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Addressing the context and consequences of substance use, misuse, and dependence: A global imperative
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Journal Article
Addressing the context and consequences of substance use, misuse, and dependence: A global imperative
2019
Overview
About the Authors: Alexander C. Tsai * E-mail: actsai@partners.org Affiliations Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States of America, Harvard Medical School, Boston, Massachusetts, United States of America, Mbarara University of Science and Technology, Mbarara, Uganda ORCID logo http://orcid.org/0000-0001-6397-7917 Margarita Alegría Affiliations Harvard Medical School, Boston, Massachusetts, United States of America, Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America ORCID logo http://orcid.org/0000-0003-2241-707X Steffanie A. Strathdee Affiliation: Division of Infectious Diseases and Global Public Health, University of California at San Diego School of Medicine, San Diego, California, United States of America ORCID logo http://orcid.org/0000-0002-7724-691X Citation: Tsai AC, Alegría M, Strathdee SA (2019) Addressing the context and consequences of substance use, misuse, and dependence: A global imperative. [...]although opioid prescribing patterns undoubtedly played a significant role in how opioid use disorders came to be so highly prevalent [27–29] and asymmetrically distributed in the US [30–32], a public health response that focuses solely on prescribing behavior is likely to be ineffective in reducing the number of fatal and nonfatal opioid overdoses. [...]called treatment cascade models have been used to identify gaps in the access and treatment continuum for a wide range of health conditions, including HIV treatment [43], prevention of mother-to-child transmission of HIV [44], depression [45], and, most recently, opioid use disorders [46]. [...]for people with opioid use disorders who either cannot or do not choose to achieve sustained remission, alternative approaches might be considered to reduce the harms associated with ongoing use.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
