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Perspectives on Fentanyl Test Strip Use among People Who Inject Drugs in Rural Appalachia.
Subst Use Misuse. 2020; 55(10):1594-1600.SU

Abstract

Background:

Fentanyl-associated overdose fatalities have increased dramatically throughout the United States. Fentanyl test strips (FTS) may be used by people who inject drugs (PWID) to lower overdose risks; however, virtually no research has been conducted to understand the perspectives of rural PWID in Appalachia on FTS utilization.

Objectives:

We aim to explore FTS awareness and potential use among PWID in two rural counties in West Virginia (WV).

Methods:

Semi-structured interviews with PWID (n = 48) in two rural counties in WV were conducted to explore FTS awareness, potential use, and possible behavioral changes following FTS utilization. Participants were recruited in areas where PWID congregate in each county. With participants' permission, interviews were audio recorded and transcribed verbatim. Transcripts were analyzed using an iterative, constant comparative approach.

Results:

Very few participants had heard of FTS prior to the interview. Upon learning about FTS, PWID who reported frequently injecting heroin expressed high willingness to use FTS. Participants explained that learning their drugs contained fentanyl may make them more likely to engage in overdose risk reduction behaviors, such as: using less, doing tester shots, and not using the drugs entirely.

Conclusion:

Among our sample of rural PWID in Appalachia, most were unaware of FTS but expressed high willingness to utilize the technology. Participants described how receiving a positive FTS result may lead them to engage in overdose risk reduction behaviors. Augmenting existing overdose prevention initiatives in rural Appalachia such that rural PWID have access to FTS may result in reductions in overdose fatalities.

Authors+Show Affiliations

Department of Health, Behavior, and Society; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.DC Center for AIDS Research, Department of Psychology, George Washington University, Washington, DC, USA.Department of Health, Behavior, and Society; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.Department of Health, Behavior, and Society; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.Center for Child and Community Health Research, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32336188

Citation

Allen, Sean T., et al. "Perspectives On Fentanyl Test Strip Use Among People Who Inject Drugs in Rural Appalachia." Substance Use & Misuse, vol. 55, no. 10, 2020, pp. 1594-1600.
Allen ST, O'Rourke A, White RH, et al. Perspectives on Fentanyl Test Strip Use among People Who Inject Drugs in Rural Appalachia. Subst Use Misuse. 2020;55(10):1594-1600.
Allen, S. T., O'Rourke, A., White, R. H., Sherman, S. G., & Grieb, S. M. (2020). Perspectives on Fentanyl Test Strip Use among People Who Inject Drugs in Rural Appalachia. Substance Use & Misuse, 55(10), 1594-1600. https://doi.org/10.1080/10826084.2020.1753773
Allen ST, et al. Perspectives On Fentanyl Test Strip Use Among People Who Inject Drugs in Rural Appalachia. Subst Use Misuse. 2020;55(10):1594-1600. PubMed PMID: 32336188.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perspectives on Fentanyl Test Strip Use among People Who Inject Drugs in Rural Appalachia. AU - Allen,Sean T, AU - O'Rourke,Allison, AU - White,Rebecca Hamilton, AU - Sherman,Susan G, AU - Grieb,Suzanne M, Y1 - 2020/04/25/ PY - 2020/4/28/pubmed PY - 2021/6/10/medline PY - 2020/4/28/entrez KW - Injection drug use KW - fentanyl test strips KW - harm reduction KW - overdose KW - rural health SP - 1594 EP - 1600 JF - Substance use & misuse JO - Subst Use Misuse VL - 55 IS - 10 N2 - Background: Fentanyl-associated overdose fatalities have increased dramatically throughout the United States. Fentanyl test strips (FTS) may be used by people who inject drugs (PWID) to lower overdose risks; however, virtually no research has been conducted to understand the perspectives of rural PWID in Appalachia on FTS utilization. Objectives: We aim to explore FTS awareness and potential use among PWID in two rural counties in West Virginia (WV). Methods: Semi-structured interviews with PWID (n = 48) in two rural counties in WV were conducted to explore FTS awareness, potential use, and possible behavioral changes following FTS utilization. Participants were recruited in areas where PWID congregate in each county. With participants' permission, interviews were audio recorded and transcribed verbatim. Transcripts were analyzed using an iterative, constant comparative approach. Results: Very few participants had heard of FTS prior to the interview. Upon learning about FTS, PWID who reported frequently injecting heroin expressed high willingness to use FTS. Participants explained that learning their drugs contained fentanyl may make them more likely to engage in overdose risk reduction behaviors, such as: using less, doing tester shots, and not using the drugs entirely. Conclusion: Among our sample of rural PWID in Appalachia, most were unaware of FTS but expressed high willingness to utilize the technology. Participants described how receiving a positive FTS result may lead them to engage in overdose risk reduction behaviors. Augmenting existing overdose prevention initiatives in rural Appalachia such that rural PWID have access to FTS may result in reductions in overdose fatalities. SN - 1532-2491 UR - https://www.unboundmedicine.com/medline/citation/32336188/Perspectives_on_Fentanyl_Test_Strip_Use_among_People_Who_Inject_Drugs_in_Rural_Appalachia_ L2 - https://www.tandfonline.com/doi/full/10.1080/10826084.2020.1753773 DB - PRIME DP - Unbound Medicine ER -