Abstract：
BACKGROUND:American Indian/Alaskan Native (AI/AN) communities are second only to White Americans in mortality from opioid use disorder (OUD), while the smallest racial/ethnic minority population group in the USA. Those in rural communities experience significant health care disparities, including poorer treatment access for substance use disorder. This systematic scoping review aimed to trend the emerging evidence on opioid use disorder (OUD) management among rural AI/AN communities as well as workforce training needs. METHOD:We searched the Medline, Embase, PsycInfo, SSCI, and Digital theses databases for empirical study publications on OUD management among AI/AN rural communities across the continuum of prevention, treatment and care. Eight studies met the following criteria: (a) focused on OUD; (b) sampled rural AI/AN members; (c) investigated prevention, treatment and/or care perspectives and/or practices or health provider preparation; and (d) published during the period 2009-2020. Included studies met the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) quality control standards. FINDINGS:Six of eight of the studies (75%) were surveys with community members and other stakeholders on OUD management within rural AI/AN communities rather than active interventions within this population. Moreover, five of eight of the studies (63%) reported a preference for culturally grounded health and wellness interventions with rural AI/AN, involving families, and community interventionists, utilizing community reinforcement approaches. Three of eight studies (37.5%) reported need for the cultural adaption of medication-assisted treatments (MAT) and use of culturally informed recovery care approaches. One of eight studies (12.5%) proposed to use culturally adapted contingency management behavioral approaches for OUD treatment and recovery care. CONCLUSION:The evidence is trending to endorse culturally adapted OUD management with rural AI/AN communities, prioritizing prevention education, and use of MAT with cultural adaptation and whole person approaches to sustainable recovery care. Mental health care should be a part OUD prevention, treatment and recovery care in rural AI/AN rural communities.
journal_name
Addict Behavjournal_title
Addictive behaviorsauthors
Mpofu E,Ingman S,Matthews-Juarez P,Rivera-Torres S,Juarez PDdoi
10.1016/j.addbeh.2020.106743subject
Has Abstractpub_date
2021-03-01 00:00:00pages
106743eissn
0306-4603issn
1873-6327pii
S0306-4603(20)30872-8journal_volume
114pub_type
杂志文章,评审abstract：:Sexual minority stress experiences (e.g. prejudice, victimization, etc.) and peer substance use norms (e.g. peers' frequency of use and quantity consumed) are important correlates of alcohol and drug use in sexual minority populations. The current study incorporates both of these by examining LGB individuals' percepti...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2016.10.001
更新日期：2017-02-01 00:00:00
abstract：:The attitudes, beliefs and expectations of the addict have received surprisingly little research attention. The present study looks at the relationship between the addict's perception of their own drug taking and their behaviour in treatment. The subjects who took part in the study were receiving treatment at a London...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/0306-4603(82)90044-2
更新日期：1982-01-01 00:00:00
abstract：:Arousal-based theories of gambling suggest that excitement gained from gambling reinforces further gambling behavior. However, recent theories of emotion conceptualize mood as comprising both arousal and valence dimensions. Thus, excitement comprises arousal with positive valence. We examined self-reported changes in ...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2004.03.030
更新日期：2004-12-01 00:00:00
abstract：:Contrary to expectations based on past research, 28 female addicts (all false negatives on MacAndrew Alcoholism Scale) did not significantly differ from 18 nonaddicted female psychiatric patients (true negatives on MacAndrew Scale) with respect to the proportion of elevated Repression Scale scores (T scores greater th...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/0306-4603(87)90051-7
更新日期：1987-01-01 00:00:00
abstract：BACKGROUND:The aim of the present study was to investigate the role of disengagement beliefs in smoking cessation. The association of disengagement beliefs with forward transition through the transtheoretical stages of change and self-reported quitting were examined, with and without adjusting for processes of change. ...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2006.02.012
更新日期：2006-12-01 00:00:00
abstract：:Current cigarette smoking combined with ever use of other tobacco products (lifetime polytobacco use) is important to examine as users may be at greater risk for illicit drug use, nicotine addiction, and adverse health outcomes. We determined estimates and patterns of lifetime polytobacco use and conducted multivariab...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2009.06.009
更新日期：2009-12-01 00:00:00
abstract：:A growing line of research has shown positive treatment outcomes from technology-based therapy for substance use disorders (SUDs). However, little is known about the effectiveness of technology-based SUD interventions for persons who already had numerous prior SUD treatments. We conducted a secondary analysis on a 12-...
journal_title：Addictive behaviors
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.addbeh.2015.11.009
更新日期：2016-03-01 00:00:00
abstract：:This paper investigated how depressive symptoms moderate the role of peer cannabis use on developmental patterns of individual cannabis use from adolescence to young adulthood, controlling for a broad set of individual and family factors. Data from two sources were analyzed separately: two saturated schools in the Nat...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2017.07.019
更新日期：2018-01-01 00:00:00
abstract：:In order to investigate the selection bias of subjects for inpatient human cocaine studies, characteristics of 859 potential subjects were examined. Excluded subjects compared with accepted group were more likely to be single and male, currently use drugs other than cocaine, have a history of intravenous cocaine use, ...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/s0306-4603(00)00064-2
更新日期：2000-09-01 00:00:00
abstract：:It has been proposed that internal, stable, and global attributions for the cause of a lapse following a period of abstinence and concomitant feelings of guilt and loss of control increased the probability of a return to regular substance use. The Abstinence Violation Effect (AVE) hypotheses were tested in a sample of...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/0306-4603(94)90048-5
更新日期：1994-01-01 00:00:00
abstract：:Few studies have examined the psychosocial aspects of tobacco smoking in young adults, particularly among alternative forms such as waterpipe. To address this gap, we examined the association of psychosocial characteristics (i.e., sociodemographics, risk perception, social norms, and pluralistic ignorance) with waterp...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2008.07.017
更新日期：2008-12-01 00:00:00
abstract：:The present study was intended to identify specific alcohol expectancies of women and men that could be targeted in expectancy-based interventions to maximize their impact on alcohol use. The Alcohol Expectancy Questionnaire (AEQ) was revised to specifically refer to women, men, or the respondent, and was administered...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/s0306-4603(00)00154-4
更新日期：2001-09-01 00:00:00
abstract：:Young adults' Ecstasy use trajectories have important implications for individual and population-level consequences of Ecstasy use, but little relevant research has been conducted. This study prospectively examines Ecstasy trajectories in a population-based sample. Data are from the Natural History Study of Drug Use, ...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2013.06.018
更新日期：2013-11-01 00:00:00
abstract：:Although motivational models of alcohol use often invoke constructs relevant to affective distress (e.g., depressive symptoms), to date, no study has assessed the potential role of cognitive structures (enduring cognitive belief systems) in promoting problematic drinking behavior. Thus, the current study evaluated the...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2008.10.011
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Recently, the concept of addiction has expanded to include many types of problematic repetitive behaviors beyond those related to substance misuse. This trend may have implications for the way that lay people think about addictions and about people struggling with addictive disorders. The aim of this study w...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2014.10.025
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:In persistently unsafe environments, the cumulative exposure to violence predicts not only the development of posttraumatic stress disorder (PTSD), but also of increased aggression and violent outbursts. Substance use disorders interact with these developments, as drug consumption may blunt symptoms and also...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2016.08.008
更新日期：2017-01-01 00:00:00
abstract：:Research methods are needed that can predict whether the availability of potential modified risk tobacco products (MRTPs) may influence smokers' quit-related motivation, choice, and behavior. This pilot study assessed the primary outcomes of feasibility and adherence to address this need using an electronic cigarette ...
journal_title：Addictive behaviors
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.addbeh.2019.106105
更新日期：2019-12-01 00:00:00
abstract：:Previous research has not compared implicit affective responses to smoking-related stimuli in occasional (i.e., those who smoke less than one cigarette per day) and daily smokers (i.e., those who smoke at least once per day). In addition to assessing their motivations for smoking, implicit affective responses were mea...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2011.10.006
更新日期：2012-03-01 00:00:00
abstract：:This study examined the frequency of substance use among 14- to 24-year-old homeless youth (N=113) recruited from two community drop-in centers and explored the relationship between substance use and hypothesized psychosocial predictors. Audio-computer-assisted self-interviewing (A-CASI) was used for assessment. Inclu...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2004.10.006
更新日期：2005-07-01 00:00:00
abstract：INTRODUCTION:Overdose is a leading cause of injury and death in the United States. Emergency Department (ED) patients have an elevated prevalence of substance use. This study describes overdose/adverse drug event experiences among adult ED patients to inform strategies to address overdose risk. METHODS:Patients seekin...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2017.11.030
更新日期：2018-11-01 00:00:00
abstract：:To develop effective smoking prevention interventions, we need to identify modifiable variables, such as the "pros and cons" of smoking, that predict self-initiated smoking cessation. Our objective was to assess associations between the pros and cons of smoking and the stages of change, both cross-sectionally and long...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/s0306-4603(98)00054-9
更新日期：1999-05-01 00:00:00
abstract：:Within a larger study, 181 female undergraduates completed the Rokeach instrumental value survey and a version of the terminal value survey which included the value 'health', as well as measures of general preventive health behavior and social desirability. Analyses showed that nonsmokers reported better health behavi...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/0306-4603(85)90015-2
更新日期：1985-01-01 00:00:00
abstract：:The transition from late childhood through middle adolescence represents a critical developmental period during which there is a rapid increase in the initiation and escalation of alcohol use. Alcohol use is part of a constellation of risk taking behaviors that increase during this developmental transition, which can ...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2015.05.011
更新日期：2015-10-01 00:00:00
abstract：:Most investigators have not adequately accounted for the alcohol content of different beverages when assessing alcohol consumption. Considerable research has assessed consumption in terms of the number of standard drinks. A problem with standard drink measures is that different distilled spirits, wines, and malt bever...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/0306-4603(91)90064-o
更新日期：1991-01-01 00:00:00
abstract：INTRODUCTION:Problematic alcohol use is highly comorbid with posttraumatic stress disorder (PTSD), and prior work has demonstrated that individuals with PTSD may self-medicate with alcohol in an effort to reduce their symptoms. The combination of impulsivity and alcohol-related expectancies influences the development o...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2014.09.022
更新日期：2015-02-01 00:00:00
abstract：:Adolescent perceptions of invulnerability toward smoking and nonsmoking-related health risks were examined among 442 continuation high school students. Smokers were less likely than nonsmokers to report feeling invulnerable to both smoking and nonsmoking-related health risks. Among the smokers, those who reported feel...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/s0306-4603(99)00034-9
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Previous studies have focused mainly on whether stress causes present drinking or excessive drinking. However, few studies have been conducted on the relationship between stress and problem drinking in adolescents. The objective of this study was to examine the stress level and the cause of stress related to...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2016.08.013
更新日期：2017-01-01 00:00:00
abstract：:Although there has been much empirical research documenting current trends in club drug use among gay and bisexual men, little research has addressed the variance among lesbian, bisexual, or heterosexual women. Using data collected through time-space sampling from dance clubs in New York City during 2005 (N=1104), thi...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2006.03.006
更新日期：2006-12-01 00:00:00
abstract：:The efficacy of the Alcohol Skills Training Program (ASTP; Miller, et al., 2000) was evaluated in 204 heavy-drinking college students randomly assigned to either ASTP (n=119) or an assessment-only control (n=85) condition. The volunteer ASTP sample (n=119) was also compared to a sample of students mandated to ASTP fol...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/j.addbeh.2010.08.009
更新日期：2010-12-01 00:00:00
abstract：AIMS:This study assessed the prevalence of substance use in sons and daughters of opioids addicts in Iran. MEASUREMENTS:A confidential semistructured interview and DSM-IV criteria were used. Data were gathered from 500 subjects (225 men and 275 women). These subjects were selected randomly from sons and daughters of 5...
journal_title：Addictive behaviors
pub_type： 杂志文章
doi：10.1016/s0306-4603(01)00260-x
更新日期：2003-04-01 00:00:00
