Juliet M Flam-Ross1, Josh Lown2, Prasad Patil3, Laura F White3, Jianing Wang3, Ashley Perry4, Dennis Bailer4, Michelle McKenzie5, Anthony Thigpen6, Roxxanne Newman7, Meko Lincoln5, Tyrone Mckinney4, Dana Bernson8, Joshua A Barocas9. 1. Section of Infectious Diseases, Boston Medical Center, Boston, USA. 2. Boston College School of Social Work (BCSSW), Boston College, Boston, USA. 3. Boston University School of Public Health, Department of Biostatistics, USA. 4. Project Weber/RENEW, Providence, USA. 5. Rhode Island Hospital COBRE on Opioids and Overdose, Providence, USA. 6. Lifespan Transitions Clinic, Providence, USA. 7. Brown University School of Public Health, Providence, USA. 8. Mass Dept of Public Health, Boston, USA. 9. University of Colorado Anschutz Medical Campus, Divisions of General Internal Medicine and Infectious Diseases, Aurora, USA. Electronic address: Joshua.Barocas@CUAnschutz.edu.
Abstract
BACKGROUND: People with a history of incarceration are at high risk for opioid overdose. A variety of factors contribute to this elevated risk though our understanding of these factors is deficient. Research to identify risk and protective factors for overdose is often conducted using administrative data or researcher-derived surveys and without explicit input from people with lived experience. We aimed to understand the scope of U.S. research on factors associated with opioid overdose among previously incarcerated people. We did this by conducting a narrative review of the literature and convening expert panels of people with lived experience. We then categorized these factors using a social determinants of health framework to help contextualize our findings. METHODS: We first conducted a narrative review of the published literature. A search was performed using PubMed and APA PsycInfo. We then convened two expert panels consisting of people with lived experience and people who work with people who were previously incarcerated. Experts were asked to evaluate the literature derived factors for completeness and add factors that were not identified. Finally, we categorized factors as either intermediary or structural according to the World Health Organization's Social Determinants of Health (SDOH) Framework. RESULTS: We identified 13 papers that met our inclusion criteria for the narrative review. Within these 13 papers, we identified 22 relevant factors for their role in the relationship between overdose and people with a history of incarceration, 16 were risk factors and six were protective factors. Five of these were structural factors (three risk and two protective) and 17 were intermediary factors (13 risk and four protective). The expert panels identified 21 additional factors, 10 of which were structural (six risk and four protective) and 11 of which were intermediary (eight risk and three protective). CONCLUSION: This narrative review along with expert panels demonstrates a gap in the published literature regarding factors associated with overdose among people who were previously incarcerated. Additionally, this review highlights a substantial gap with regard to the types of factors that are typically identified. Incorporating voices of people with lived experience is crucial to our understanding of overdose in this at-risk population.
BACKGROUND: People with a history of incarceration are at high risk for opioid overdose. A variety of factors contribute to this elevated risk though our understanding of these factors is deficient. Research to identify risk and protective factors for overdose is often conducted using administrative data or researcher-derived surveys and without explicit input from people with lived experience. We aimed to understand the scope of U.S. research on factors associated with opioid overdose among previously incarcerated people. We did this by conducting a narrative review of the literature and convening expert panels of people with lived experience. We then categorized these factors using a social determinants of health framework to help contextualize our findings. METHODS: We first conducted a narrative review of the published literature. A search was performed using PubMed and APA PsycInfo. We then convened two expert panels consisting of people with lived experience and people who work with people who were previously incarcerated. Experts were asked to evaluate the literature derived factors for completeness and add factors that were not identified. Finally, we categorized factors as either intermediary or structural according to the World Health Organization's Social Determinants of Health (SDOH) Framework. RESULTS: We identified 13 papers that met our inclusion criteria for the narrative review. Within these 13 papers, we identified 22 relevant factors for their role in the relationship between overdose and people with a history of incarceration, 16 were risk factors and six were protective factors. Five of these were structural factors (three risk and two protective) and 17 were intermediary factors (13 risk and four protective). The expert panels identified 21 additional factors, 10 of which were structural (six risk and four protective) and 11 of which were intermediary (eight risk and three protective). CONCLUSION: This narrative review along with expert panels demonstrates a gap in the published literature regarding factors associated with overdose among people who were previously incarcerated. Additionally, this review highlights a substantial gap with regard to the types of factors that are typically identified. Incorporating voices of people with lived experience is crucial to our understanding of overdose in this at-risk population.
Authors: Ingrid A Binswanger; Marc F Stern; Richard A Deyo; Patrick J Heagerty; Allen Cheadle; Joann G Elmore; Thomas D Koepsell Journal: N Engl J Med Date: 2007-01-11 Impact factor: 91.245
Authors: Joshua A Barocas; Lisa Baker; Shawnika J Hull; Scott Stokes; Ryan P Westergaard Journal: Drug Alcohol Depend Date: 2015-06-24 Impact factor: 4.492
Authors: Lia N Pizzicato; Rebecca Drake; Reed Domer-Shank; Caroline C Johnson; Kendra M Viner Journal: Drug Alcohol Depend Date: 2018-06-05 Impact factor: 4.492
Authors: Sungwoo Lim; Amber Levanon Seligson; Farah M Parvez; Charles W Luther; Maushumi P Mavinkurve; Ingrid A Binswanger; Bonnie D Kerker Journal: Am J Epidemiol Date: 2012-02-13 Impact factor: 4.897
Authors: Ingrid A Binswanger; Carolyn Nowels; Karen F Corsi; Jason Glanz; Jeremy Long; Robert E Booth; John F Steiner Journal: Addict Sci Clin Pract Date: 2012-03-15
Authors: Lauren Brinkley-Rubinstein; Josie Sivaraman; David L Rosen; David H Cloud; Gary Junker; Scott Proescholdbell; Meghan E Shanahan; Shabbar I Ranapurwala Journal: JAMA Netw Open Date: 2019-10-02