ArticleJournal of substance use and addiction treatment2026
"Another one bite the dust-It happens so much in Black neighborhoods": Structural barriers and grassroots resources among Black men who use drugs facing fentanyl-era overdose and treatment disparities.
Article in Journal of substance use and addiction treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Policy and practice recommendations for residential addiction treatment: a qualitative investigation on increasing equity in treatment for Black patients.Addiction science & clinical practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
introductionBlack men in the United States have been disproportionately impacted by fatal drug overdose since the proliferation of synthetic opioids like fentanyl. This community based participatory research study examined determinants of overdose risk and substance use treatment disparities among Black men based on their lived experience.
methodsBetween February and December 2023, we enrolled 35 Black men reporting past-30-day opioid use to complete semi-structured qualitative interviews. Interviews were analyzed by a team of academic and community-based coders with lived experience using an inductive-deductive approach to thematic analysis.
resultsSix key themes were identified. Four themes described racism-related inequities posing overdose and comorbid risks to health and social wellness: (1) social stigma and isolation, (2) pervasive exposure to deadly drugs and overdose, (3) disproportionate exposure to trauma and societal consequences, and (4) gaps in health-related services and resources. Two themes addressed grassroots strategies Black men who use drugs employ to reduce harm and maintain wellness: (5) safe practices in drug purchasing, drug use, and overdose response, and (6) positive community and social supports.
conclusionsFindings demonstrate how structural inequities like neighborhood segregation and economic deprivation interact with racial and substance use stigma, leading to daily experiences of social isolation, trauma, and fentanyl exposure for Black men. Findings extend previous research by illustrating how Black men work in and outside of systems to maintain wellness despite these vulnerabilities. Reducing the burden of overdose among Black men requires policy efforts that redress resource deprivation in Black neighborhoods and builds upon existing grassroots efforts and lived experience.
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