex.
- Medication for Adolescents and Young Adults With Opioid Use Disorder.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Guideline
- Regulatory Policies for Alcohol, other Psychoactive Substances and Addictive Behaviours: The Role of Level of Use and Potency. A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Opioid Use in Athletes: A Systematic Review.Sports healthPooled it
- Local level of social inequity moderates implementation of evidence-based practices tailored to minoritized populations to reduce opioid overdose deaths.Journal of substance use and addiction treatment · 2026Trial
- Recent incarceration and minoritized racial status as barriers to the effectiveness of recovery management checkups.Substance abuse treatment, prevention, and policy · 2025Trial
- Trends in opioid prescribing after shoulder arthroplasty in an integrated health system: an analysis across racial and ethnic groups.Journal of shoulder and elbow arthroplasty · 2026Article
- "I Really Didn't Need Treatment, It Was Just a Way for Me Not to Go to Jail": Court-Mandated Drug Treatment Experiences among Racially Minoritized Individuals in Three US States.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Staff perspectives on delivering inpatient care in a newly developed addiction medicine unit in Northern Ontario.Substance abuse treatment, prevention, and policy · 2026Article
- Ethical challenges and opportunities for integrating predictive analytics in community-based overdose prevention.Lancet regional health. Americas · 2026Review
- Pain medication and nerve injuries in upper or lower limb-a Swedish national registry study.Pain reports · 2026Article
- Harm reduction engagement and ongoing opioid use among adults receiving methadone or buprenorphine in Philadelphia.Harm reduction journal · 2026Article
- Responding to the increase in substance use, HIV, HCV, and overdose in New England (RISE-NE): Protocol for a prospective cohort study.PloS one · 2026Article
- Perceptions of Youth Substance Users on Substance Use Relapse Prevention: A Qualitative Study in Lobatse, Botswana.International journal of environmental research and public health · 2025Article
- A Novel and Validated GC-MS/MS Method for the Detection of Four Opioids and Seven Fentanoids in Oral Fluid for Forensic Applications.Molecules (Basel, Switzerland) · 2025Article
- Understanding the association between medical mistrust, opioid knowledge, and stigma towards adults with a history of an opioid use disorder.Journal of substance use · 2025Article
- Mapping the overdose crisis in Ontario: geographic disparities in opioid-related harms and services.BMC public health · 2025Article
- Fatal Opioid Overdoses by Historical and Contemporary Neighborhood-Level Structural Racism.JAMA health forum · 2025Article
- Global burden of liver cancer attributable to drug use: trends from 1990 to 2021 and projections to 2040.Discover oncology · 2025Article
- Evaluating the predictive performance of different data sources to forecast overdose deaths at the neighborhood level with machine learning in Rhode Island.Preventive medicine · 2025Article
- Ethical Considerations in Substance Use Treatment for Youth: Assessing Clinical Practices and Policy Frameworks for Potential Harm.Research on child and adolescent psychopathology · 2025Review
52 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
Drug overdose is now the leading cause of injury death in the United States. Most overdose fatalities involve opioids, which include prescription medication, heroin, and illicit fentanyl. Current data reveal that the overdose crisis affects all demographic groups and that overdose rates are now rising most rapidly among African Americans. We provide a public health perspective that can be used to mobilize a comprehensive local, state, and national response to the opioid crisis. We argue that framing the crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harm-reduction services (eg, syringe services). We propose a novel ecological framework for harmful opioid use that provides multiple recommendations to improve public health and clinical practice, including improved data collection to guide resource allocation, steps to increase safer prescribing, stigma-reduction campaigns, increased spending on harm reduction and treatment, criminal justice policy reform, and regulatory changes related to controlled substances. Focusing on these opportunities provides the greatest chance of making a measured and sustained impact on overdose and related harms.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.