Predictors of sexual risk‐taking among new drug users

We studied predictors of HIV‐related sexual risk‐taking among individuals who initiated the use of heroin or metham‐phetamine during the past 5 years. Many studies have linked drug use to HIV risk, but most research has been based on samples of users with long‐established drug careers. We conducted face‐to‐face interviews with 153 adult new drug users in Atlanta, GA. Drug use was not a statistically significant predictor of sexual risk, but gender, age, race, homelessness status, childhood neglect, level of paranoia, and level of (dys)functionality in handling disagreements were associated with frequency of sexual risk‐taking. We discuss the need to incorporate new drug users in HIV/AIDS and other health‐related prevention and intervention programs.     

Trajectories of heroin addiction: growth mixture modeling results based on a 33-year follow-up study

This study investigates trajectories of heroin use and subsequent consequences in a sample of 471 male heroin addicts who were admitted to the California Civil Addict Program in 1964-1965 and followed over 33 years. Applying a two-part growth mixture modeling strategy to heroin use level during the first 16 years of the addiction careers since first heroin use, the authors identified three groups with distinctive profiles: stably high-level heroin users (n = 278), late decelerated users (n = 149), and early quitters (n = 44). Study findings empirically demonstrate the chronic nature of heroin addiction and subsequent adverse consequences including mortality, mental health, and employment.     

Evidence for significant polydrug use among ecstasy-using college students

Ecstasy (MDMA) has been added to the spectrum of illicit drugs used by college students. In this study, the authors estimated the prevalence of ecstasy use within a large college student sample and investigated the polydrug-use history of those ecstasy users. They administered an anonymous questionnaire to college students (N = 1,206) in classrooms at a large university in the mid-Atlantic United States. The overall student response rate was 91%. Nine percent of the sample reported lifetime ecstasy use. Because 98% of ecstasy users had used marijuana, the authors compared polydrug use between ecstasy users and individuals who had used marijuana but not ecstasy. Ecstasy users, as compared with these marijuana users, were significantly more likely to have used inhalants (38% vs. 10%), LSD (38% vs. 5%), cocaine (46% vs 2%), and heroin (17% vs 1%) in the past year. Significant polydrug use among college student ecstasy users has important implications for their substance abuse treatment.     

Examining links between cocaine use and street‐based sex work in New South Wales,Australia

We examined potential links between cocaine use and street‐based sex work in New South Wales, Australia, following reports of increased cocaine use among injection drug users (IDU). Police data on prostitution and possession/use of cocaine was analysed using time series analysis. Interviews with key informants and IDU were also conducted, and data on cocaine use from ongoing monitoring systems targeted at IDU were analyzed. There was a clear increase in cocaine use among IDU which occurred in 2001. This occurred at the same time as an increase in prostitution offenses. Qualitative data suggested a greater number of primary heroin users were engaging in street‐based sex work, which was driven in part by the increases in cocaine use among this group. Subsequent reductions in cocaine availability led to decreased cocaine use and possession offenses, along with reductions in prostitution offenses.     

Koob: Understanding negative reinforcers of opioids could uncover new treatments

The National Survey on Drug Use and Health (NSDUH) showed that treatment for illicit drug use declined in 2018, from 2.2 million in 2017 to 1.8 million in 2018. In 2018, treatment for heroin was not even on the chart. There was no data.     

UN: Treatment not accessible,especially in prisons,globally

Last week, the United Nations Office on Drugs and Crime (UNODC) released a report revealing that the adverse health consequences of drug use are more severe and widespread than previously thought. About 35 million people globally are estimated to need treatment for drug use disorders, according to the World Drug Report 2019, released June 26. The number of opioid users is now 53 million, up 56% from previous estimates. Opioids are responsible for two‐thirds of the 585,000 drug use deaths in 2017. Across the world, 11 million people injected drugs in 2017; 1.4 million of them have HIV and 5.6 million have hepatitis C.     

Physicians,hospital face $9 million lawsuit following fatal OD

Two years ago, Victor Williams, a 56‐year‐old Black man, died from a fatal overdose of fentanyl and fentanyl analogs. He was at home, but his family didn't have any naloxone, because he had not been given any by his treatment provider, despite multiple previous ODs. He had an opioid use disorder (OUD) and instead of being prescribed methadone or buprenorphine, he was prescribed Schedule II analgesics in the hospital. Just hours before his fatal OD, the hospital discharged him after an accidental heroin poisoning.     

THE DEMAND for ILLICIT DRUGS

This paper estimates the effects of alcohol prices, marijuana decriminalization, cocaine prices, and heroin prices on the demand for these four substances. Both own price effects and cross price effects are estimated. The estimated price elasticities for alcohol, cocaine, and heroin are, respectively, –.30, –.28 and –.94. Marijuana decriminalization was found to increase the probability of marijuana participation by about 8%. The results for the cross price effects provide general evidence of complementarity. It is estimated that decriminalization of cocaine and heroin might lead to about 260,000 new regular cocaine users and about 47,000 new regular heroin users. ( JEL 110)     

Predictors of sexual risk-taking among new drug users

We studied predictors of HIV-related sexual risk-taking among individuals who initiated the use of heroin or methamphetamine during the past 5 years. Many studies have linked drug use to HIV risk and most research has been based on samples of users with long-established drug careers. We conducted face-to-face interviews with 153 adult new drug users in Atlanta, GA. Drug use was not a statistically significant predictor of sexual risk, but gender, age, race, homelessness status, childhood neglect, level of paranoia, and level of (dys)functionality in handling disagreements were associated with the frequency of sexual risk-taking. We discuss the need to incorporate new drug users in HIV/AIDS and other health-related prevention and intervention programs.     

Treating drug-abusing offenders. Initial findings from a five-county study on the impact of California's Proposition 36 on the treatment system and patient outcomes

Five counties (Kern, Riverside, Sacramento, San Diego, San Francisco) that demonstrate both variations and similarities in their implementation of Proposition 36 (e.g., treatment approaches, urine testing) and patient mix have been selected to participate in a study assessing how California's Proposition 36 is affecting the drug treatment system and patient outcomes. Except for San Francisco, treatment admissions increased during the first year of Proposition 36 implementation over the prior year (27% in Kern, 21% in Riverside, 17% in Sacramento, and 16% in San Diego), mostly in outpatient drug-free programs. Compared to non-Proposition 36 patients, Proposition 36 patients were more likely to be men, first-time admissions, treated in outpatient drug-free programs, employed full-time, and users of methamphetamine or marijuana. They were less likely to be treated in residential programs or methadone maintenance programs and fewer reported heroin use or injection drug use. Guided by the multilevel open systems framework, the study examines key issues of Proposition 36 that influence treatment systems and outcomes and empirically identifies "best practice" approaches in treating drug-abusing offenders.     

Adolescents' beliefs about marijuana use: a comparison of regular users, past users and never/occasional users

A questionnaire investigating adolescents' opinions and experiences regarding marijuana use was administered to 163 adolescents and young adults (96 boys and 67 girls) aged 13 to 20 (mean age = 16.8, s.d. = 1.5). Items referred to marijuana and other substances' dangerousness, representations regarding the positive and negative consequences of marijuana use. Responses were compared according to marijuana use status (classified into never/occasional use, current regular use and past regular use). Results show that adolescents' opinions differ according to their experience with marijuana use. Current regular users evaluate marijuana as less dangerous, but alcohol and heroin as more dangerous in comparison with never/occasional and past users. Current and past users are more likely to define marijuana as a medical drug and a plant used in agriculture, and less likely to define it as an illegal drug. Current and past users evaluate marijuana use as a way to cope with stress, to relax to a greater extent than do never/occasional users do. The latter attribute more negative consequences to marijuana use such as diminished driving ability and school performance and a pathway to hard drugs.     

Briefly Noted

The growing popularity of Juul, the flash‐drive‐like vaping device, is linked to the increase in vaping by teens, researchers from the federal Centers for Disease Control and Prevention reported last year). In the Jan. 15 issue of the Journal of the American Medical Association, science writer Bridget Kuehn notes that use among minors is not safe, and that such use increased 78 percent between 2017 and 2018 alone.     

Examining links between cocaine use and street-based sex work in New South Wales, Australia

We examined potential links between cocaine use and street-based sex work in New South Wales (NSW), Australia, following reports of increased cocaine use among injection drug users (IDU). Police data on prostitution and possession/use of cocaine was analysed using time series analysis. Interviews with key informants and IDU were also conducted, and data on cocaine use from ongoing monitoring systems targeted at IDU were analysed. There was a clear increase in cocaine use among IDU which occurred in 2001. This occurred at the same time as an increase in prostitution offenses. Qualitative data suggested that a greater number of primary heroin users were engaging in street-based sex work, which was driven in part by the increases in cocaine use among this group. Subsequent reductions in cocaine availability led to decreased cocaine use and possession offenses, along with reductions in prostitution offenses.     

CM,only effective treatment for stimulants,on the ropes as methamphetamine surges

Contingency management (CM), which means rewarding drug users not to use drugs, is the only known effective treatment for stimulant use disorder, but it has become caught up in anti‐kickback initiatives. At the heart of the problem is a misunderstanding: CM payments are not kickbacks — they are part of treatment. But “safe harbor” initiatives from the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) are interpreting them as such, and not allowing Medicaid to pay for them (only $75 a year per patient).     

Accounting for surveillance

This contribution discusses the ways people hold themselves and others accountable for everyday practices of surveillance. It analyses three examples: (1) the “breeching experiments” of the video artist “Surveillance Camera Man,” (2) a “stop and frisk” incident involving a 17‐year‐old boy in Harlem, and (3) the pop‐up windows on websites that ask for users’ consent to use “cookies.” Understanding the relationship between language and securitization, it is argued, requires that we pay attention to the interactional basis of surveillance and the ways rights and responsibilities are negotiated, ratified, challenged, or ignored in the moment‐by‐moment unfolding of communication.     

After the March: Using Instagram to Perform and Sustain the Women's March

The January 2017 Women's March was an example of the paradigmatic March on Washington, part of the repertoire of collective action used by social movements in the United States for decades. Similar marches were held on its first and second anniversary, in January 2018 and January 2019, respectively. One did not need to travel to the nation's capital to participate in these marches, however; activists also organized hundreds of “sister marches” across the United States and internationally. Yet, a sole focus on these one‐day, physical events misses a great deal of activity. In this article, we examine social media activity related to the Women's March on the platform Instagram that was posted well after the 2017 march was over but before the 2018 march was fully planned. We do so to gain purchase on how individuals and organizations use social media to maintain movements between large events. We analyze a systematic sample of Instagram posts from two sources: (1) individual Instagram users’ public posts with the hashtag #womensmarch and (2) posts from the official Instagram account of the Women's March. Conceptualizing these posts as political performances, we use our findings to draw implications for the study of contemporary protest.     

Beyond polyphony: Open Dialogue in a Women’s Shelter in Australia as a possibility for supporting violence‐informed practice

Open Dialogue is a family/social network‐centered psychotherapeutic approach to responding to people in crisis and distress. In 2017, Open Dialogue network meetings were implemented in an Australian inner‐city shelter for disadvantaged women. The aim of this study was to explore the experience of participating in these meetings from the perspective of service users and Open Dialogue practitioners. Qualitative interviews were completed with thirteen participants (six service users and seven practitioners) and analyzed thematically. The findings suggested that dialogical processes created safety by attending to multiple voices in nonviolent ways that reduced perceived hierarchies. Notions of expertise were renegotiated, which allowed the women to feel heard in significant ways that were different from their previous experiences with other social and healthcare services. Open Dialogue is an approach that can meaningfully attend to some of the power relations within which women live and within which social and health care services are provided.     

Social network engagement and subjective well‐being: a life‐course perspective

Social networking is a digital phenomenon embraced by billions worldwide. Use of online social platforms has the potential to generate a number of benefits including to well‐being from enhanced social connectedness and social capital accumulation, but is also associated with several negative behaviours and impacts. Employing a life‐course perspective, this paper explores social networking use and its relationship with measures of subjective well‐being. Large‐scale UK panel data from wave 3 (2011–12) and 6 (2014–15) of Understanding Society reveals that social network users are on average younger, aged under 25, but that rising use is reported across the life‐course including into old age. Probit, multinomial logistic, and ANCOVA and change‐score estimations reveal that membership, and greater use, of social networks is associated with higher levels of overall life satisfaction. However, heavy use of social networking sites has negative impacts, reflected in reductions in subjective well‐being. Socio‐economic disadvantage may drive these impacts among young (in education), unemployed and economically inactive heavy SNS users.     

Trends in marijuana and other illicit drug use among college students: results from 4 Harvard School of Public Health College Alcohol Study surveys: 1993-2001

The authors examined changes in college students' illicit drug use, patterns of polydrug use, and the relationship between students' ages of initiation of substance use and later use of marijuana and other illicit drugs between 1993 and 2001. Data from 119 US colleges and universities in the Harvard School of Public Health College Alcohol Study were used in the study. They found significant increases in percentages of students' use of marijuana in the past 30 days (from 13% to 17%), past year (from 23% to 30%), and lifetime (from 41% to 47%) between 1993 and 2001, with most of the increase occurring between 1993 and 1997. Past 30-day use of other illicit drugs increased from 4% to 7% and past year use increased from 11% to 14%. More than 98% of marijuana and other illicit drug users used another substance. They also either smoked, were binge drinkers, and/or were users of another illicit drug. Drug prevention programs should emphasize heavy alcohol use and smoking and should start when students are in high school or earlier.