Browsing by Author "Wish, Eric D."
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Item Choosing your platform for social media drug research and improving your keyword filter list(2019) Adams, Nikki; Artigiani, Eleanor Erin; Wish, Eric D.Social media research often has two things in common: Twitter is the platform used and a keyword filter list is used to extract only relevant Tweets. Here we propose that (a) alternative platforms be considered more often when doing social media research, and (b) regardless of platform, researchers use word embeddings as a type of synonym discovery to improve their keyword filter list, both of which lead to more relevant data. We demonstrate the benefit of these proposals by comparing how successful our synonym discovery method is at finding terms for marijuana and select opioids on Twitter versus a platform that can be filtered by topic, Reddit. We also find words that are not on the U.S. Drug Enforcement Agency (DEA) drug slang list for that year, some of which appear on the list the subsequent year, showing that this method could be employed to find drug terms faster than traditional means.Item Harm reduction behaviors are associated with carrying naloxone among patients on methadone treatment(Springer Nature, 2023-02-14) Kozak, Zofia; Ciccarone, Daniel; Thrul, Johannes; Cole, Thomas O.; Pappas, Alexander L.; Greenblatt, Aaron D.; Welsh, Christopher; Yoon, Mark; Gann, Donald Jr.; Artigiani, E. Erin; Wish, Eric D.; Belcher, Annabelle M.Despite the widespread availability of naloxone, US opioid overdose rates continue to rise. The “Cascade of Care” (CoC) is a public health approach that identifies steps in achieving specific outcomes and has been used to identify gaps in naloxone carriage among individuals with opioid use disorder (OUD). We sought to apply this framework to a treatment-seeking population with OUD that may be more inclined to engage in harm reduction behaviors. Patients were recruited from an urban methadone program to complete a survey. We assessed naloxone familiarity, availability, obtainability, training, and possession, as well as naloxone carriage rates, demographics, and harm reduction behaviors. A multivariable logistic regression examined associations between naloxone carriage and individual-level factors. Participants (n = 97) were majority male (59%), with a mean age of 48 (SD = 12), 27% had college education or higher, 64% indicated injection drug use, and 84% reported past naloxone training. All participants endorsed familiarity with naloxone, but only 42% regularly carried naloxone. The following variables were associated with carrying naloxone: White race (aOR = 2.94, 95% CI 1.02–8.52), college education (aOR = 8.11, 95% CI 1.76–37.47), and total number of self-reported harm reduction behaviors (aOR = 1.45, 95% CI 1.00–2.11). We found low rates of naloxone carriage among methadone-treated patients. Methadone programs provide opportunities for naloxone interventions and should target racial/ethnic minorities and individuals with lower education. The spectrum of harm reduction behaviors should be encouraged among these populations to enhance naloxone carriage.