Evidence map›Paper›PMID 35347759›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2023

Understanding opioid use within a Southwestern American Indian Reservation Community: A qualitative study.

Emma Waugh, Jerreed Ivanich, Victoria O'Keefe, Jason Usher, Emily Haroz, Novalene Goklish, Gloria Kastler, Paul Nestadt, Mary Cwik

Abstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Understanding opioid use within a Southwestern American Indian Reservation Community: A qualitative study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023
    Article
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

9 authors.

Emma WaughDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0001-8248-3859
Jerreed IvanichCenters for American Indian & Alaska Native Health, Colorado School of Public Health at the University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-0794-4835
Victoria O'KeefeDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-0560-4316
Jason UsherDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-7489-5180
Emily HarozDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-1833-4925
Novalene GoklishDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0001-8478-4604
Gloria KastlerDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Paul NestadtDepartment of Mental Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-2479-703X
Mary CwikDepartment of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-0551-2649

Funding

Understanding the intersection between opioids and suicide through the Southwest HubU19MH113136 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CWIK, MARY · 2017 to 2023
$11.4M
SuSt-AInS: Sustainment of suicide prevention programs in American Indian SettingsK01MH116335 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAROZ, EMILY · 2018 to 2022
$733k
NIMH NIH HHS K01 MH116335NIMH NIH HHS U19 MH113136
6 · The paper itself

Abstract

purposeMorbidity and mortality due to nonprescription use of opioids has been well documented following the significant increase in the availability of prescription opioids in the early 2000s. The aim of this paper is to explore community beliefs about correlates of opioid risk, protective factors, and behavioral functions of opioid misuse among American Indian youth and young adults living on or near a reservation.

methodsQualitative in-depth interviews were conducted with N = 18 youth and young adults who were enrolled in a parent research trial focused on American Indian youth suicide prevention. Participants were eligible if they endorsed the use of opioids themselves or by close friends or family members at any point during their trial participation.

findingsMajor themes discussed include: (1) description of opioid use and those who use opioids; (2) acquisition; (3) initiation; (4) motivation to continue using; (5) consequences; and (6) possibilities for intervention. Family played an important role in the initiation of use, but was also highlighted as an important factor in treatment and recovery. A need for upstream prevention methods, including increased employment and after-school activities, was described.

conclusionsThe insights gained through this work could help to inform treatment and prevention programs in the community. This work is timely due to the pressing urgency of the opioid epidemic nationally, and community capacity to address opioid use locally.

Indexed as

Indians, North AmericanOpioid-Related DisordersAdolescentAmerican Indian or Alaska NativeAnalgesics, OpioidFamilyHumansUnited StatesYoung AdultAnalgesics, OpioidAmerican Indianopioidsqualitative

Identifiers

PMID35347759
PMCPMC9515233

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.