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  1. Buch ; Online ; E-Book: The harm reduction gap

    Vakharia, Sheila P.

    helping individuals left behind by conventional drug prevention and abstinence-only addiction treatment

    2024  

    Verfasserangabe Sheila P. Vakharia
    Schlagwörter Drug abuse/Government policy ; Drug addicts/Services for. ; Drug addiction/Treatment ; Harm reduction ; Drug legalization
    Thema/Rubrik (Code) 362.29/18
    Sprache Englisch
    Umfang 1 online resource (193 pages)
    Ausgabenhinweis First edition.
    Verlag Routledge
    Erscheinungsort New York, NY
    Dokumenttyp Buch ; Online ; E-Book
    Bemerkung Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 9781003837022 ; 9781032294735 ; 1003837026 ; 1032294736
    Datenquelle ZB MED Katalog Medizin, Gesundheit, Ernährung, Umwelt, Agrar

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  2. Artikel ; Online: How the war on drugs impacts social determinants of health beyond the criminal legal system.

    Cohen, Aliza / Vakharia, Sheila P / Netherland, Julie / Frederique, Kassandra

    Annals of medicine

    2022  Band 54, Heft 1, Seite(n) 2024–2038

    Abstract: There is a growing recognition in the fields of public health and medicine that social determinants of health (SDOH) play a key role in driving health inequities and disparities among various groups, such that a focus upon individual-level medical ... ...

    Abstract There is a growing recognition in the fields of public health and medicine that social determinants of health (SDOH) play a key role in driving health inequities and disparities among various groups, such that a focus upon individual-level medical interventions will have limited effects without the consideration of the macro-level factors that dictate how effectively individuals can manage their health. While the health impacts of mass incarceration have been explored, less attention has been paid to how the "war on drugs" in the United States exacerbates many of the factors that negatively impact health and wellbeing, disproportionately impacting low-income communities and people of colour who already experience structural challenges including discrimination, disinvestment, and racism. The U.S. war on drugs has subjected millions to criminalisation, incarceration, and lifelong criminal records, disrupting or altogether eliminating their access to adequate resources and supports to live healthy lives. This paper examines the ways that "drug war logic" has become embedded in key SDOH and systems, such as employment, education, housing, public benefits, family regulation (commonly referred to as the child welfare system), the drug treatment system, and the healthcare system. Rather than supporting the health and wellbeing of individuals, families, and communities, the U.S. drug war has exacerbated harm in these systems through practices such as drug testing, mandatory reporting, zero-tolerance policies, and coerced treatment. We argue that, because the drug war has become embedded in these systems, medical practitioners can play a significant role in promoting individual and community health by reducing the impact of criminalisation upon healthcare service provision and by becoming engaged in policy reform efforts. KEY MESSAGESA
    Mesh-Begriff(e) Child ; Criminals ; Educational Status ; Health Services Accessibility ; Humans ; Public Policy ; Social Determinants of Health ; Substance-Related Disorders ; United States
    Sprache Englisch
    Erscheinungsdatum 2022-07-19
    Erscheinungsland England
    Dokumenttyp Journal Article ; Review
    ZDB-ID 1004226-x
    ISSN 1365-2060 ; 1651-2219 ; 0785-3890 ; 1743-1387
    ISSN (online) 1365-2060 ; 1651-2219
    ISSN 0785-3890 ; 1743-1387
    DOI 10.1080/07853890.2022.2100926
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Support, don't punish: Drug decriminalization is harm reduction.

    Bratberg, Jeffrey P / Simmons, Adrienne / Arya, Vibhuti / Bhatia, Aneesha / Vakharia, Sheila P

    Journal of the American Pharmacists Association : JAPhA

    2022  Band 63, Heft 1, Seite(n) 224–229

    Abstract: Despite large investments in and policy support for harm reduction including naloxone, syringes, and medications for opioid use disorder, people who use drugs continue to experience unprecedented rates of mortality from overdose and morbidity from ... ...

    Abstract Despite large investments in and policy support for harm reduction including naloxone, syringes, and medications for opioid use disorder, people who use drugs continue to experience unprecedented rates of mortality from overdose and morbidity from infectious diseases. The criminalization of drug use has disproportionately exacerbated these drug-related harms and imposed short- and long-term burdens on already marginalized and vulnerable populations. Pharmacy professionals and students are not immune to the effects of drug criminalization, where one conviction can lead to the loss of their license, employment, or educational progress. Communities become less healthy and stagnate in punitive criminalization systems, further reducing opportunities for growth. Decriminalization of drug use and possession is an urgently needed and effective approach to drug use that shifts resources from punishment to public health, thereby reducing the negative impacts of drug use and keeping communities safe and healthy. Pharmacists play essential roles in the prevention and management of drug misuse and use disorders. As policy makers consider and implement drug decriminalization, pharmacists must actively advocate for these policies and educate community and organizational partners on the individual, professional, and community benefits of this harm reduction strategy.
    Mesh-Begriff(e) Humans ; Harm Reduction ; Naloxone/therapeutic use ; Opioid-Related Disorders/prevention & control ; Opioid-Related Disorders/drug therapy ; Drug Overdose/prevention & control ; Drug Overdose/drug therapy ; Drug Users ; Narcotic Antagonists/therapeutic use
    Chemische Substanzen Naloxone (36B82AMQ7N) ; Narcotic Antagonists
    Sprache Englisch
    Erscheinungsdatum 2022-12-20
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2118585-2
    ISSN 1544-3450 ; 1544-3191 ; 1086-5802
    ISSN (online) 1544-3450
    ISSN 1544-3191 ; 1086-5802
    DOI 10.1016/j.japh.2022.12.017
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 1042: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Artikel ; Online: Sexual Violence in the Context of Drug Use Among Young Adult Opioid Users in New York City.

    Jessell, Lauren / Mateu-Gelabert, Pedro / Guarino, Honoria / Vakharia, Sheila P / Syckes, Cassandra / Goodbody, Elizabeth / Ruggles, Kelly V / Friedman, Sam

    Journal of interpersonal violence

    2015  Band 32, Heft 19, Seite(n) 2929–2954

    Abstract: Drug and alcohol use have been associated with increased risk for sexual violence, but there is little research on sexual violence within the context of drug use among young adult opioid users. The current mixed-methods study explores young adult opioid ... ...

    Abstract Drug and alcohol use have been associated with increased risk for sexual violence, but there is little research on sexual violence within the context of drug use among young adult opioid users. The current mixed-methods study explores young adult opioid users' sexual experiences in the context of their drug use. Forty-six New York City young adults (ages 18-32) who reported lifetime nonmedical use of prescription opioids (POs) completed in-depth, semistructured interviews, and 164 (ages 18-29) who reported heroin and/or nonmedical PO use in the past 30 days completed structured assessments that inquired about their drug use and sexual behavior and included questions specific to sexual violence. Participants reported frequent incidents of sexual violence experienced both personally and by their opioid using peers. Participants described sexual violence, including sexual assault, as occurring within a context characterized by victimization of users who were unconscious as a result of substance use, implicit and explicit exchanges of sex for drugs and/or money that increased risk for sexual violence, negative sexual perceptions ascribed to drug users, and participants' own internalized stigma. Recommendations to reduce sexual violence among young adult opioid users include education for users and service providers on the risk of involvement in sexual violence within drug using contexts and efforts to challenge perceptions of acceptability regarding sexual violence.
    Mesh-Begriff(e) Adolescent ; Adult ; Female ; Humans ; Interviews as Topic ; Male ; New York City/epidemiology ; Opioid-Related Disorders/epidemiology ; Risk ; Sex Offenses/statistics & numerical data ; Socioeconomic Factors ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2015-08-03
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/0886260515596334
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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