2025
Rural providers’ attitudes toward integrating harm reduction strategies and PrEP prescribing into rural primary care settings in the US. Southeast and Midwest
Marotta P, Biaid M, Heimer R, Humphries D, Wang K, Narayanan N, Lynch Z, McKay V, Reno H, Winograd R, Goddard-Eckrich D, Filiatreau L, Stringer K, Backes K, Cavazos-Rehg P. Rural providers’ attitudes toward integrating harm reduction strategies and PrEP prescribing into rural primary care settings in the US. Southeast and Midwest. Addiction Science & Clinical Practice 2025, 20: 73. PMID: 40940646, PMCID: PMC12427098, DOI: 10.1186/s13722-025-00584-9.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelBuprenorphineFemaleHarm ReductionHIV InfectionsHumansMaleMethadoneMiddle AgedMidwestern United StatesNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPractice Patterns, Physicians'Pre-Exposure ProphylaxisPrimary Health CareRural Health ServicesSoutheastern United StatesUnited StatesConceptsPrimary health care providersRural primary care settingsPrimary care settingPrimary careProvider attitudesHarm reduction servicesHarm reduction strategiesOpioid use disorderPrEP prescribingCare providersCare settingsHealth centersPast-yearReduction servicesHarm reductionFederally Qualified Health CentersHarms of drug usePrimary care providersQualified health centersRural health clinicsSample of providersHealth care providersComprehensive harm reductionSouth and MidwestSyringe exchange
2024
W48 The Development of a Conceptual Model to Assess Intersectional Stigma’s Role in Shaping Rural Primary Care Providers’ Decisions to Implement Harm Reduction, Buprenorphine, and HIV Prevention
Marotta P, Backes K, Baied M, Filiatreau L, Winograd R, Reno H, Wang K, Heimer R, McDannold C, Cavazos P. W48 The Development of a Conceptual Model to Assess Intersectional Stigma’s Role in Shaping Rural Primary Care Providers’ Decisions to Implement Harm Reduction, Buprenorphine, and HIV Prevention. Drug And Alcohol Dependence 2024, 260: 110666. DOI: 10.1016/j.drugalcdep.2023.110666.Peer-Reviewed Original ResearchUsing qualitative system dynamics modeling to understand overdose bystander behavior in the context of Connecticut’s Good Samaritan Laws and identify effective policy options
Thompson R, Sabounchi N, Ali S, Heimer R, D’Onofrio G, Heckmann R. Using qualitative system dynamics modeling to understand overdose bystander behavior in the context of Connecticut’s Good Samaritan Laws and identify effective policy options. Harm Reduction Journal 2024, 21: 124. PMID: 38937759, PMCID: PMC11210010, DOI: 10.1186/s12954-024-00990-3.Peer-Reviewed Original ResearchConceptsSamaritan lawsGood Samaritan lawsBystander behaviorGroup model buildingFear of legal consequencesKnowledge of protectionResponses to opioid overdosesCriminal liabilityDrug arrestsLegal consequencesLaw enforcementNaloxone useLawStakeholder-engaged processOpioid overdoseHealth care providersFatal opioid overdoseSustainable system changeOpioid-related outcomesBystander experiencesSamaritanCare providersHarm reductionPotential bystandersPolicy determination
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