Evidence map›Paper›PMID 34742607›Full record

Trial reportJournal of substance abuse treatment2022

Persons from racial and ethnic minority groups receiving medication for opioid use disorder experienced increased difficulty accessing harm reduction services during COVID-19.

Robert Rosales, Tim Janssen, Julia Yermash, Kimberly R Yap, Elizabeth L Ball, Bryan Hartzler, Bryan R Garner, Sara J Becker

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06855836 (Efficacy and Implementation Considerations for a Peer-led Motivational Interviewing Intervention to Promote Uptake of Drug Checking Services and Safe Drug Use Behaviors to Reduce Overdose), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.3field-weighted citation impact, top 4% 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.

NCT06855836 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Implementation Considerations for a Peer-led Motivational Interviewing Intervention to Promote Uptake of Drug Checking Services and Safe Drug Use Behaviors to Reduce Overdose

TypeinterventionalSponsorUniversity of California, San DiegoRan2025 to 2029Enrolled588ConditionsOverdoseArmsMI-CHANCE (TS + FTIR + MI), TS + FTIR + Flu and Hepatitis A Education
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 39 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Robert RosalesCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA. Electronic address: robert_rosales@brown.edu.
Tim JanssenCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA. Electronic address: tim_janssen@brown.edu.
Julia YermashCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA. Electronic address: julia_yermash@brown.edu.
Kimberly R YapCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA. Electronic address: kimberly_yap@brown.edu.
Elizabeth L BallCommunity Health and Implementation Research Program, RTI International, 3040 East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA. Electronic address: eball@rti.org.
Bryan HartzlerAlcohol & Drug Abuse Institute, Department of Psychiatry and Behavioral Sciences, University of Washington, 1107 NE 45th St, Seattle, WA 98105, USA. Electronic address: hartzb@uw.edu.
Bryan R GarnerCommunity Health and Implementation Research Program, RTI International, 3040 East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA.
Sara J BeckerCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA. Electronic address: sara_becker@brown.edu.
Brown University · USRTI International · USSeattle Indian Health Board · US

Funding

Implementing contingency management in opioid treatment centers across New England: A hybrid type 3 trialR01DA046941 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BECKER, SARA, GARNER, BRYAN R · 2018 to 2022
$3.6M
Informing treatment adaptation based on the interplay between behavioral undercontrol and context: an event-level studyK01AA026335 · NIAAA · BROWN UNIVERSITY · PI JANSSEN, TIM · 2018 to 2022
$904k
Socio-Cultural Protective and Risk Factors of Alcohol Use among Non-Hispanic White and Hispanic Sexual Minority YouthK08MD015289 · NIMHD · BROWN UNIVERSITY · PI ROSALES, ROBERT · 2021 to 2025
$824k
NIAAA NIH HHS K01 AA026335NIDA NIH HHS R01 DA046941NIMHD NIH HHS K08 MD015289
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic collided with the opioid epidemic and longstanding health inequities to exacerbate the disproportionate harms experienced by persons with opioid use disorder (OUD) who self-identify as from racial and ethnic minority groups. Disrupted access to harm reduction services (e.g., naloxone, sterile syringes, recovery support) is one pathway whereby COVID-19 might exacerbate health disparities. We tested the hypothesis that persons receiving medication for opioid use disorder (MOUD) who self-identify as from racial/ethnic minority groups would experience more disruptions in access to harm reduction services than persons identifying as non-Hispanic White, even when controlling for severity of opioid use and sociodemographics (e.g., education, income, biological sex, age).

methodsAnalyses used data from a cluster randomized trial that had enrolled 188 patients, all of whom had provided baseline data on sociodemographics and severity of opioid use, across eight opioid treatment programs. Data collectors re-contacted participants between May and June 2020 and 133 (71% response rate) agreed to complete a survey about access to harm reduction services.

resultsTwenty-six respondents (20%) identified as from racial/ethnic minority groups (predominantly Black, Hispanic, and/or biracial). Between 7% and 27% of respondents reported disrupted access to harm reduction services. Logistic regressions indicated that persons identifying as from racial/ethnic minority groups were 8-10 times more likely than persons identifying as non-Hispanic White to report reduced access to naloxone and sterile syringes (p < .01), even when accounting for potential confounding variables.

conclusionsThis report concludes with a discussion of potential outreach strategies and policies to advance more equitable access to essential harm reduction services.

Indexed as

COVID-19Opioid-Related DisordersEthnic and Racial MinoritiesEthnicityHarm ReductionHealth InequitiesHumansMinority GroupsPandemicsSARS-CoV-2United StatesCOVID-19DisparitiesHarm reductionInequityOpioids

Identifiers

PMID34742607
PMCPMC8566093
OpenAlexW3211288263

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.