Nav: Home

Support increases when opioid 'safe consumption sites' called 'overdose prevention sites'

August 08, 2018

"Safe consumption sites," where people can use pre-obtained drugs with medically trained personnel on hand to treat overdoses, garner higher public support when they are called "overdose prevention sites," according to a study led by researchers at Johns Hopkins Bloomberg School of Public Health.

The researchers, in a study published on August 8 in the American Journal of Public Health, surveyed representative national samples of Americans and found that only 29 percent of respondents were in favor of "safe consumption sites," but 45 percent supported them when the term "overdose prevention sites" was used instead.

Safe consumption sites are already legally operated in Canada, Europe and Australia, and have been found to reduce overdose deaths as well as HIV and hepatitis virus transmission. These sites are being considered in a number of jurisdictions in the U.S. including San Francisco, Seattle, Philadelphia, New York City and Ithaca, New York, but so far, none have moved forward to establish them. A shift to describe these sites as overdose prevention sites could make it easier to increase public support and eventually establish them, particularly in regions heavily affected by the opioid epidemic.

"The lack of support, despite strong evidence that these sites save lives, prompted us to wonder whether changing the language used to describe them might increase public acceptance," says lead study author Colleen L. Barry, PhD, Fred and Julie Soper Professor and Chair of the Department of Health Policy and Management at the Bloomberg School. "Previous research suggests that how an issue is framed can matter when persuading the public to get behind evidence-based approaches, particularly controversial ones," she adds. "In this case, we found that substituting just three words boosts public support by 16 percentage points."

Centers for Disease Control and Prevention statistics indicate that about 50,000 Americans died from opioid overdoses in the U.S. in 2017, a substantial increase over the previous year. While the numbers of deaths due to prescription opioids are plateauing, overdose deaths due to heroin and fentanyl are rising rapidly.

To reduce overdose deaths and lessen other detrimental effects of the epidemic on individuals and communities, officials in hard-hit areas have increasingly turned to harm-reduction strategies. Harm-reduction approaches, such as syringe exchanges and naloxone distribution programs, aim to minimize negative health, social and economic consequences of harmful drug use for people who use drugs. Syringe exchange programs allow people using drugs to obtain clean needles to prevent the transmission of HIV and other viruses. Distributing naloxone--a lifesaving medication to reverse the effects of an overdose--through law enforcement, first responders, and friends and family members of individuals using opioids has also been shown to reduce overdose deaths.

"In addition to preventing overdose deaths, another important benefit," says study co-author Beth McGinty, PhD, assistant professor in the Bloomberg School's Department of Health Policy and Management, "is that these sites offer a range of health and social services to connect people using drugs to drug treatment, to primary health care services including wound care, and to a range of other supports to aid them in gaining control over their lives and, in some cases, transition into successful treatment and recovery."

"We have a very strong evidence base from sites long-established in Europe, Australia and Canada that this approach can reduce overdose deaths, decrease HIV and hepatitis C infection, and lower rates of public syringe disposal, and they have not led to increases in crime or drug use in the neighborhoods where they are located," says study co-author Susan Sherman, PhD, professor in the Bloomberg School's Department of Health, Behavior and Society.

In the study, Barry and colleagues conducted two nationally representative public opinion surveys using the GfK Knowledge Networks panel, a representative nationwide group of more than 65,000 U.S. adults. Both surveys included over 1,000 respondents. In the first, which used the term "safe consumption sites," the authors found that only 29 percent supported "the legalization of safe consumption sites in your community." In the second survey, using an otherwise identical language and approach, the authors replaced "safe consumption sites" with "overdose prevention sites." This time 45 percent of respondents supported the idea--a 16 percentage point jump.

The increase in support occurred across all demographic and socioeconomic categories.

"Our findings demonstrate that language matters--even minor wording changes can change the way the public thinks about a topic," Barry says. "Using the term 'overdose prevention sites' may resonate more with the public because it emphasizes the consequences of not intervening to save a life."

"These findings fit within a growing awareness that negative terminology that stigmatizes --words such as 'junkie' and 'addict'--really end up working against getting people into effective treatment to prevent overdoses," Barry says.

"Language Matters in Combating the Opioid Epidemic: Safe Consumption Sites Versus Overdose Prevention Sites" was written by Colleen Barry, Susan Sherman and Emma McGinty.
-end-


Johns Hopkins University Bloomberg School of Public Health

Related Public Health Articles:

Public health guidelines aim to lower health risks of cannabis use
Canada's Lower-Risk Cannabis Use Guidelines, released today with the endorsement of key medical and public health organizations, provide 10 science-based recommendations to enable cannabis users to reduce their health risks.
Study clusters health behavior groups to broaden public health interventions
A new study led by a University of Kansas researcher has used national health statistics and identified how to cluster seven health behavior groups based on smoking status, alcohol use, physical activity, physician visits and flu vaccination are associated with mortality.
Public health experts celebrate 30 years of CDC's prevention research solutions for communities with health disparities
It has been 30 years since CDC created the Prevention Research Centers (PRC) Program, currently a network of 26 academic institutions across the US dedicated to moving new discoveries into the communities that need them.
Public health experts support federally mandated smoke-free public housing
In response to a new federal rule mandating smoke-free policies in federally funded public housing authorities, three public health experts applaud the efforts of the US Department of Housing and Urban Development to protect nonsmoking residents from the harmful effects of tobacco exposure.
The Lancet Public Health: UK soft drinks industry levy estimated to have significant health benefits, especially among children
The UK soft drinks industry levy, due to be introduced in April 2018, is estimated to have significant health benefits, especially among children, according to the first study to estimate its health impact, published in The Lancet Public Health.
Social sciences & health innovations: Making health public
The international conference 'Social Sciences & Health Innovations: Making Health Public' is the third event organized as a collaborative endeavor between Maastricht University, the Netherlands, and Tomsk State University, the Russian Federation, with participation from Siberian State Medical University (the Russian Federation).
Columbia Mailman School Awards Public Health Prize to NYC Health Commissioner Dr. Mary T.
Dr. Mary T. Bassett, Commissioner of the New York City Department of Health and Mental Hygiene, was awarded the Frank A.
Poor health literacy a public health issue
America's poor record on health literacy is a public health issue, but one that can be fixed -- not by logging onto the internet but by increased interaction with your fellow human beings, a Michigan State University researcher argues.
Despite health law's bow to prevention, US public health funding is dropping: AJPH study
Although the language of the Affordable Care Act emphasizes disease prevention -- for example, mandating insurance coverage of clinical preventive services such as mammograms -- funding for public health programs to prevent disease have actually been declining in recent years.
'Chemsex' needs to become a public health priority
Chemsex -- sex under the influence of illegal drugs -- needs to become a public health priority, argue experts in The BMJ this week.

Related Public Health Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Setbacks
Failure can feel lonely and final. But can we learn from failure, even reframe it, to feel more like a temporary setback? This hour, TED speakers on changing a crushing defeat into a stepping stone. Guests include entrepreneur Leticia Gasca, psychology professor Alison Ledgerwood, astronomer Phil Plait, former professional athlete Charly Haversat, and UPS training manager Jon Bowers.
Now Playing: Science for the People

#524 The Human Network
What does a network of humans look like and how does it work? How does information spread? How do decisions and opinions spread? What gets distorted as it moves through the network and why? This week we dig into the ins and outs of human networks with Matthew Jackson, Professor of Economics at Stanford University and author of the book "The Human Network: How Your Social Position Determines Your Power, Beliefs, and Behaviours".