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  1. Article ; Online: Racial and ethnic inequities in substance use treatment among women with opioid use disorder.

    Scheidell, Joy D / Pitre, Maya / Andraka-Christou, Barbara

    The American journal of drug and alcohol abuse

    2024  Volume 50, Issue 1, Page(s) 106–116

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Female ; Humans ; Black or African American ; Cross-Sectional Studies ; Ethnicity ; Opioid-Related Disorders/drug therapy ; United States/epidemiology ; White ; Hispanic or Latino
    Language English
    Publishing date 2024-01-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 193086-2
    ISSN 1097-9891 ; 0095-2990
    ISSN (online) 1097-9891
    ISSN 0095-2990
    DOI 10.1080/00952990.2023.2291748
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  2. Article ; Online: Miscarriage and Abortion Among Women Attending Harm Reduction Services in Philadelphia: Correlations With Individual, Interpersonal, and Structural Factors.

    Scheidell, Joy D / Ataiants, Janna / Lankenau, Stephen E

    Substance use & misuse

    2022  Volume 57, Issue 6, Page(s) 999–1006

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Abortion, Induced ; Abortion, Spontaneous/epidemiology ; Abortion, Spontaneous/psychology ; Cross-Sectional Studies ; Female ; Harm Reduction ; Humans ; Infant, Newborn ; Philadelphia/epidemiology ; Pregnancy
    Language English
    Publishing date 2022-03-11
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1310358-1
    ISSN 1532-2491 ; 1082-6084
    ISSN (online) 1532-2491
    ISSN 1082-6084
    DOI 10.1080/10826084.2022.2046100
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  3. Article ; Online: Associations Between Incarceration History and Risk of Hypertension and Hyperglycemia: Consideration of Differences among Black, Hispanic, Asian and White Subgroups.

    Engelberg, Rachel S / Scheidell, Joy D / Islam, Nadia / Thorpe, Lorna / Khan, Maria R

    Journal of general internal medicine

    2023  Volume 39, Issue 1, Page(s) 5–12

    Abstract: Background: Studies have shown that adults with a history of incarceration have elevated cardiovascular (CVD) risk. Research on racial/ethnic group differences in the association between incarceration and CVD risk factors of hypertension and ... ...

    Abstract Background: Studies have shown that adults with a history of incarceration have elevated cardiovascular (CVD) risk. Research on racial/ethnic group differences in the association between incarceration and CVD risk factors of hypertension and hyperglycemia is limited.
    Objective: To assess racial/ethnic group differences in the association between incarceration and hypertension and hyperglycemia.
    Design: We performed a secondary data analysis using the National Longitudinal Survey of Adolescent to Adult Health (Add Health). Using modified Poisson regression, we estimated the associations between lifetime history of incarceration reported during early adulthood with hypertension and hyperglycemia outcomes measured in mid-adulthood, including incident diagnosis. We evaluated whether associations varied by self-reported race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, and Asian).
    Participants: The analytic sample included 4,015 Add Health respondents who self-identified as non-Hispanic White, Non-Hispanic Black, Hispanic, and Asian, and provided incarceration history and outcome data.
    Main measures: Outcome measures included (1) hypertension (2) systolic blood pressure  ≥ 130 mmHg, and (3) hyperglycemia.
    Key results: In non-Hispanic Black and non-Hispanic White participants, there was not evidence of an association between incarceration and measured health outcomes. Among Hispanic participants, incarceration was associated with hyperglycemia (Adjusted Risk Ratio (ARR): 2.1, 95% Confidence Interval (CI): 1.1-3.7), but not with hypertension risk. Incarceration was associated with elevated systolic blood pressure (ARR: 3.1, CI: 1.2-8.5) and hypertension (ARR: 1.7, CI: 1.0-2.8, p = 0.03) among Asian participants, but not with hyperglycemia risk. Incarceration was associated with incident hypertension (ARR 2.5, CI 1.2-5.3) among Asian subgroups.
    Conclusions: Our findings add to a growing body of evidence suggesting that incarceration may be linked to chronic disease outcomes. Race/ethnic-specific results, while limited by small sample size, highlight the need for long-term studies on incarceration's influence among distinct US groups.
    MeSH term(s) Adult ; Humans ; Hyperglycemia/epidemiology ; Hypertension/epidemiology ; Incarceration ; Ethnicity ; Racial Groups
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-023-08327-9
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  4. Article ; Online: Measurement of gender equity: a clarification.

    Scheidell, Joy D

    American journal of public health

    2014  Volume 104, Issue 3, Page(s) e6

    MeSH term(s) Athletes ; Attitude ; Courtship ; Female ; Heterosexuality ; Humans ; Male ; Sex Offenses
    Language English
    Publishing date 2014-01-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2013.301779
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  5. Article ; Online: Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City.

    Scheidell, Joy D / Hoff, Lee / Khan, Maria R / Bennett, Alex S / Elliott, Luther

    Drug and alcohol dependence reports

    2022  Volume 3

    Abstract: Background: Little is known regarding relationships among parenting, engagement in harm reduction services, and overdose risk among people who use illicit opioids (PWUIO), and whether associations differ by gender.: Methods: Using baseline data from ... ...

    Abstract Background: Little is known regarding relationships among parenting, engagement in harm reduction services, and overdose risk among people who use illicit opioids (PWUIO), and whether associations differ by gender.
    Methods: Using baseline data from an ongoing study among PWUIO in New York City (
    Results: In the total sample (
    Conclusion: Childcare responsibilities may be a barrier for accessing substance use services and treatment for men and women. Further qualitative and mixed-methods research is needed to understand how to make treatment and services accessible for parents.
    Language English
    Publishing date 2022-04-15
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2772-7246
    ISSN (online) 2772-7246
    DOI 10.1016/j.dadr.2022.100054
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  6. Article ; Online: Racial/ethnic disparities in opioid overdose prevention: comparison of the naloxone care cascade in White, Latinx, and Black people who use opioids in New York City.

    Khan, Maria R / Hoff, Lee / Elliott, Luther / Scheidell, Joy D / Pamplin, John R / Townsend, Tarlise N / Irvine, Natalia M / Bennett, Alex S

    Harm reduction journal

    2023  Volume 20, Issue 1, Page(s) 24

    Abstract: Background: Drug overdose mortality is rising precipitously among Black people who use drugs. In NYC, the overdose mortality rate is now highest in Black (38.2 per 100,000) followed by the Latinx (33.6 per 100,000) and white (32.7 per 100,000) residents. ...

    Abstract Background: Drug overdose mortality is rising precipitously among Black people who use drugs. In NYC, the overdose mortality rate is now highest in Black (38.2 per 100,000) followed by the Latinx (33.6 per 100,000) and white (32.7 per 100,000) residents. Improved understanding of access to harm reduction including naloxone across racial/ethnic groups is warranted.
    Methods: Using data from an ongoing study of people who use illicit opioids in NYC (N = 575), we quantified racial/ethnic differences in the naloxone care cascade.
    Results: We observed gaps across the cascade overall in the cohort, including in naloxone training (66%), current possession (53%) daily access during using and non-using days (21%), 100% access during opioid use (20%), and complete protection (having naloxone and someone who could administer it present during 100% of opioid use events; 12%). Naloxone coverage was greater in white (training: 79%, possession: 62%, daily access: 33%, access during use: 27%, and complete protection: 13%, respectively) and Latinx (training: 67%, possession: 54%, daily access: 22%, access during use: 24%, and complete protection: 16%, respectively) versus Black (training: 59%, possession: 48%, daily access:13%, access during use: 12%, and complete protection: 8%, respectively) participants. Black participants, versus white participants, had disproportionately low odds of naloxone training (OR 0.40, 95% CI 0.22-0.72). Among participants aged 51 years or older, Black race (versus white, the referent) was strongly associated with lower levels of being trained in naloxone use (OR 0.20, 95% CI 0.07-0.63) and having 100% naloxone access during use (OR 0.34, 95% CI 0.13-0.91). Compared to white women, Black women had 0.27 times the odds of being trained in naloxone use (95% CI 0.10-0.72).
    Conclusions: There is insufficient protection by naloxone during opioid use, with disproportionately low access among Black people who use drugs, and a heightened disparity among older Black people and Black women.
    MeSH term(s) Humans ; Female ; Naloxone/therapeutic use ; Analgesics, Opioid/therapeutic use ; Opiate Overdose ; New York City ; White ; Opioid-Related Disorders ; Drug Overdose/prevention & control ; Black People ; Hispanic or Latino
    Chemical Substances Naloxone (36B82AMQ7N) ; Analgesics, Opioid
    Language English
    Publishing date 2023-02-25
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2146691-9
    ISSN 1477-7517 ; 1477-7517
    ISSN (online) 1477-7517
    ISSN 1477-7517
    DOI 10.1186/s12954-023-00736-7
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  7. Article ; Online: Evaluation of self-directed specimen collection for chlamydia and gonorrhea testing among people who use drugs.

    Scheidell, Joy D / Elliott, Luther C / Bennett, Alex S / Mahachi, Muthoni / Lapple, Dana / Nelson, Julie Ae / Hobbs, Marcia M

    International journal of STD & AIDS

    2023  Volume 35, Issue 3, Page(s) 217–227

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Female ; Humans ; Male ; Cohort Studies ; Cross-Sectional Studies ; Gonorrhea/diagnosis ; Chlamydia trachomatis ; Body Fluids
    Language English
    Publishing date 2023-11-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1018089-8
    ISSN 1758-1052 ; 0956-4624
    ISSN (online) 1758-1052
    ISSN 0956-4624
    DOI 10.1177/09564624231215859
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  8. Article ; Online: Police Harassment and Psychiatric, Sexual, and Substance Use Risk Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort.

    Feelemyer, Jonathan / Duncan, Dustin T / Akhidenor, Naomi / Mazumdar, Medha / Irvine, Natalia M / Scheidell, Joy D / Brewer, Russell A / Turpin, Rodman E / Hucks-Ortiz, Christopher / Dyer, Typhanye V / Cleland, Charles M / Mayer, Kenneth H / Khan, Maria R

    Journal of racial and ethnic health disparities

    2024  

    Abstract: Background: Black sexual minority men and Black transgender women (BSMM/BTW) experience disproportionate levels of HIV/STI-related risk factors as well as police harassment (PH). PH is linked to psychiatric risk and could play a role in substance use, ... ...

    Abstract Background: Black sexual minority men and Black transgender women (BSMM/BTW) experience disproportionate levels of HIV/STI-related risk factors as well as police harassment (PH). PH is linked to psychiatric risk and could play a role in substance use, sexual risk behavior, and HIV/STI risk.
    Methods: We used data from the HIV Prevention Trials Network 061(HPTN 061) study to examine associations between PH and HIV/STI-related outcomes. Using PH exposure measured at baseline and 6-month study visits, we examined an ordinal exposure (PH reported at both visits, PH reported at either visit, versus PH reported at neither baseline nor 6 months) and a binary exposure of persistent PH reported at both visits (yes versus no). We estimate risk ratios (RR) for associations between PH and depression, use of alcohol and methamphetamine, multiple partnerships, condomless sex, and syphilis.
    Results: Persistent PH (binary) was associated with a 20% or greater increase in the risk of depression (RR, 1.26 (1.07, 1.47)) and multiple partnerships (RR, 1.20 (1.05, 1.39)). There was evidence that ordinal PH was associated with elevated risk of alcohol use (RR, 1.17 (1.00, 1.36)); the point estimate for the association between persistent PH and alcohol use was similar but the imprecision was greater (RR, 1.16 (0.95, 1.42)).
    Conclusion: PH may influence not only mental health but also behavioral risks that contribute to HIV/STI among BSMM/BTW, highlighting the potential wide-ranging and downstream effects of PH on health. Further research is required to confirm associations and elucidate pathways through which PH may influence HIV/STI among BSMM/BTW.
    Language English
    Publishing date 2024-04-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760524-3
    ISSN 2196-8837 ; 2197-3792
    ISSN (online) 2196-8837
    ISSN 2197-3792
    DOI 10.1007/s40615-024-01909-1
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  9. Article ; Online: Naloxone protection, social support, network characteristics, and overdose experiences among a cohort of people who use illicit opioids in New York City.

    Bennett, Alex S / Scheidell, Joy / Bowles, Jeanette M / Khan, Maria / Roth, Alexis / Hoff, Lee / Marini, Christina / Elliott, Luther

    Harm reduction journal

    2022  Volume 19, Issue 1, Page(s) 20

    Abstract: Background: Despite increased availability of take-home naloxone, many people who use opioids do so in unprotected contexts, with no other person who might administer naloxone present, increasing the likelihood that an overdose will result in death. ... ...

    Abstract Background: Despite increased availability of take-home naloxone, many people who use opioids do so in unprotected contexts, with no other person who might administer naloxone present, increasing the likelihood that an overdose will result in death. Thus, there is a social nature to being "protected" from overdose mortality, which highlights the importance of identifying background factors that promote access to protective social networks among people who use opioids.
    Methods: We used respondent-driven sampling to recruit adults residing in New York City who reported recent (past 3-day) nonmedical opioid use (n = 575). Participants completed a baseline assessment that included past 30-day measures of substance use, overdose experiences, and number of "protected" opioid use events, defined as involving naloxone and the presence of another person who could administer it, as well as measures of network characteristics and social support. We used modified Poisson regression with robust variance to estimate unadjusted and adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs).
    Results: 66% of participants had ever been trained to administer naloxone, 18% had used it in the past three months, and 32% had experienced a recent overdose (past 30 days). During recent opioid use events, 64% reported never having naloxone and a person to administer present. This was more common among those: aged ≥ 50 years (PR: 1.18 (CI 1.03, 1.34); who identified as non-Hispanic Black (PR: 1.27 (CI 1.05, 1.53); experienced higher levels of stigma consciousness (PR: 1.13 (CI 1.00, 1.28); and with small social networks (< 5 persons) (APR: 1.14 (CI 0.98, 1.31). Having a recent overdose experience was associated with severe opioid use disorder (PR: 2.45 (CI 1.49, 4.04), suicidality (PR: 1.72 (CI 1.19, 2.49), depression (PR: 1.54 (CI 1.20, 1.98) and positive urinalysis result for benzodiazepines (PR: 1.56 (CI 1.23, 1.96), but not with network size.
    Conclusions: Results show considerable gaps in naloxone protection among people who use opioids, with more vulnerable and historically disadvantaged subpopulations less likely to be protected. Larger social networks of people who use opioids may be an important resource to curtail overdose mortality, but more effort is needed to harness the protective aspects of social networks.
    MeSH term(s) Adult ; Analgesics, Opioid/therapeutic use ; Drug Overdose/drug therapy ; Humans ; Middle Aged ; Naloxone/therapeutic use ; Narcotic Antagonists/therapeutic use ; New York City/epidemiology ; Opioid-Related Disorders/drug therapy ; Public Policy ; Social Networking ; Social Support
    Chemical Substances Analgesics, Opioid ; Narcotic Antagonists ; Naloxone (36B82AMQ7N)
    Language English
    Publishing date 2022-03-04
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2146691-9
    ISSN 1477-7517 ; 1477-7517
    ISSN (online) 1477-7517
    ISSN 1477-7517
    DOI 10.1186/s12954-022-00604-w
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  10. Article ; Online: Impact of Decarceration Plus Alcohol, Substance Use, and Mental Health Screening on Life Expectancies of Black Sexual Minority Men and Black Transgender Women Living With HIV in the United States: A Simulation Study Based on HPTN 061.

    Feelemyer, Jonathan / Bershteyn, Anna / Scheidell, Joy D / Brewer, Russell / Dyer, Typhanye V / Cleland, Charles M / Hucks-Ortiz, Christopher / Justice, Amy / Mayer, Ken / Grawert, Ames / Kaufman, Jay S / Braithwaite, Scott / Khan, Maria R

    Journal of acquired immune deficiency syndromes (1999)

    2023  Volume 95, Issue 3, Page(s) 283–290

    Abstract: Background: Given the disproportionate rates of incarceration and lower life expectancy (LE) among Black sexual minority men (BSMM) and Black transgender women (BTW) with HIV, we modeled the impact of decarceration and screening for psychiatric ... ...

    Abstract Background: Given the disproportionate rates of incarceration and lower life expectancy (LE) among Black sexual minority men (BSMM) and Black transgender women (BTW) with HIV, we modeled the impact of decarceration and screening for psychiatric conditions and substance use on LE of US BSMM/BTW with HIV.
    Methods: We augmented a microsimulation model previously validated to predict LE and leading causes of death in the US with estimates from the HPTN 061 cohort and the Veteran's Aging Cohort Studies. We estimated independent associations among psychiatric and substance use disorders, to simulate the influence of treatment of one condition on improvement on others. We used this augmented simulation to estimate LE for BSMM/BTW with HIV with a history of incarceration under alternative policies of decarceration (ie, reducing the fraction exposed to incarceration), screening for psychiatric conditions and substance use, or both.
    Results: Baseline LE was 61.3 years. Reducing incarceration by 25%, 33%, 50%, and 100% increased LE by 0.29, 0.31, 0.53, and 1.08 years, respectively, versus no reductions in incarceration. When reducing incarceration by 33% and implementing screening for alcohol, tobacco, substance use, and depression, in which a positive screen triggers diagnostic assessment for all psychiatric and substance use conditions and linkage to treatment, LE increased by 1.52 years compared with no screening or decarceration.
    Discussion: LE among BSMM/BTW with HIV is short compared with other people with HIV. Reducing incarceration and improving screening and treatment of psychiatric conditions and substance use could substantially increase LE in this population.
    MeSH term(s) Male ; Humans ; Female ; United States/epidemiology ; HIV Infections/complications ; HIV Infections/epidemiology ; Transgender Persons/psychology ; Mental Health ; Substance-Related Disorders/epidemiology ; Sexual and Gender Minorities ; Life Expectancy
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
    ZDB-ID 645053-2
    ISSN 1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
    ISSN (online) 1944-7884 ; 1077-9450
    ISSN 0897-5965 ; 0894-9255 ; 1525-4135
    DOI 10.1097/QAI.0000000000003354
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