- April 30, 2024
Amid Opioid Overdose Crisis, Yale Program in Addiction Medicine Advises State on Drug Company Settlement Spending
- February 06, 2024
Study Sheds Light on Genetic and Environmental Risk Factors for Opioid Use Disorder
- January 29, 2024Source: Axios
Mental health and addiction care falls short because it's not profitable
- January 23, 2024
Yale Emergency Physicians Pioneer Transformative Data-to-Action Infrastructure Powering Evidence-Based Care for Opioid Use Disorder
Substance Use
The use of alcohol, tobacco and other drugs has long been associated with a range of public health problems, including cancer, chronic lung and liver disease, sexually transmitted and blood-borne infections and mental health. Our school's researchers are studying emerging trends associated with vaping, legalized recreational marijuana, and the U.S. opioid crisis, which now claims about 50,000 lives annually.
The availability of illicitly produced synthetic opioids has increased dramatically since 2013, worsening the public health crisis. In response to this crisis, research at the Yale School of Public Health includes epidemiological and geospatial analyses of opioid-involved fatalities in Connecticut and elsewhere in the United States that include assessing the potential public health benefits of expanded access to naloxone. Additionally, research is being conducted assessing the role of expedited referral to medication-based treatment through harm-reduction organizations and emergency departments in treating the underlying opioid-use disorder.
Other YSPH research includes:
- Factors that may contribute to risk of non-fatal opioid overdoses
- The role of mental health, stigma and discrimination in substance use
- How to integrate behavioral health care for substance use problems into primary care
- Strategies for limiting the harms of substance use, and more foundational studies of the causes or impacts of inadequately treated substance use or mental illness
- Using behavioral health economics to develop programs to promote risk-reduction behaviors
- Potential eHealth applications as effective tools for treating tobacco- and substance-use disorders
- The economics of substance abuse including lost productivity, cost-effectiveness of treatments, social costs and policy, and drivers behind key disparities
- The role of substance use in co-morbidities such as cancer and HIV
- Tobacco and e-cigarette control
- The impact of the COVID-19 pandemic on prevention for, treatment of, and individual and community harms associated with substance use disorders
Recent Publications
2024
- Identification of hepatic steatosis among persons with and without HIV using natural language processing.Torgersen J, Skanderson M, Kidwai-Khan F, Carbonari DM, Tate JP, Park LS, Bhattacharya D, Lim JK, Taddei TH, Justice AC, Lo Re V 3rd. Hepatol Commun. 2024 Jul 1; 2024 Jun 19. PMID: 38896066.
- Kratom addiction per DSM-5 SUD criteria, and kratom physical dependence: Insights from dosing amount versus frequency.Rogers JM, Weiss ST, Epstein DH, Grundmann O, Hill K, Smith KE. Drug Alcohol Depend. 2024 Jul 1; 2024 May 20. PMID: 38788532.
- In Support of Overdose Prevention Centers: Position Statement of AMERSA, Inc (Association for Multidisciplinary Education and Research in Substance Use and Addiction).Dunham K, Hill K, Kazal H, Butner JL, Hull I, Sue K, Li L, Doneski K, Dinges B, Rife-Pennington T, Kung S, Thakarar K. Subst Use Addctn J. 2024 Jul; 2024 May 15. PMID: 38747578.
- Assessing Direct and Spillover Effects of Intervention Packages in Network-randomized Studies.Buchanan AL, Hernández-Ramírez RU, Lok JJ, Vermund SH, Friedman SR, Forastiere L, Spiegelman D. Epidemiology. 2024 Jul 1; 2024 May 6. PMID: 38709023.
- Using qualitative system dynamics modeling to understand overdose bystander behavior in the context of Connecticut's Good Samaritan Laws and identify effective policy options.Thompson RL, Sabounchi NS, Ali SS, Heimer R, D'Onofrio G, Heckmann R. Harm Reduct J. 2024 Jun 27; 2024 Jun 27. PMID: 38937759.
- "Speak from a place of love": The family dynamics surrounding Black father-daughter sexual health communication.Kachingwe ON, Reynolds KD, Blakely L, Stoebenau K, Aparicio EM. J Adolesc. 2024 Jun 17; 2024 Jun 17. PMID: 38886265.
- Polypharmacy Is Associated With Slow Gait Speed and Recurrent Falls in Older People With HIV.Kosana P, Wu K, Tassiopoulos K, Letendre S, Ma Q, Paul R, Ellis R, Erlandson KM, Farhadian SF. Clin Infect Dis. 2024 Jun 14. PMID: 38147306.
- Noncommunicable disease risk behaviors and protective factors among children in Samoa: Retrospective trend analysis of global school-based health surveys in 2011 and 2017.Choy CC, Simi S, Soti-Ulberg C, Naseri T, Salinas YD, Hawley NL. PLOS Glob Public Health. 2024; 2024 Jun 11. PMID: 38861507.
- Buprenorphine-naloxone vs. extended-release naltrexone for opioid use disorder in individuals with and without criminal legal involvement: A secondary analysis of the X:BOT randomized controlled trial.Balter DR, Puglisi LB, Dziura J, Fiellin DA, Howell BA. J Subst Use Addict Treat. 2024 Jun 8; 2024 Jun 8. PMID: 38857827.
- Trends in the Prescribing of Buprenorphine for Opioid Use Disorder, 2019-2023.Savitz ST, Stevens MA, Nath B, D'Onofrio G, Melnick ER, Jeffery MM. Mayo Clin Proc Innov Qual Outcomes. 2024 Jun; 2024 May 24. PMID: 38841599.
- Perspectives regarding cannabis use: Results from a qualitative study of individuals engaged in substance use treatment in Georgia and Connecticut.Warnock CA, Ondrusek AR, Edelman EJ, Kershaw T, Muilenburg JL. Drug Alcohol Depend Rep. 2024 Jun; 2024 Mar 24. PMID: 38585142.
- Prevalence and correlates of alcohol use among the elderly in the Eastern Caribbean Health Outcomes Research Network (ECHORN) cohort study.Ransome Y, Martinez-Brockman JL, Galusha D, Thompson TA, Adams OP, Nazario CM, Nunez M, Nunez-Smith M, Maharaj RG. Addict Behav. 2024 Jun; 2024 Mar 1. PMID: 38447411.
- The MATE Act: Progress for substance use education, but is checking a box enough?Morford KL, Tetrault JM, Fiellin DA. J Gen Intern Med. 2024 Jun; 2024 Feb 2. PMID: 38308156.
- Self-injurious unnatural death among Veterans with HIV: a nested case-control study.Smith AC, Goulet JL, Vlahov D, Justice AC, Womack JA. AIDS. 2024 May 29; 2024 May 29. PMID: 38814683.
- Predictors of unsuccessful tuberculosis treatment outcomes in Brazil: an analysis of 259,484 patient records.Ryuk DK, Pelissari DM, Alves K, Oliveira PB, Castro MC, Cohen T, Sanchez M, Menzies NA. BMC Infect Dis. 2024 May 27; 2024 May 27. PMID: 38802744.
- Substance Use in Humanitarian Settings: A Case from Yemen.Saleh EA, Wazaify M, Khoshnood K. Subst Abuse Treat Prev Policy. 2024 May 24; 2024 May 24. PMID: 38789984.
- Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning.Reed DE 2nd, Fischer IC, Williams RM, Na PJ, Pietrzak RH. J Gen Intern Med. 2024 May 23; 2024 May 23. PMID: 38780882.
- Prescription Opioid Dose Change Prior to Fatal Opioid-Detected Overdose.Kazemitabar M, Howell BA, Becker WC, Lin HJ, Grau LE, Heimer R, D'Onofrio G, Hawk K, Fiellin DA, Black AC. J Stud Alcohol Drugs. 2024 May 22; 2024 May 22. PMID: 38775307.
- Impact of COVID-19 on women living with HIV who are survivors of intimate partner violence.Zhang X, Price CR, Pope AS, Sullivan TP, Meyer JP. BMC Public Health. 2024 May 20; 2024 May 20. PMID: 38769576.
- A Qualitative Exploration on Risk and Protective Factors of Substance Use Among Black Adolescent Girls.Opara I, Brooks-Stephens JR, Aneni K, Asabor EN, Weerakoon SM, Duran-Becerra B. J Clin Child Adolesc Psychol. 2024 May 15; 2024 May 15. PMID: 38748661.
- An mHealth Intervention for Gay and Bisexual Men's Mental, Behavioral, and Sexual Health in a High-Stigma, Low-Resource Context (Project Comunică): Protocol for a Randomized Controlled Trial.Leluțiu-Weinberger C, Filimon ML, Hoover D, Lixandru M, Hanu L, Dogaru B, Kovacs T, Fierbințeanu C, Ionescu F, Manu M, Mariș A, Pană E, Dorobănțescu C, Streinu-Cercel A, Pachankis JE. JMIR Res Protoc. 2024 May 6; 2024 May 6. PMID: 38709550.
- O le tagata ma lona aiga, o le tagata ma lona fa'asinomaga (Every person belongs to a family and every family belongs to a person): Development of a parenting framework for adolescent mental wellbeing in American Samoa.Mew EJ, Hunt L, Toelupe RLM, Blas V, Winschel J, Naseri J, Soliai-Lemusu S, Tofaeono JF, Seui MA, Ledoux-Sunia T, Sunia F, Reid A, Helsham D, Lowe SR, Poulin R, Hawley NL, McCutchan-Tofaeono J. Child Youth Serv Rev. 2024 May; 2024 Mar 5. PMID: 38946713.
- U.S. Women with Invasive Cervical Cancer: Characteristics and Potential Barriers to Prevention.Rosenblum HG, Gargano JW, Cleveland AA, Dahl RM, Park IU, Whitney E, Castilho JL, Sackey E, Niccolai LM, Brackney M, Debess E, Ehlers S, Bennett NM, Kurtz R, Unger ER, Markowitz LE. J Womens Health (Larchmt). 2024 May; 2024 Apr 12. PMID: 38608239.
- A qualitative study on perceptions and experiences of overdose among people who smoke drugs in Vancouver, British Columbia.Ivsins A, Bonn M, McNeil R, Boyd J, Kerr T. Drug Alcohol Depend. 2024 May 1; 2024 Mar 29. PMID: 38581922.
- Alcohol-Related Care Among Veterans With Unhealthy Alcohol Use: The Role of Long-Term Opioid Therapy Receipt.Joudrey PJ, Wang M, DeRycke E, Williams EC, Edelman EJ. J Addict Med. 2024 May-Jun 01; 2024 Mar 27. PMID: 38533996.
Centers and other resources
- Center for Interdisciplinary Research on AIDS (CIRA)CIRA provides HIV-related resources, skills, services, training, and professional networking opportunities to HIV researchers and practitioners who can contribute to advances in HIV prevention and treatment.
- The Substance Abuse and Sexual Health Lab (SASH)SASH lab focuses on conducting and disseminating strengths-based youth substance use and HIV prevention research.