First Responders’ Views of Naloxone
Does Stigma Matter
Bibliographic Data
| ID | 21645249 |
|---|---|
| Authors | Nathan E Kruis (0000-0002-2076-314X, Department of Criminal Justice, Penn State Altoona, Altoona, PA, USA, corresponding author), Katherine Mclean (0000-0002-2963-5064, Pennsylvania State University - Greater Allegheny), Payton Perry (Department of Criminal Justice, Penn State Altoona, Altoona, PA, USA), Marielle K Nackley (Slippery Rock University) |
| Year | 2022 |
| Volume | 57 |
| Issue | 10 |
| Pages | 1534-1544 |
| Publication date | 2022-08-24 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2022.2092150 |
| PMID | 35791871 |
| OpenAlex | W4283826122 |
| Language | EN |
| Citations received | 13 |
| References cited | 61 |
BACKGROUND: Prior work has suggested that first responders have mixed feelings about harm reduction strategies used to fight the opioid epidemic, such as the use of naloxone to reverse opioid overdose. Researchers have also noted that provider-based stigma of people who use opioids (PWUO) may influence perceptions of appropriate interventions for opioid use disorder (OUD). This study examined first responders' perceptions of naloxone and the relationship between stigma of OUD and perceptions of naloxone. METHODS: A web-based survey assessing perceptions of PWUO and naloxone was administered to 282 police officers and students enrolled in EMT and paramedic training courses located in the Northeastern United States. Bivariate and multivariable analyses assessed the relationship between variants of stigma (e.g., perceived dangerousness, blame, social distance, and fatalism) and self-reported perceptions of naloxone. RESULTS: Participants, in the aggregate, held slightly negative attitudes toward the use of naloxone. Findings from multivariable modeling suggest that stigma of OUD, living in a rural area, and prior experience administering naloxone, were significantly and inversely related to support for the use of naloxone. Support for the disease model of addiction and associating drug use with low socioeconomic status were positively related to support for the use of naloxone. CONCLUSION: Efforts to alleviate perceptions of PWUO as dangerous, blameworthy, or incapable of recovery may increase first responders' support for naloxone. To this end, first responder training programs should include instruction on the disease model of addiction, and more broadly, attempt to foster familiarity between PWUO and the professionals who serve them
Addiction · Drug · Harm reduction · Heroin · Opioid · Opioid overdose · Opioid use disorder · Psychiatry · Public health · Clinical Psychology · Medicine · Mental Health Treatment and Access · Nursing · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes · Internal Medicine
Effectiveness of take Action online naloxone training for law enforcement officers
Improving first responders’ perceptions of overdose events and survivors through tailored occupational health-focused training co-facilitated by overdose survivors
Opioid Overdoses and Take-Home Naloxone Interventions
Police Chiefs’ Perspectives on Fentanyl Test Strips
Overdose Experiences Among a Sample of Women in Jail with Opioid Use Disorder
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A Qualitative Study of EMTs’ Perceptions of Opioid Overdose Reversals With Naloxone
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Experiences of stigmatization among people who use drugs in the initial year of British Columbia's drug decriminalization policy
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Stigma
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Exploring Social Stigma toward Opioid and Heroin Users among Students Enrolled in Criminology, Nursing, and EMT/Paramedic Courses
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Barriers to naloxone use and acceptance among opioid users, first responders, and emergency department providers in New Hampshire, USA
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Does naloxone provision lead to increased substance use? A systematic review to assess if there is evidence of a ‘moral hazard’ associated with naloxone supply
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Two‐year outcomes following naloxone administration by police officers or emergency medical services personnel
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Police Officers’ and Paramedics’ Experiences with Overdose and Their Knowledge and Opinions of Washington State’s Drug Overdose–Naloxone–Good Samaritan Law
Addiction Frameworks and Support for Expanding Treatment for Drug Offenders
Expanded Access to Naloxone
Narcan cops
What Is Discrimination
Intervening within and across levels
Forming attitudes that predict future behavior
The Stigma Complex
| Unique citing works | 13 |
|---|---|
| Citations per year | 4,33 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 13 |