Opiate Addiction and Treatment (Annotated Bibliography)
Sordo, Luis, et al. “Mortality risk during and after opioid substitution treatment: systematic review and meta-analysis of cohort studies.” BMJ 357, j1550: 2017.
The article prompted me to consider the effectiveness of the contemporary methods uses in treating addiction to opioids. Through the reading, I realized that it is important to consider the effects of the treatment administered on the health of the addict. The fact that multiple deaths have been registered following the administration of methadone or buprenorphine made me realize that treatment practices are not evidence–based. From the reading, I was led to understand the essence of an evidence-based approach to treatment administration. With facts regarding the effects of the treatment that is used on the addicts, I believe there will be better chances of succeeding in the efforts to rehabilitate.
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- Coley, Medeiros, and Schindler (2008) explicitly examined the consequences of risky human sexual behavior and young adulthood. The authors found a highly significant relationship between risky sexual behavior during mid adolescence (from ages 14 to 16) and risky sexual behavior during late adolescence (from ages 15 to 19), suggesting that there is
some stability in risky sexual behavior over time. Specifically, they found that controlling for early drug use, that having unprotected sex during adolescence (when respondents were
on average 14 years old) predicted drug use during late adolescence/young adulthood
(when respondents were on average 19 years old).
- Coker, Richter, Valois, McKeown, Garrison, and Vincent (2004) found evidence that early sexual behavior was associated with a greater lifetime number of sexual partners, a lower likelihood of using a condom during their last sexual encounter, a higher likelihood of becoming pregnant or impregnating a partner as a teenager, and, for girls, a higher incidence of STDs. The authors concluded that the link between early and risky sexual behavior is logical. Youth who engage in early sexual behavior are less experienced and less mature than youth who wait until later adolescence to initiate sexual behavior, thus they are less aware of the physical and emotional risks associated with sexual intercourse. In turn, if they are unaware of the potential consequences of engaging in sexual intercourse, they will be less likely to protect themselves from STDs by using condoms or to see the danger in having multiple partners or having sexual intercourse while using substances like alcohol or marijuana (Coker, et al., 2004).
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