Evidence map›Paper›PMID 31864356›Full record

ReviewHarm reduction journal2019

Opioid substitution therapy for people living in German prisons-inequality compared with civic sector.

Heino Stöver, Daniela Jamin, Ingo Ilja Michels, Bärbel Knorr, Karlheinz Keppler, Daniel Deimel

Open access · goldAbstract readComparative StudyReview
In one paragraph

Review in Harm reduction journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. People who use drugs and the right to health.Harm reduction journal · 2024
    Review
  4. [Opioid Substitution Treatment in Prisons: Comparison of Cost of Buprenorphine Depot with other Medications - a Health-Economic Calculation].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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

6 authors at 2 institutions in 1 country.

Heino StöverFachbereich 4: Soziale Arbeit und Gesundheit, Faculty "Health and Social Work", Institute for Addiction Research, Frankfurt University of Applied Sciences, Nibelungenplatz 1, 60318, Frankfurt, Germany. hstoever@fb4.fra-uas.de.
Daniela JaminFachbereich 4: Soziale Arbeit und Gesundheit, Faculty "Health and Social Work", Frankfurt University of Applied Sciences, Nibelungenplatz 1, 60318, Frankfurt, Germany.
Ingo Ilja MichelsFachbereich 4: Soziale Arbeit und Gesundheit, Faculty "Health and Social Work", Institute for Addiction Research, Frankfurt University of Applied Sciences, Nibelungenplatz 1, 60318, Frankfurt, Germany.
Bärbel KnorrDeutsche AIDS-Hilfe, Wilhelmstr. 138, 10963, Berlin, Germany.
Karlheinz Keppler, Berlin, Germany.
Daniel DeimelDepartment Aachen, German Institute of Addiction and Prevention Research, Catholic University of Applied Science North Rhine-Westphalia, Robert-Schumann-Str. 25, 52044, Aachen, Germany.
Goethe University Frankfurt · DEFrankfurt University of Applied Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe above-average proportion of people with opioid use disorder living in prisons is a worldwide reality, and the need to treat these people was recognized internationally more than 20 years ago. Studies have shown that substitution therapies are best suited to treat opioid use disorder and reduce the risk of HIV and hepatitis C transmission and overdose. However, huge health inequalities exist in and outside of prison due to the different implementation of opioid substitution therapy (OST). People living in prisons are entitled to the best possible health care. This is established by the Universal Declaration of Human Rights and by the International Convention on Economic, Social and Cultural Rights. Solely the imprisonment, and not the loss of fundamental human rights, constitutes the punishment.

methodsA qualitative literature search using PubMed and Google Scholar was performed in order to identify relevant publications.

resultsThis review shows the inequality in availability of opioid substitution therapy for people living in prison compared with people outside of prison in Germany. It also gives possible reasons and evidence for this inequality, showing that continuing or initiating OST in prison is more beneficial for the health of people living in prison than abstinence-oriented treatment only.

conclusionIt is important that drug use disorder is treated as a serious illness also in prison. Joint efforts are needed to provide people living in prison with the best possible treatment and to minimize the adverse effects of drug use. Therefore, with laws, policies, and programs that conform to international human rights standards, each state must ensure that people living in prison receive the same health care as people outside of prison.

Indexed as

PrisonsDelivery of Health CareFemaleGermanyHealthcare DisparitiesHepatitis C, ChronicHIV InfectionsHumansIllicit DrugsMaleMethadoneNarcoticsOpiate Substitution TreatmentOpioid-Related DisordersRecurrenceRisk FactorsIllicit DrugsMethadoneNarcoticsHealth inequalityImprisonmentIncarcerationMethadoneOpioid substitution therapy

Identifiers

PMID31864356
PMCPMC6925451
OpenAlexW2994929617

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.