Opioid Crisis: No Easy Fix to Its Social and Economic Determinants.

Abstract:

:The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma, concentrated disadvantage, isolation, and hopelessness. Overreliance on opioid medications is emblematic of a health care system that incentivizes quick, simplistic answers to complex physical and mental health needs. In an analogous way, simplistic measures to cut access to opioids offer illusory solutions to this multidimensional societal challenge. We trace the crisis' trajectory through the intertwined use of opioid analgesics, heroin, and fentanyl analogs, and we urge engaging the structural determinants lens to address this formidable public health emergency. A broad focus on suffering should guide both patient- and community-level interventions.

journal_name

Am J Public Health

authors

Dasgupta N,Beletsky L,Ciccarone D

doi

10.2105/AJPH.2017.304187

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

182-186

issue

2

eissn

0090-0036

issn

1541-0048

journal_volume

108

pub_type

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