J Strang
Biographic Data
| ID | 6432440 |
|---|---|
| NAME | J Strang |
| GIVEN NAMES | J |
| FAMILY NAME | Strang |
| SIGNATURE | STRANG J |
| AFFILIATIONS | King's College London |
| ORCID | 0000-0002-5413-2725 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 0 |
Long-Acting Injectable Buprenorphine for Opioid Use Disorder
Introduction: Long-acting injectable buprenorphine (LAIB) is a new treatment for opioid use disorder. Drawing upon new materialism and the concept of social capital, this article provides a focused analysis of how LAIB affects, and is affected by, patients’ relationships with other people. Methods: Data derive from a longitudinal qualitative study. Twenty-six people (18 males; 8 females) initiating LAIB were recruited from England and Wales (2020…
Qualitative study of patients’ decisions to initiate injectable depot buprenorphine for opioid use disorder
Background Depot buprenorphine can potentially address many limitations of other forms of opioid replacement therapy (ORT). This paper builds upon the concept of the ‘informed patient’ to explore individuals’ decisions to initiate injectable depot buprenorphine.Methods Data derive from a qualitative study of 26 people with opioid use disorder who were recruited from drug treatment services in England and Wales and interviewed within 72 hours of s…
Non-Prescribed Substance Use during the First Month of Treatment by People Receiving Depot Buprenorphine for Opioid Use Disorder
Background: Non-prescribed substance use (NPSU) during the treatment of opioid use disorder (OUD) is a recognized phenomenon. The use of non-prescribed substances is associated with discontinuing treatment and drop-out can occur within the early weeks of treatment, before benefit from treatment occurs. Recent developments in treatment include long-acting, slow-release depot buprenorphine injections. This article focuses on NPSU during the first m…
Understanding preferences for type of take-home naloxone device
Background: Take-home naloxone (THN) is provided to non-medically trained people to reverse potential opioid overdoses. There is an increasing range of effective intramuscular (IM) and intranasal (IN) naloxone devices and this paper explores the types preferred by people who use opioids, using consumer behaviour literature to interpret the findings. Methods: Data derive from two unconnected qualitative studies involving audio-recorded semi-struct…
Substance use and homelessness
Findings indicate that various interventions and accommodation models may benefit people who are homeless and using substances. An initiative that combined shelter and basic amenities, pharmacological treatment, psychosocial support, and space where substances were not available and other people using substances could be avoided resulted in an overall reduction in substance use amongst those accommodated
Methadone and buprenorphine-related deaths among people prescribed and not prescribed Opioid Agonist Therapy during the Covid-19 pandemic in England
Methadone-related deaths in non-prescribed individuals, but not prescribed individuals, increased considerably above the annual trend forecast for 2020 during the first COVID-19 lockdown in England. Further studies are thus needed to understand this difference
Gambling in Covid-19 Lockdown in the UK
To combat the spread of COVID-19, the UK Government implemented a range of "lockdown" measures. Lockdown has necessarily changed the gambling habits of gamblers in the UK, and the impact of these measures on the mental health of gamblers is unknown. To understand the impact of lockdown on gamblers, in April 2020, after ~6 weeks of lockdown, participants ( N = 1,028, 72% female) completed an online questionnaire. Gambling engagement data was colle…
Gambling and Covid-19
In response to the COVID-19 pandemic, the UK Government placed society on ‘lockdown’, altering the gambling landscape. This study sought to capture the immediate lockdown-enforced changes in gambling behaviour. UK adults ( n = 1028) were recruited online. Gambling behaviour (frequency and weekly expenditure, perceived increase/decrease) was measured using a survey-specific questionnaire. Analyses compared gambling behaviour as a function of pre-l…
Opioid overdose reversals using naloxone in New York City by people who use opioids
Conflict and communication
Opioid overdose is a growing issue in Australia. Programs to provide opioid consumers with ‘take-home’ naloxone to reverse overdose exist internationally and in some Australian cities, but uptake remains inconsistent. As an opioid antagonist, naloxone has the capacity to stimulate distressing withdrawal symptoms. These sensations are shaped by complex factors – including the quantity and intervals of naloxone administration – and can contribute t…
Qualitative study of welcome houses
Background: Welcome houses (WHs) have been introduced as a stage at the start of some European therapeutic communities (TCs) to improve treatment retention. In contrast to the structured, rule-bound approach of many residential therapeutic facilities (often described as ‘total institutions’ (TIs)), WHs provide a relatively ‘gentle’ introduction to residential life. This article explores the influence of WHs on treatment retention from the perspec…
Retrospective recall of heroin initiation and the impact on peer networks
Initiation to heroin use is an event that is evidently memorable for the individual–even many years later. The current exploratory study assesses heroin initiation among a cohort of long-term substance users to assess the effects of heroin use on peer networks. Participants were able to recollect the occasion of their initiation in considerable detail and were able to recall and describe the peer networks in which they were involved at the time. …
Drug problem – What problems? Concurrent predictors of selected types of drug problems in a london community sample of young people who use drugs
Four variables potentially indicative of different aspects of drug problems have been selected for study in a community sample of young people aged 16–20 who use drugs; Severity of Dependence Score; Whether or not interactional problems caused by own drug use were experienced; Number of college or work days missed specifically as a result of drug use; and 12-item General Health Questionnaire Score. The study population comprised 200 young cannabi…
From the deal to the needle
The article uses a semi-structured interview method to assess the acquisition, preparation and use of heroin in a cohort of 114 drug users in contact with treatment services in south-east London, and examines the impact of the increase in crack availability on heroin use and preparation in this population. Seventy-six participants reported using heroin on a daily basis, involving an average of 2.8 hits and using a mean of 0.75 g on each using day…
Patterns of alcohol consumption and problems among the Irish in London
Alcohol-related morbidity and mortality rates among the Irish in England and Wales are higher than both other ethnic minorities and the general population. Higher consumption per episode of drinking is responsible for higher overall mean consumption levels among the Irish. Patterns of consumption and problems among the Irish were investigated in two samples recruited in pubs in London and Dublin. Mean weekly alcohol consumption was found to be hi…
Drug and Alcohol Use and the Link with Homelessness
A community survey using a structured questionnaire was used with 389 homeless 1 people currently or recently sleeping rough (on the streets) in London. Data were collected on respondents' histories of homelessness and of substance use, and dependence on the main substance used in the last month was measured. In the month before the interview, 83% (324) of the sample had used a drug, 36% (139) were dependent on heroin and 25% (97) on alcohol. Six…
Understanding the Developmental Relationship Between Drug Use and Crime
The study investigates developmental associations in the relationship between drug use and crime among 100 treatment-seeking opiate addicts. While 56% of the sample report having committed 2,785 acquisitive crimes in the previous month, there are strong developmental patterns. Those who have committed crimes before age 14 have earlier onset of tobacco, alcohol, cannabis and cocaine use and a lower first age of heroin problems. This relates to per…
Continuing drug risk behaviour
The study investigates donor sharing and recipient sharing of different types of injecting equipment and the frequency of sharing activities with sexual partners, close friends and casual acquaintances. Structured interviews were conducted with 303 injectors recruited as part of a study of early and episodic opiate use. Subjects were contacted in non-clinical, community settings by a peer recruitment method (Privileged Access Interviews). Spoons …
Female prostitutes in south London
The present study looks at the association between drug and alcohol use and sexual risk behaviours in a sample of 51 women who were currently working as prostitutes and also currently using opiates and/or stimulants. Most women reported regularly using condoms with clients but a substantial minority sometimes had unprotected sex with clients. There was no overall association between any of the drug use variables (including the use of crack cocain…
Reaching hidden populations of drug users by privileged access interviewers
The methodological issues surrounding the use of a privileged access interviewer team to generate a network sample of drug users are examined. Traditionally network samples have tended to be used by qualitative researchers. Privileged access interviewing provides a mechanism for the application of a structured instrument to a network sampling model. In doing so some problematic issues in this area for structured methodology are overcome, reduced …
Severity of heroin dependence and HIV risk. II. Sharing injecting equipment
One of the most conspicuous risks of HIV transmission among drug injectors involves sharing injecting equipment which has been contaminated by infected blood. The present study investigates the relationship between severity of dependence upon heroin and the sharing of previously used injecting equipment (passive sharing). Four-hundred-and-eight heroin users were contacted and interviewed. Two-hundred-and-eighty-one (69% of the total heroin sample…
Severity of heroin dependence and HIV risk. I. Sexual behaviour
The HIV risks associated with the sexual behaviour of drug injectors have sometimes been overshadowed by the more obvious risks of injection behaviour. In this study, 408 heroin users were interviewed in the community; 50% were not currently in treatment and 42% had never had any treatment contact. In addition to data on drug use, information was collected on sexual risk behaviour by means of a linked anonymous questionnaire (96% returned). Eight…
No prominent works on this page.
Reaching hidden populations of drug users by privileged access interviewers
The methodological issues surrounding the use of a privileged access interviewer team to generate a network sample of drug users are examined. Traditionally network samples have tended to be used by qualitative researchers. Privileged access interviewing provides a mechanism for the application of a structured instrument to a network sampling model. In doing so some problematic issues in this area for structured methodology are overcome, reduced …
Severity of heroin dependence and HIV risk. II. Sharing injecting equipment
One of the most conspicuous risks of HIV transmission among drug injectors involves sharing injecting equipment which has been contaminated by infected blood. The present study investigates the relationship between severity of dependence upon heroin and the sharing of previously used injecting equipment (passive sharing). Four-hundred-and-eight heroin users were contacted and interviewed. Two-hundred-and-eighty-one (69% of the total heroin sample…
Severity of heroin dependence and HIV risk. I. Sexual behaviour
The HIV risks associated with the sexual behaviour of drug injectors have sometimes been overshadowed by the more obvious risks of injection behaviour. In this study, 408 heroin users were interviewed in the community; 50% were not currently in treatment and 42% had never had any treatment contact. In addition to data on drug use, information was collected on sexual risk behaviour by means of a linked anonymous questionnaire (96% returned). Eight…
Female prostitutes in south London
The present study looks at the association between drug and alcohol use and sexual risk behaviours in a sample of 51 women who were currently working as prostitutes and also currently using opiates and/or stimulants. Most women reported regularly using condoms with clients but a substantial minority sometimes had unprotected sex with clients. There was no overall association between any of the drug use variables (including the use of crack cocain…
Continuing drug risk behaviour
The study investigates donor sharing and recipient sharing of different types of injecting equipment and the frequency of sharing activities with sexual partners, close friends and casual acquaintances. Structured interviews were conducted with 303 injectors recruited as part of a study of early and episodic opiate use. Subjects were contacted in non-clinical, community settings by a peer recruitment method (Privileged Access Interviews). Spoons …
Understanding the Developmental Relationship Between Drug Use and Crime
The study investigates developmental associations in the relationship between drug use and crime among 100 treatment-seeking opiate addicts. While 56% of the sample report having committed 2,785 acquisitive crimes in the previous month, there are strong developmental patterns. Those who have committed crimes before age 14 have earlier onset of tobacco, alcohol, cannabis and cocaine use and a lower first age of heroin problems. This relates to per…
Drug and Alcohol Use and the Link with Homelessness
A community survey using a structured questionnaire was used with 389 homeless 1 people currently or recently sleeping rough (on the streets) in London. Data were collected on respondents' histories of homelessness and of substance use, and dependence on the main substance used in the last month was measured. In the month before the interview, 83% (324) of the sample had used a drug, 36% (139) were dependent on heroin and 25% (97) on alcohol. Six…
Drug problem – What problems? Concurrent predictors of selected types of drug problems in a london community sample of young people who use drugs
Four variables potentially indicative of different aspects of drug problems have been selected for study in a community sample of young people aged 16–20 who use drugs; Severity of Dependence Score; Whether or not interactional problems caused by own drug use were experienced; Number of college or work days missed specifically as a result of drug use; and 12-item General Health Questionnaire Score. The study population comprised 200 young cannabi…
From the deal to the needle
The article uses a semi-structured interview method to assess the acquisition, preparation and use of heroin in a cohort of 114 drug users in contact with treatment services in south-east London, and examines the impact of the increase in crack availability on heroin use and preparation in this population. Seventy-six participants reported using heroin on a daily basis, involving an average of 2.8 hits and using a mean of 0.75 g on each using day…
Patterns of alcohol consumption and problems among the Irish in London
Alcohol-related morbidity and mortality rates among the Irish in England and Wales are higher than both other ethnic minorities and the general population. Higher consumption per episode of drinking is responsible for higher overall mean consumption levels among the Irish. Patterns of consumption and problems among the Irish were investigated in two samples recruited in pubs in London and Dublin. Mean weekly alcohol consumption was found to be hi…
Retrospective recall of heroin initiation and the impact on peer networks
Initiation to heroin use is an event that is evidently memorable for the individual–even many years later. The current exploratory study assesses heroin initiation among a cohort of long-term substance users to assess the effects of heroin use on peer networks. Participants were able to recollect the occasion of their initiation in considerable detail and were able to recall and describe the peer networks in which they were involved at the time. …
Qualitative study of welcome houses
Background: Welcome houses (WHs) have been introduced as a stage at the start of some European therapeutic communities (TCs) to improve treatment retention. In contrast to the structured, rule-bound approach of many residential therapeutic facilities (often described as ‘total institutions’ (TIs)), WHs provide a relatively ‘gentle’ introduction to residential life. This article explores the influence of WHs on treatment retention from the perspec…
Conflict and communication
Opioid overdose is a growing issue in Australia. Programs to provide opioid consumers with ‘take-home’ naloxone to reverse overdose exist internationally and in some Australian cities, but uptake remains inconsistent. As an opioid antagonist, naloxone has the capacity to stimulate distressing withdrawal symptoms. These sensations are shaped by complex factors – including the quantity and intervals of naloxone administration – and can contribute t…
Opioid overdose reversals using naloxone in New York City by people who use opioids
Gambling in Covid-19 Lockdown in the UK
To combat the spread of COVID-19, the UK Government implemented a range of "lockdown" measures. Lockdown has necessarily changed the gambling habits of gamblers in the UK, and the impact of these measures on the mental health of gamblers is unknown. To understand the impact of lockdown on gamblers, in April 2020, after ~6 weeks of lockdown, participants ( N = 1,028, 72% female) completed an online questionnaire. Gambling engagement data was colle…
Gambling and Covid-19
In response to the COVID-19 pandemic, the UK Government placed society on ‘lockdown’, altering the gambling landscape. This study sought to capture the immediate lockdown-enforced changes in gambling behaviour. UK adults ( n = 1028) were recruited online. Gambling behaviour (frequency and weekly expenditure, perceived increase/decrease) was measured using a survey-specific questionnaire. Analyses compared gambling behaviour as a function of pre-l…
Understanding preferences for type of take-home naloxone device
Background: Take-home naloxone (THN) is provided to non-medically trained people to reverse potential opioid overdoses. There is an increasing range of effective intramuscular (IM) and intranasal (IN) naloxone devices and this paper explores the types preferred by people who use opioids, using consumer behaviour literature to interpret the findings. Methods: Data derive from two unconnected qualitative studies involving audio-recorded semi-struct…
Substance use and homelessness
Findings indicate that various interventions and accommodation models may benefit people who are homeless and using substances. An initiative that combined shelter and basic amenities, pharmacological treatment, psychosocial support, and space where substances were not available and other people using substances could be avoided resulted in an overall reduction in substance use amongst those accommodated
Methadone and buprenorphine-related deaths among people prescribed and not prescribed Opioid Agonist Therapy during the Covid-19 pandemic in England
Methadone-related deaths in non-prescribed individuals, but not prescribed individuals, increased considerably above the annual trend forecast for 2020 during the first COVID-19 lockdown in England. Further studies are thus needed to understand this difference
Non-Prescribed Substance Use during the First Month of Treatment by People Receiving Depot Buprenorphine for Opioid Use Disorder
Background: Non-prescribed substance use (NPSU) during the treatment of opioid use disorder (OUD) is a recognized phenomenon. The use of non-prescribed substances is associated with discontinuing treatment and drop-out can occur within the early weeks of treatment, before benefit from treatment occurs. Recent developments in treatment include long-acting, slow-release depot buprenorphine injections. This article focuses on NPSU during the first m…
Long-Acting Injectable Buprenorphine for Opioid Use Disorder
Introduction: Long-acting injectable buprenorphine (LAIB) is a new treatment for opioid use disorder. Drawing upon new materialism and the concept of social capital, this article provides a focused analysis of how LAIB affects, and is affected by, patients’ relationships with other people. Methods: Data derive from a longitudinal qualitative study. Twenty-six people (18 males; 8 females) initiating LAIB were recruited from England and Wales (2020…
Qualitative study of patients’ decisions to initiate injectable depot buprenorphine for opioid use disorder
Background Depot buprenorphine can potentially address many limitations of other forms of opioid replacement therapy (ORT). This paper builds upon the concept of the ‘informed patient’ to explore individuals’ decisions to initiate injectable depot buprenorphine.Methods Data derive from a qualitative study of 26 people with opioid use disorder who were recruited from drug treatment services in England and Wales and interviewed within 72 hours of s…
Medicine (21 works) · Psychiatry (16 works) · Psychology (16 works) · Drug (12 works) · Substance Abuse Treatment and Outcomes (12 works) · Heroin (11 works) · HIV, Drug Use, Sexual Risk (10 works) · Opioid Use Disorder Treatment (10 works) · Environmental health (8 works) · Homelessness and Social Issues (8 works)