Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment

doi:10.1007/s11904-018-0402-3

Review

. 2018 Aug;15(4):315-323.

doi: 10.1007/s11904-018-0402-3.

Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment

Jennifer R Havens¹, Sharon L Walsh², P Todd Korthuis³, David A Fiellin^{4

5}

Affiliations

¹ Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Lexington, KY, 40508, USA. Jennifer.havens@uky.edu.
² Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Lexington, KY, 40508, USA.
³ Department of Medicine, Section of Addition Medicine, Oregon Health and Science University, Portland, OR, USA.
⁴ Yale School of Medicine, New Haven, CT, USA.
⁵ Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.

PMID: 29948609
PMCID: PMC6260984
DOI: 10.1007/s11904-018-0402-3

Review

Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment

Jennifer R Havens et al. Curr HIV/AIDS Rep. 2018 Aug.

. 2018 Aug;15(4):315-323.

doi: 10.1007/s11904-018-0402-3.

Authors

Jennifer R Havens¹, Sharon L Walsh², P Todd Korthuis³, David A Fiellin^{4

5}

Affiliations

¹ Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Lexington, KY, 40508, USA. Jennifer.havens@uky.edu.
² Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Avenue, Lexington, KY, 40508, USA.
³ Department of Medicine, Section of Addition Medicine, Oregon Health and Science University, Portland, OR, USA.
⁴ Yale School of Medicine, New Haven, CT, USA.
⁵ Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.

PMID: 29948609
PMCID: PMC6260984
DOI: 10.1007/s11904-018-0402-3

Abstract

Purpose of review: To describe the epidemiology of opioid-use disorder in the rural United States (U.S.) as it pertains to HIV and hepatitis C transmission and treatment resources.

Recent findings: Heroin and fentanyl analogs have surpassed prescription opioids in their availability in rural opioid markets adding to HIV and hepatitis C (HCV) and overdose risks. Only 18% of rural individuals live in towns with inpatient services which are of limited quality and utility. Opioid treatment programs that provide methadone are not located in rural areas and only 3% of the primary care providers have the ability to prescribe buprenorphine. National models and resources have been established but lack implementation in rural areas leading to ongoing HIV and HCV transmission and overdose. Addressing the adverse impact of opioids in the rural U.S. will require a concerted effort to implement effective treatments according to national standards.

Keywords: HIV; Hepatitis C; Opioid treatment; Opioid treatment programs.

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References

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[1] Compton WM and Volkow ND, Abuse of prescription drugs and the risk of addiction. Drug Alcohol Depend, 2006. 83 Suppl 1: p. S4–7. - PubMed

[2] Compton WM and Volkow ND, Abuse of prescription drugs and the risk of addiction. Drug Alcohol Depend, 2006. 83 Suppl 1: p. S4–7. - PubMed

[3] Compton WM and Volkow ND, Major increases in opioid analgesic abuse in the United States: concerns and strategies. Drug Alcohol Depend, 2006. 81(2): p. 103–7. - PubMed

[4] Compton WM and Volkow ND, Major increases in opioid analgesic abuse in the United States: concerns and strategies. Drug Alcohol Depend, 2006. 81(2): p. 103–7. - PubMed

[5] Katz DA and Hays LR, Adolescent OxyContin Abuse. J Am Acad Child Adolesc Psychiatry, 2004. 43(2): p. 231–4. - PubMed

[6] Katz DA and Hays LR, Adolescent OxyContin Abuse. J Am Acad Child Adolesc Psychiatry, 2004. 43(2): p. 231–4. - PubMed

[7] Hays L, Kirsh KL, and Passik SD, Seeking drug treatment for OxyContin abuse: a chart review of consecutive admissions to a substance abuse treatment facility in Kentucky. J Natl Compr Canc Netw, 2003. 1(3): p. 423–8. - PubMed

[8] Hays L, Kirsh KL, and Passik SD, Seeking drug treatment for OxyContin abuse: a chart review of consecutive admissions to a substance abuse treatment facility in Kentucky. J Natl Compr Canc Netw, 2003. 1(3): p. 423–8. - PubMed

[9] Havens JR, Walker R, and Leukefeld CG, Prevalence of opioid analgesic injection among rural nonmedical opioid analgesic users. Drug Alcohol Depend, 2007. 87(1): p. 98–102. - PubMed

[10] Havens JR, Walker R, and Leukefeld CG, Prevalence of opioid analgesic injection among rural nonmedical opioid analgesic users. Drug Alcohol Depend, 2007. 87(1): p. 98–102. - PubMed

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Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment

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Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment

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