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  1. Article ; Online: Overdose deaths involving synthetic opioids: Racial/ethnic and educational disparities in the eastern and western US.

    Cano, Manuel / Mendoza, Natasha / Ignacio, Matt / Rahman, Abir / Daniulaityte, Raminta

    Drug and alcohol dependence

    2023  Volume 251, Page(s) 110955

    Abstract: Background: This study examined racial/ethnic and educational disparities in US synthetic opioid overdose mortality East and West of the Mississippi River.: Methods: Using restricted-access 2018-2021 mortality data from the Centers for Disease ... ...

    Abstract Background: This study examined racial/ethnic and educational disparities in US synthetic opioid overdose mortality East and West of the Mississippi River.
    Methods: Using restricted-access 2018-2021 mortality data from the Centers for Disease Control and Prevention and population estimates from the American Community Survey, age-standardized rate ratios (SRRs) and 95% Confidence Intervals (CIs) were used to compare rates of synthetic opioid mortality by race/ethnicity and educational attainment level in the regions East and West of the Mississippi River.
    Results: Racial/ethnic disparities in synthetic opioid mortality rates, relative to the Non-Hispanic (NH) White population, were observed in the NH Black (SRR, 1.5 [95% CI, 1.5-1.6]) and NH American Indian/Alaska Native (SRR, 2.1 [95% CI, 1.9-2.2]) populations in the West, and the Puerto Rican (SRR, 1.3 [95% CI, 1.3-1.3]) and NH American Indian/Alaska Native (SRR, 1.5 [95% CI, 1.4-1.6]) populations in the East. Relative to those with a Bachelor's degree or higher: in the West, the synthetic opioid mortality rate was more than seven times as high for those with a high school diploma only (SRR 7.7 [95% CI, 7.4-8.0]), and in the East, approximately thirteen times as high for those with a high school diploma only (SRR, 13.0 [95% CI, 12.7-13.3]) or less than a high school diploma (SRR, 13.3 [95% CI, 13.0-13.7]).
    Conclusion: Disparities in rates of synthetic opioid mortality differ in the eastern and western US, supporting tailored responses within each region.
    MeSH term(s) Humans ; Analgesics, Opioid/poisoning ; Drug Overdose/epidemiology ; Drug Overdose/ethnology ; Drug Overdose/mortality ; Educational Status ; Ethnicity ; Hispanic or Latino/statistics & numerical data ; United States/epidemiology ; White/statistics & numerical data ; Black or African American/statistics & numerical data ; American Indian or Alaska Native/statistics & numerical data
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2023-09-04
    Publishing country Ireland
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 519918-9
    ISSN 1879-0046 ; 0376-8716
    ISSN (online) 1879-0046
    ISSN 0376-8716
    DOI 10.1016/j.drugalcdep.2023.110955
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1310: Show issues Location:
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  2. Article ; Online: Assessing alcohol and other drug prevention needs among Indigenous youth ages 13-17: Developing a culturally grounded Indigenous youth harm reduction intervention.

    Ignacio, Matt / Sense-Wilson, Sarah / Lucero, Danielle / Crowder, Rana / Lee, Jane J / Gavin, Amelia R / Mitchell, Felicia M / Spencer, Mike

    Journal of ethnicity in substance abuse

    2022  , Page(s) 1–20

    Abstract: Perceptions of alcohol and other drug (AOD) use, harm reduction, and culture were examined among 10 U.S. Indigenous youth 13-17 years of age. Key findings were contextualized within the four constructs of Indigenous relationality: (a) youth understand ... ...

    Abstract Perceptions of alcohol and other drug (AOD) use, harm reduction, and culture were examined among 10 U.S. Indigenous youth 13-17 years of age. Key findings were contextualized within the four constructs of Indigenous relationality: (a) youth understand the harms of AOD use (people); (b) youth appreciate non-abstinence-based education (ideas); (c) youth need safe spaces to talk about the impacts of AOD use (place); and (d) youth desire to help prevent AOD harms for themselves and others (cosmos). Findings from this community-based participatory study serve as the theoretical foundation to support the development of an Indigenous youth harm reduction intervention to prevent AOD use and related harms among urban Indigenous youth in the Pacific Northwest.
    Language English
    Publishing date 2022-09-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2052900-4
    ISSN 1533-2659 ; 1533-2640
    ISSN (online) 1533-2659
    ISSN 1533-2640
    DOI 10.1080/15332640.2022.2123877
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5465: Show issues Location:
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  3. Article ; Online: Community Engagement Alliance (CEAL) Against COVID-19 Disparities: Academic-community partnership to support workforce capacity building among Arizona community health workers.

    Jiménez, Dulce J / Gomez, Omar / Meraz, Ruby / Pollitt, Amanda M / Evans, Linnea / Lee, Naomi / Ignacio, Matt / Garcia, Katherine / Redondo, Richard / Redondo, Floribella / Williamson, Heather J / Oesterle, Sabrina / Parthasarathy, Sairam / Sabo, Samantha

    Frontiers in public health

    2023  Volume 11, Page(s) 1072808

    Abstract: The COVID-19 pandemic has both highlighted and worsened existing health inequities among communities of color and structurally vulnerable populations. Community Health Workers, inclusive of Community Health Representatives (CHW/Rs) have entered the ... ...

    Abstract The COVID-19 pandemic has both highlighted and worsened existing health inequities among communities of color and structurally vulnerable populations. Community Health Workers, inclusive of Community Health Representatives (CHW/Rs) have entered the spotlight as essential to COVID-19 prevention and control. To learn about community experiences and perspectives related to COVID-19 and inform CHW/R workforce capacity building efforts, a series of focus groups were conducted with CHW/Rs throughout Arizona at two time points in 2021. Throughout the data collection and analysis process, researchers and community partners engaged in ongoing and open dialogue about what CHW/Rs on the ground were reporting as priority community concerns, needs, and challenges. Thus, CHW/Rs informed the development of culturally and linguistically relevant health education messages, materials, and training for CHW/Rs. In this community case study, we detail the efforts of partnership between a statewide CHW professional association and an academic research team that facilitated rapid decision-making and knowledge sharing to create community-grounded tools and resources supportive of CHW/R workforce capacity building in the context of the COVID-19 pandemic.
    MeSH term(s) Humans ; COVID-19 ; Community Health Workers ; Capacity Building ; Arizona ; Pandemics ; Workforce
    Language English
    Publishing date 2023-02-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1072808
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Narratives from African American/Black, American Indian/Alaska Native, and Hispanic/Latinx community members in Arizona to enhance COVID-19 vaccine and vaccination uptake.

    Ignacio, Matt / Oesterle, Sabrina / Mercado, Micaela / Carver, Ann / Lopez, Gilberto / Wolfersteig, Wendy / Ayers, Stephanie / Ki, Seol / Hamm, Kathryn / Parthasarathy, Sairam / Berryhill, Adam / Evans, Linnea / Sabo, Samantha / Doubeni, Chyke

    Journal of behavioral medicine

    2022  Volume 46, Issue 1-2, Page(s) 140–152

    Abstract: The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska ... ...

    Abstract The state of Arizona has experienced one of the highest novel coronavirus disease 2019 (COVID-19) positivity test rates in the United States with disproportionally higher case rates and deaths among African-American/Black (AA/B), American Indian/Alaska Native (Native), and Hispanic/Latinx (HLX) individuals. To reduce disparities and promote health equity, researchers from Arizona State University, Mayo Clinic in Arizona, Northern Arizona University, and the University of Arizona formed a partnership with community organizations to conduct state-wide community-engaged research and outreach. This report describes results from 34 virtually-held focus groups and supplemental survey responses conducted with 153 AA/B, HLX, and Native community members across Arizona to understand factors associated with COVID-19 vaccine hesitancy and confidence. Focus groups revealed common themes of vaccine hesitancy stemming from past experiences of research abuses (e.g., Tuskegee syphilis experiment) as well as group-specific factors. Across all focus groups, participants strongly recommended the use of brief, narrative vaccination testimonials from local officials, community members, and faith leaders to increase trust in science, vaccine confidence and to promote uptake.
    MeSH term(s) Humans ; American Indian or Alaska Native ; Arizona ; Black or African American ; COVID-19/prevention & control ; COVID-19/psychology ; COVID-19 Vaccines/therapeutic use ; Health Promotion/methods ; Hispanic or Latino ; Vaccination/psychology ; Narration ; Vaccination Hesitancy/ethnology ; Vaccination Hesitancy/psychology ; Focus Groups
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-03-24
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 441827-x
    ISSN 1573-3521 ; 0160-7715
    ISSN (online) 1573-3521
    ISSN 0160-7715
    DOI 10.1007/s10865-022-00300-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1448: Show issues Location:
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  5. Article ; Online: Pilot feasibility trial of the MyPEEPS mobile app to reduce sexual risk among young men in 4 cities.

    Ignacio, Matt / Garofalo, Robert / Pearson, Cynthia / Kuhns, Lisa M / Bruce, Josh / Scott Batey, D / Radix, Asa / Belkind, Uri / Hidalgo, Marco A / Hirshfield, Sabina / Schnall, Rebecca

    JAMIA open

    2019  Volume 2, Issue 2, Page(s) 272–279

    Abstract: Objectives: Our study team adapted the MyPEEPS (Male Youth Pursuing Empowerment, Education, and Prevention around Sexuality) curriculum, an evidence-based human immunodeficiency virus (HIV) prevention intervention, from a face-to-face, group-based ... ...

    Abstract Objectives: Our study team adapted the MyPEEPS (Male Youth Pursuing Empowerment, Education, and Prevention around Sexuality) curriculum, an evidence-based human immunodeficiency virus (HIV) prevention intervention, from a face-to-face, group-based intervention to an individual-level mobile responsive web-based intervention to improve HIV risk behaviors in very young men, aged 13-18 years.
    Materials and methods: In adapting the MyPEEPS intervention to mobile app, we used a series of methodologies, including expert panel reviews, weekly team meetings with the software development company, and conducted in-depth interviews with very young men. Following the iterative process, we conducted a 6-week pre-post feasibility pilot trial with 40 young men in Birmingham, AL; Chicago, IL; New York City, NY; and Seattle, WA. Primary outcomes of interest were uptake of the app, accessibility and satisfaction.
    Results: Across all 4 sites, 62.5% (25/40) of participants completed all modules in the app in an average of 28.85 (SD 21.69) days. Participants who did not attend to the follow-up visit did not complete any of the app modules. Overall participants reported that the app was easy to use, useful and has the potential to improve their sexual health knowledge and behavior and awareness in risky contexts. Participants also highly rated the app, information and interface quality of the app.
    Discussion: Lessons learned from the pilot included the need for reminder systems and providing anticipatory guidance about Internet connectivity when using the app. These changes will be incorporated into study procedures for our multisite trial.
    Conclusion: Overall, participants found the app to be highly usable and have the potential to positively improve their sexual risk behavior.
    Language English
    Publishing date 2019-04-13
    Publishing country United States
    Document type Journal Article
    ISSN 2574-2531
    ISSN (online) 2574-2531
    DOI 10.1093/jamiaopen/ooz008
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  6. Article ; Online: Adaptation of a Group-Based HIV RISK Reduction Intervention to a Mobile App for Young Sexual Minority Men.

    Schnall, Rebecca / Kuhns, Lisa M / Hidalgo, Marco A / Powell, Dakota / Thai, Jennie / Hirshfield, Sabina / Pearson, Cynthia / Ignacio, Matt / Bruce, Josh / Batey, D Scott / Radix, Asa / Belkind, Uri / Garofalo, Robert

    AIDS education and prevention : official publication of the International Society for AIDS Education

    2019  Volume 30, Issue 6, Page(s) 449–462

    Abstract: There is a dearth of evidence-based HIV prevention interventions for very young men who have sex with men (YMSM) ages 13-18 years, at high risk for HIV. We adapted the MyPEEPS intervention-an evidence-based, group-level intervention-to individual-level ... ...

    Abstract There is a dearth of evidence-based HIV prevention interventions for very young men who have sex with men (YMSM) ages 13-18 years, at high risk for HIV. We adapted the MyPEEPS intervention-an evidence-based, group-level intervention-to individual-level delivery by a mobile application. We used an expert panel review, in-depth interviews with YMSM (n = 40), and weekly meetings with the investigative team and the software development company to develop the mobile app. The expert panel recommended changes to the intervention in the following areas: (1) biomedical interventions, (2) salience of intervention content, (3) age group relevance, (4) technical components, and (5) stigma content. Interview findings reflected current areas of focus for the intervention and recommendations of the expert panel for new content. In regular meetings with the software development firm, guiding principles included development of dynamic content, while maintaining fidelity of the original curriculum and shortening intervention content for mobile delivery.
    MeSH term(s) Adolescent ; Behavior Therapy ; HIV Infections/prevention & control ; Homosexuality, Male ; Humans ; Male ; Mobile Applications ; Risk Reduction Behavior ; Telemedicine ; Young Adult
    Language English
    Publishing date 2019-04-04
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1075448-9
    ISSN 1943-2755 ; 0899-9546
    ISSN (online) 1943-2755
    ISSN 0899-9546
    DOI 10.1521/aeap.2018.30.6.449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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