Evidence map›Paper›PMID 41727581›Full record

ArticleResearch square2026

A Comparison of Opioid Overdose Risk Behaviors by Race and Ethnicity Among Overdose Survivors in Boston, MA, and San Francisco, CA.

Gabriela E Reed, Vanessa M McMahan, Yi-Shin Grace Chang, Natrina L Johnson, Alexander Y Walley, Phillip O Coffin, Miriam Th Harris

Registry-linked trialAbstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02093559 (Repeated-dose Brief Intervention to Reduce Overdose and Risk Behaviors Among Naloxone Recipients), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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.

NCT02093559 nacompletednot on this map

Repeated-dose Brief Intervention to Reduce Overdose and Risk Behaviors Among Naloxone Recipients

TypeinterventionalSponsorSan Francisco Department of Public HealthRan2014 to 2016Enrolled63ConditionsOpioid-Related Disorders, Drug OverdoseArmsBrief counseling Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Gabriela E ReedUniversity of North Carolina at Chapel Hill.
Vanessa M McMahanHarvard Medical School, Harvard Pilgrim Health Care Institute.
Yi-Shin Grace ChangSan Francisco Department of Public Health.
Natrina L JohnsonBoston University.
Alexander Y WalleyBoston University.
Phillip O CoffinSan Francisco Department of Public Health.
Miriam Th HarrisBoston University.

Funding

Advancing Clinical Research Training within Addiction Residency ProgramsR25DA033211 · NIDA · BOSTON MEDICAL CENTER · PI Patrick O'Connor, JEFFREY H. SAMET · 2012 to 2026
$4.2M
Repeated-dose behavioral intervention to reduce opioid overdose: a two-site randomized-controlled efficacy trialR01DA045690 · NIDA · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI COFFIN, PHILLIP O · 2018 to 2022
$4.0M
NIDA NIH HHS R01 DA045690NIDA NIH HHS R25 DA033211
6 · The paper itself

Abstract

Background: Black and Latine people are at high risk for opioid overdose mortality. Interventions focused on overdose risk behaviors may offer opportunities to reduce the risk of overdose, but little research has addressed racial and ethnic differences in risk behaviors. We explored differences in risk behaviors among Black, Latine, and White individuals who used opioids and had a history of prior overdose. Methods: We used data from REBOOT 2.0 (the REpeated dose Behavioral intervention to reduce Opioid Overdose Trial) based in Boston, MA, and San Francisco, CA, which enrolled people with opioid use disorder and a history of opioid overdose. We used the Andersen behavioral model to inform covariate selection for a multivariable logistic regression analysis examining associations between race/ethnicity (Black, Latine, and White) and three opioid overdose risk behaviors (using opioids alone, not using a tester dose, and using alcohol or benzodiazepines on the same day as opioids). Results: Of 247 participants, 19% were Black, 16% were Latine and 66% were White. More than 20% in each group reported each risk behavior. In unadjusted analyses, Black participants had higher odds of using alone (OR=2.17, 95% CI 1.08-4.36) but lower odds of not using a tester dose (OR=0.48, 95% CI 0.24-0.93) compared to White participants. After adjusting for age, gender and structural determinants of health (e.g., housing, incarceration, education, opioid use disorder treatment) the adjusted odds of Black participants using alone (aOR=2.05, 95% CI 0.99-4.26) and using a tester dose (aOR=0.56, 95% CI 0.28-1.13) were no longer statistically significant. Conclusions: Overdose risk behaviors were common among Black, Latine, and White overdose survivors in San Francisco and Boston. Overdose risk behaviors were not significantly different for Black or Latine compared to White overdose survivors after adjusting for age, gender, and structural determinants of health. Overdose risk reduction strategies for those at the highest risk for overdose death need to move beyond risk behavior reduction education and address structural determinants of health. Trial registration: Details found at clinicaltrials.gov, NCT02093559.

Indexed as

drug useethnicityoverdoseracerisk behaviors

Identifiers

PMID41727581
PMCPMC12919185

What OpenQuestion holds

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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.