Gary A Zarkin
Biographic Data
| ID | 5536975 |
|---|---|
| NAME | Gary A Zarkin |
| GIVEN NAMES | Gary A |
| FAMILY NAME | Zarkin |
| SIGNATURE | ZARKIN G A |
| AFFILIATIONS | RTI International |
| ORCID | 0000-0003-3331-0788 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 13 |
| WORKS AS AUTHOR | 18 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Overdose education and naloxone distribution in jails
BACKGROUND: Opioid-related overdose is the leading cause of mortality among individuals recently released from incarceration in the U.S. Naloxone is an FDA-approved opioid antagonist medication designed to rapidly reverse opioid overdose. Despite evidence of its acceptability and effectiveness at reducing the risk of opioid overdose death after release from incarceration, only an estimated 25% of US jails provide naloxone upon release. This study…
The effectiveness of the communities that Heal intervention on reducing non-fatal opioid overdoses
Effect of the Communities That Heal Intervention on Overdose Education and Naloxone Distribution
Objectives. To determine whether the Communities That HEAL (CTH) intervention is effective in increasing naloxone distribution compared with usual care. Methods. The HEALing (Helping to End Addiction Long-Term) Communities Study (HCS) is a cluster-randomized, parallel-arm, wait-list controlled implementation science trial testing the impact of the CTH intervention on increasing the use of evidence-based practices to lower opioid-related overdose …
Cost and Cost Savings of Navigation Services to Avoid Rehospitalization for a Comorbid Substance Use Disorder Population
BACKGROUND: A randomized clinical trial found that patient navigation for hospital patients with comorbid substance use disorders (SUDs) reduced emergency department (ED) and inpatient hospital utilization compared with treatment-as-usual. OBJECTIVE: To compare the cost and calculate any cost savings from the Navigation Services to Avoid Rehospitalization (NavSTAR) intervention over treatment-as-usual. RESEARCH DESIGN: This study calculates activ…
Cost and Cost-Effectiveness of Incentives for Viral Suppression in People Living with HIV
How simulation modeling can support the public health response to the opioid crisis in North America
Consumers’ Preferences for Electronic Nicotine Delivery System Product Features
To inform potential governmental regulations, we aimed to develop a list of electronic nicotine delivery system (ENDS) product features important to U.S. consumers by age and gender. We employed qualitative data methods. Participants were eligible if they had used an ENDS at least once. Groups were selected by age and gender (young adult group aged 18-25, n = 11; middle-age group aged 26-64, n = 9; and women's group aged 26-64, n = 9). We conduct…
The Impact of a Mandated Trauma Center Alcohol Intervention on Readmission and Cost per Readmission in Arizona
BACKGROUND: Persons appearing in trauma centers have a higher prevalence of unhealthy alcohol use than the general population. Screening and brief intervention (SBI) is designed to moderate drinking levels and avoid costly future readmissions, but few studies have examined the impact of SBI on hospital readmissions and health care costs in a trauma population. RESEARCH DESIGN: This study uses comparative interrupted time-series and the Arizona St…
Revisiting the Cost-Effectiveness of the Combine Study for Alcohol Dependent Patients
OBJECTIVE: Most cost and cost-effectiveness studies of substance abuse treatments focus on the costs to the provider/payer. Although this perspective is important, the costs incurred by patients should also be considered when evaluating treatment. This article presents estimates of patients' costs associated with the Combined Pharmacotherapies and Behavioral Interventions (COMBINE) alcohol treatments and evaluates the treatments' cost-effectivene…
The Effect of Alcohol Treatment on Social Costs of Alcohol Dependence
BACKGROUND: The COMBINE (combined pharmacotherapies and behavioral intervention) clinical trial recently evaluated the efficacy of pharmacotherapies, behavioral therapies, and their combinations for the treatment of alcohol dependence. Previously, the cost and cost-effectiveness of COMBINE have been studied. Policy makers, patients, and nonalcohol-dependent individuals may be concerned not only with alcohol treatment costs but also with the effec…
The Effect of Screening and Brief Intervention for Risky Drinking on Health Care Utilization in Managed Care Organizations
OBJECTIVE: We sought to estimate the effect of screening and brief intervention (SBI) for risky alcohol use on the health care utilization of risky drinkers in 4 managed care organizations. RESEARCH DESIGN: A quasi-experimental group design was implemented in which 12 participating primary care clinics randomly were assigned to 1 of 3 study conditions. In one condition, physicians, physician assistants, and nurse practitioners delivered the brief…
Aiding troubled employees
OBJECTIVES: Employee assistance programs (EAPs) are job-based programs designed to identify and assist troubled employees. This study determines the prevalence, cost, and characteristics of these programs in the United States by worksite size, industry, and census region. METHODS: A stratified national probability sample of more than 6400 private, nonagricultural US worksites with 50 or more full-time employees was contacted with a computer-assis…
Potential health benefits of nutrition label changes
OBJECTIVES. The Nutrition Labeling and Education Act of 1990 mandates the Food and Drug Administration to promulgate changes in nutrition labeling regulations. This study investigates the potential health benefits associated with expected changes in food consumption resulting from the act. METHODS. This paper provides four estimates of the potential health benefits from the dietary changes expected to occur as a result of the 1990 act. The upper …
Posterior Probabilities of the Independence Axiom With Nonexperimental Data (or Buckle Up and Fan Out)
This article addresses the issues associated with the construction of posterior probabilities for violation of the independence axiom of expected utility from nonexperimental data. To illustrate the methodology of analyzing nonexperimental evidence, we consider seat-belt-usage data. We find a posterior probability close to one of an Allais-type paradox in these data. In addition, the evidence is not inconsistent with Machina's Hypothesis II but i…
[Posterior Probabilities of the Independence Axiom with Nonexperimental Data (Or Buckle up and Fan out)]
Robert C. Marshall, Jean-Francois Richard, Gary A. Zarkin, [Posterior Probabilities of the Independence Axiom with Nonexperimental Data (Or Buckle up and Fan out)]: Reply, Journal of Business & Economic Statistics, Vol. 10, No. 1 (Jan., 1992), pp. 48-49
The impact of time in treatment on the employment and earnings of drug abusers
We use data from a longitudinal survey to estimate the effects of time in drug abuse treatment on post-treatment weeks worked and earnings for 2,420 clients in three treatment modalities. The regression analysis shows that time in treatment had a positive and statistically significant impact on these labor market outcomes, but the effects were small for all modalities. Although residential clients experienced the largest relative changes in weeks…
Racial differences in exposure to on-the-job hazards
Racial differences in exposure to on-the-job hazards. M T French, and G A ZarkinCopyRight https://doi.org/10.2105/AJPH.80.1.89 Published Online: October 07, 2011
Worker Preference and Market Compensation for Job Risk
Workers choose a job and receive in return a bundle consisting of income and a probability of job injury. The authors view this income- job-risk bundle chosen by the worker as being exchanged in an implici t market. By jointly estimating the market income-job-risk locus and the optimum conditions for utility maximization, they are able to identif y the market locus and parameters of the workers' utility function. In contrast to previous work, the…
Potential health benefits of nutrition label changes
OBJECTIVES. The Nutrition Labeling and Education Act of 1990 mandates the Food and Drug Administration to promulgate changes in nutrition labeling regulations. This study investigates the potential health benefits associated with expected changes in food consumption resulting from the act. METHODS. This paper provides four estimates of the potential health benefits from the dietary changes expected to occur as a result of the 1990 act. The upper …
Aiding troubled employees
OBJECTIVES: Employee assistance programs (EAPs) are job-based programs designed to identify and assist troubled employees. This study determines the prevalence, cost, and characteristics of these programs in the United States by worksite size, industry, and census region. METHODS: A stratified national probability sample of more than 6400 private, nonagricultural US worksites with 50 or more full-time employees was contacted with a computer-assis…
Racial differences in exposure to on-the-job hazards
Racial differences in exposure to on-the-job hazards. M T French, and G A ZarkinCopyRight https://doi.org/10.2105/AJPH.80.1.89 Published Online: October 07, 2011
Worker Preference and Market Compensation for Job Risk
Workers choose a job and receive in return a bundle consisting of income and a probability of job injury. The authors view this income- job-risk bundle chosen by the worker as being exchanged in an implici t market. By jointly estimating the market income-job-risk locus and the optimum conditions for utility maximization, they are able to identif y the market locus and parameters of the workers' utility function. In contrast to previous work, the…
Racial differences in exposure to on-the-job hazards
Racial differences in exposure to on-the-job hazards. M T French, and G A ZarkinCopyRight https://doi.org/10.2105/AJPH.80.1.89 Published Online: October 07, 2011
The impact of time in treatment on the employment and earnings of drug abusers
We use data from a longitudinal survey to estimate the effects of time in drug abuse treatment on post-treatment weeks worked and earnings for 2,420 clients in three treatment modalities. The regression analysis shows that time in treatment had a positive and statistically significant impact on these labor market outcomes, but the effects were small for all modalities. Although residential clients experienced the largest relative changes in weeks…
Posterior Probabilities of the Independence Axiom With Nonexperimental Data (or Buckle Up and Fan Out)
This article addresses the issues associated with the construction of posterior probabilities for violation of the independence axiom of expected utility from nonexperimental data. To illustrate the methodology of analyzing nonexperimental evidence, we consider seat-belt-usage data. We find a posterior probability close to one of an Allais-type paradox in these data. In addition, the evidence is not inconsistent with Machina's Hypothesis II but i…
[Posterior Probabilities of the Independence Axiom with Nonexperimental Data (Or Buckle up and Fan out)]
Robert C. Marshall, Jean-Francois Richard, Gary A. Zarkin, [Posterior Probabilities of the Independence Axiom with Nonexperimental Data (Or Buckle up and Fan out)]: Reply, Journal of Business & Economic Statistics, Vol. 10, No. 1 (Jan., 1992), pp. 48-49
Potential health benefits of nutrition label changes
OBJECTIVES. The Nutrition Labeling and Education Act of 1990 mandates the Food and Drug Administration to promulgate changes in nutrition labeling regulations. This study investigates the potential health benefits associated with expected changes in food consumption resulting from the act. METHODS. This paper provides four estimates of the potential health benefits from the dietary changes expected to occur as a result of the 1990 act. The upper …
Aiding troubled employees
OBJECTIVES: Employee assistance programs (EAPs) are job-based programs designed to identify and assist troubled employees. This study determines the prevalence, cost, and characteristics of these programs in the United States by worksite size, industry, and census region. METHODS: A stratified national probability sample of more than 6400 private, nonagricultural US worksites with 50 or more full-time employees was contacted with a computer-assis…
The Effect of Screening and Brief Intervention for Risky Drinking on Health Care Utilization in Managed Care Organizations
OBJECTIVE: We sought to estimate the effect of screening and brief intervention (SBI) for risky alcohol use on the health care utilization of risky drinkers in 4 managed care organizations. RESEARCH DESIGN: A quasi-experimental group design was implemented in which 12 participating primary care clinics randomly were assigned to 1 of 3 study conditions. In one condition, physicians, physician assistants, and nurse practitioners delivered the brief…
Revisiting the Cost-Effectiveness of the Combine Study for Alcohol Dependent Patients
OBJECTIVE: Most cost and cost-effectiveness studies of substance abuse treatments focus on the costs to the provider/payer. Although this perspective is important, the costs incurred by patients should also be considered when evaluating treatment. This article presents estimates of patients' costs associated with the Combined Pharmacotherapies and Behavioral Interventions (COMBINE) alcohol treatments and evaluates the treatments' cost-effectivene…
The Effect of Alcohol Treatment on Social Costs of Alcohol Dependence
BACKGROUND: The COMBINE (combined pharmacotherapies and behavioral intervention) clinical trial recently evaluated the efficacy of pharmacotherapies, behavioral therapies, and their combinations for the treatment of alcohol dependence. Previously, the cost and cost-effectiveness of COMBINE have been studied. Policy makers, patients, and nonalcohol-dependent individuals may be concerned not only with alcohol treatment costs but also with the effec…
The Impact of a Mandated Trauma Center Alcohol Intervention on Readmission and Cost per Readmission in Arizona
BACKGROUND: Persons appearing in trauma centers have a higher prevalence of unhealthy alcohol use than the general population. Screening and brief intervention (SBI) is designed to moderate drinking levels and avoid costly future readmissions, but few studies have examined the impact of SBI on hospital readmissions and health care costs in a trauma population. RESEARCH DESIGN: This study uses comparative interrupted time-series and the Arizona St…
Consumers’ Preferences for Electronic Nicotine Delivery System Product Features
To inform potential governmental regulations, we aimed to develop a list of electronic nicotine delivery system (ENDS) product features important to U.S. consumers by age and gender. We employed qualitative data methods. Participants were eligible if they had used an ENDS at least once. Groups were selected by age and gender (young adult group aged 18-25, n = 11; middle-age group aged 26-64, n = 9; and women's group aged 26-64, n = 9). We conduct…
Cost and Cost-Effectiveness of Incentives for Viral Suppression in People Living with HIV
How simulation modeling can support the public health response to the opioid crisis in North America
Cost and Cost Savings of Navigation Services to Avoid Rehospitalization for a Comorbid Substance Use Disorder Population
BACKGROUND: A randomized clinical trial found that patient navigation for hospital patients with comorbid substance use disorders (SUDs) reduced emergency department (ED) and inpatient hospital utilization compared with treatment-as-usual. OBJECTIVE: To compare the cost and calculate any cost savings from the Navigation Services to Avoid Rehospitalization (NavSTAR) intervention over treatment-as-usual. RESEARCH DESIGN: This study calculates activ…
Overdose education and naloxone distribution in jails
BACKGROUND: Opioid-related overdose is the leading cause of mortality among individuals recently released from incarceration in the U.S. Naloxone is an FDA-approved opioid antagonist medication designed to rapidly reverse opioid overdose. Despite evidence of its acceptability and effectiveness at reducing the risk of opioid overdose death after release from incarceration, only an estimated 25% of US jails provide naloxone upon release. This study…
The effectiveness of the communities that Heal intervention on reducing non-fatal opioid overdoses
Effect of the Communities That Heal Intervention on Overdose Education and Naloxone Distribution
Objectives. To determine whether the Communities That HEAL (CTH) intervention is effective in increasing naloxone distribution compared with usual care. Methods. The HEALing (Helping to End Addiction Long-Term) Communities Study (HCS) is a cluster-randomized, parallel-arm, wait-list controlled implementation science trial testing the impact of the CTH intervention on increasing the use of evidence-based practices to lower opioid-related overdose …
Medicine (15 works) · Substance Abuse Treatment and Outcomes (10 works) · Psychiatry (9 works) · Environmental health (7 works) · Opioid Use Disorder Treatment (7 works) · Psychology (6 works) · Economics (5 works) · Internal Medicine (5 works) · Nursing (5 works) · Family medicine (4 works)