Adams L Sibley
Biographic Data
| ID | 379080 |
|---|---|
| NAME | Adams L Sibley |
| GIVEN NAMES | Adams L |
| FAMILY NAME | Sibley |
| SIGNATURE | SIBLEY A L |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| ORCID | 0000-0001-5073-8677 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Beyond Overdose
BACKGROUND: With increasing polydrug overdose deaths, public health messaging has centered around overdose prevention. However, it is important to contextualize overdose risk through the lived experience of people who use drugs (PWUD) and challenge the assumption that overdose is their primary salient risk. PWUD navigate multiple competing risk priorities daily and will adjust their behaviors in response to risks they prioritize. OBJECTIVES: Cond…
Patterns of Felt Stigma Among Rural-Dwelling People Who Use Drugs
BACKGROUND: Stigma is a barrier to help-seeking in rural-dwelling people who use drugs. However, little is known about whether stigma is experienced in patterned ways, and what characteristics are associated with these patterns. METHODS: = 3048). We used three-step latent class analysis to classify participants by patterns of felt substance use stigma, then used multinomial logistic regression to explore demographic, health, and substance-related…
The Habitus of Care
BACKGROUND: People who use drugs represent a significant yet underrecognized frontline against overdose fatality. While overdose education and naloxone distribution programs provide basic training, little is known about how expertise develops through repeated real-world encounters with overdose. METHODS: We conducted semi-structured interviews with 74 people who had administered naloxone within the past year, recruited through harm reduction prog…
Emergence of Medetomidine in the Unregulated Drug Supply and Its Association With Hallucinogenic Effects
A brick to a bundle
Findings suggest that people who use drugs are adapting consumption patterns and adopting harm reduction practices as coping responses to xylazine's adverse effects. Unlike previous major opioid market transitions that primarily differed in pharmacokinetics, xylazine introduces new risks while replacing desired psychoactive effects with undesirable ones. The widespread dissatisfaction with xylazine represents a unique opportunity to expand harm r…
Prevalence and correlates of multiple injections per injection episode among people who inject drugs in rural U.S. communities
Mapping the lived experience of rural substance use stigma
Prevalence of hepatitis coinfection and substance use among antiretroviral therapy clinic clients with hazardous alcohol use in Vietnam
The confluence of injection drug use (IDU), alcohol consumption, and viral hepatitis increases morbidity among persons living with HIV (PWH). We present a secondary analysis of a randomized controlled trial of alcohol reduction interventions in Thai Nguyen, Vietnam conducted between 2016–2018. We assessed hepatitis B (HBV) and hepatitis C (HCV) coinfection among PWH reporting hazardous alcohol consumption and examined differences in IDU and alcoh…
I am not a junkie”
I would do anything but that”
We identified several patterns by which people who use drugs evaluate community members who sell sex. These included gendered and morally-charged forms of stigma, which may represent barriers to community acceptance and support among this subgroup
“Now We Are Seeing the Tides Wash In”
Background: Ohio’s opioid epidemic continues to progress, severely affecting its rural Appalachian counties—areas marked by high mortality rates, widespread economic challenges, and a history of extreme opioid overprescribing. Substance use may be particularly prevalent in the region due to interactions between community and interpersonal trauma. Purpose/Objectives: We conducted qualitative interviews to explore the local context of the epidemic …
“I Was Raised in Addiction”
The aim of this article is to address how conceptualizations of addiction shape the lived experiences of people who use drugs (PWUDs) during the current opioid epidemic. Using a discourse analytic approach, we examine interview transcripts from 27 PWUDs in rural Appalachian Ohio. We investigate the ways in which participants talk about their substance use, what these linguistic choices reveal about their conceptions of self and other PWUDs, and h…
You are not clean until you're not on anything”
No prominent works on this page.
“I Was Raised in Addiction”
The aim of this article is to address how conceptualizations of addiction shape the lived experiences of people who use drugs (PWUDs) during the current opioid epidemic. Using a discourse analytic approach, we examine interview transcripts from 27 PWUDs in rural Appalachian Ohio. We investigate the ways in which participants talk about their substance use, what these linguistic choices reveal about their conceptions of self and other PWUDs, and h…
You are not clean until you're not on anything”
“Now We Are Seeing the Tides Wash In”
Background: Ohio’s opioid epidemic continues to progress, severely affecting its rural Appalachian counties—areas marked by high mortality rates, widespread economic challenges, and a history of extreme opioid overprescribing. Substance use may be particularly prevalent in the region due to interactions between community and interpersonal trauma. Purpose/Objectives: We conducted qualitative interviews to explore the local context of the epidemic …
I am not a junkie”
I would do anything but that”
We identified several patterns by which people who use drugs evaluate community members who sell sex. These included gendered and morally-charged forms of stigma, which may represent barriers to community acceptance and support among this subgroup
Prevalence of hepatitis coinfection and substance use among antiretroviral therapy clinic clients with hazardous alcohol use in Vietnam
The confluence of injection drug use (IDU), alcohol consumption, and viral hepatitis increases morbidity among persons living with HIV (PWH). We present a secondary analysis of a randomized controlled trial of alcohol reduction interventions in Thai Nguyen, Vietnam conducted between 2016–2018. We assessed hepatitis B (HBV) and hepatitis C (HCV) coinfection among PWH reporting hazardous alcohol consumption and examined differences in IDU and alcoh…
Emergence of Medetomidine in the Unregulated Drug Supply and Its Association With Hallucinogenic Effects
A brick to a bundle
Findings suggest that people who use drugs are adapting consumption patterns and adopting harm reduction practices as coping responses to xylazine's adverse effects. Unlike previous major opioid market transitions that primarily differed in pharmacokinetics, xylazine introduces new risks while replacing desired psychoactive effects with undesirable ones. The widespread dissatisfaction with xylazine represents a unique opportunity to expand harm r…
Prevalence and correlates of multiple injections per injection episode among people who inject drugs in rural U.S. communities
Mapping the lived experience of rural substance use stigma
Beyond Overdose
BACKGROUND: With increasing polydrug overdose deaths, public health messaging has centered around overdose prevention. However, it is important to contextualize overdose risk through the lived experience of people who use drugs (PWUD) and challenge the assumption that overdose is their primary salient risk. PWUD navigate multiple competing risk priorities daily and will adjust their behaviors in response to risks they prioritize. OBJECTIVES: Cond…
Patterns of Felt Stigma Among Rural-Dwelling People Who Use Drugs
BACKGROUND: Stigma is a barrier to help-seeking in rural-dwelling people who use drugs. However, little is known about whether stigma is experienced in patterned ways, and what characteristics are associated with these patterns. METHODS: = 3048). We used three-step latent class analysis to classify participants by patterns of felt substance use stigma, then used multinomial logistic regression to explore demographic, health, and substance-related…
The Habitus of Care
BACKGROUND: People who use drugs represent a significant yet underrecognized frontline against overdose fatality. While overdose education and naloxone distribution programs provide basic training, little is known about how expertise develops through repeated real-world encounters with overdose. METHODS: We conducted semi-structured interviews with 74 people who had administered naloxone within the past year, recruited through harm reduction prog…
HIV, Drug Use, Sexual Risk (10 works) · Psychology (8 works) · Medicine (6 works) · Psychiatry (6 works) · Opioid Use Disorder Treatment (5 works) · Social Psychology (5 works) · Sociology (5 works) · Substance Abuse Treatment and Outcomes (5 works) · Geography (3 works) · Harm reduction (3 works)