Equity-oriented frameworks to inform responses to opioid overdoses: a scoping review

Simple item page
dc.contributor.authorWallace, Bruce
dc.contributor.authorMacKinnon, Karen
dc.contributor.authorStrosher, Heather
dc.contributor.authorMacevicius, Celeste
dc.contributor.authorGordon, Carol
dc.contributor.authorRaworth, Rebecca
dc.contributor.authorMesley, Lacey
dc.contributor.authorShahram, Sana
dc.contributor.authorMarcellus, Lenora
dc.contributor.authorUrbanoski, Karen
dc.contributor.authorPauly, Bernie
dc.date.accessioned2021-12-17T20:10:05Z
dc.date.available2021-12-17T20:10:05Z
dc.date.copyright2021en_US
dc.date.issued2021-08
dc.description.abstractObjective: The purpose of this scoping review was to systematically identify and describe literature that uses a health equity–oriented approach for preventing and reducing the harms of stigma or overdose for people who use illicit drugs or misuse prescription opioids. Inclusion criteria: To be included, papers had to both: i) use a health equity–oriented approach, defined as a response that addresses health inequities and aims to reduce drug-related harms of stigma or overdose; and ii) include at least one of the following concepts: cultural safety, trauma- and violence-informed care, or harm reduction. We also looked for papers that included an Indigenous-informed perspective in addition to any of the three concepts. Methods: An a priori protocol was published and the JBI methodology for conducting scoping reviews was employed. Published and unpublished literature from January 1, 2000, to July 31, 2019, was included. The databases searched included CINAHL (EBSCOhost), MEDLINE (Ovid), Academic Search Premier (EBSCOhost), PsycINFO (EBSCOhost), Sociological Abstracts and Social Services Abstracts (ProQuest), JBI Database of Systematic Reviews and Implementation Reports, Cochrane Database of Systematic Reviews, PROSPERO, Aboriginal Health Abstract Database, First Nations Periodical Index, and the National Indigenous Studies Portal. The search for unpublished studies included ProQuest Dissertations and Theses, Google Scholar, and targeted web searches. Screening and data extraction were performed by two reviewers using templates developed by the authors. Data extraction included specific details about the population, concepts, context, and key findings or recommendations relevant to the review objectives. Results: A total of a total of 1065 articles were identified and screened, with a total of 148 articles included. The majority were published in the previous five years (73%) and were from North America (78%). Most articles only focused on one of the three health equity–oriented approaches, most often harm reduction (n = 79), with only 16 articles including all three. There were 14 articles identified that also included an Indigenous-informed perspective. Almost one-half of the papers were qualitative (n = 65; 44%) and 26 papers included a framework. Of these, seven papers described a framework that included all three approaches, but none included an Indigenous-informed perspective. Recommendations for health equity–oriented approaches are: i) inclusion of people with lived and living experience; ii) multifaceted approaches to reduce stigma and discrimination; iii) recognize and address inequities; iv) drug policy reform and decriminalization; v) ensure harm-reduction principles are applied within comprehensive responses; and vi) proportionate universalism. Gaps in knowledge and areas for future research are discussed. Conclusions: We have identified few conceptual frameworks that are both health equity–oriented and incorporate multiple concepts that could enrich responses to the opioid poisoning emergency. More research is required to evaluate the impact of these integrated frameworks for action.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipCanadian Institutes of Health Research (CIHR) Operating Grant: Opioid Crisis Knowledge Synthesis competition (December 2017). The funds obtained for the scoping review were from a targeted call for grant proposals. CIHR does not have any direct role in the review process for presentation of findings, but organized a meeting for researchers to present their findings.en_US
dc.identifier.citationWallace, B., MacKinnon, K., Strosher, H., Macevicius, C., Gordon, C., Raworth, R., Mesley, L., Shahram, S., Marcellus, L., Urbanoski, K., Pauly, B. (2021). Equity-oriented frameworks to inform responses to opioid overdoses: a scoping review. JBI Evidence Synthesis, Volume 19 (Issue 8), p 1760-1843. doi: 10.11124/JBIES-20-00304en_US
dc.identifier.urihttp://hdl.handle.net/1828/13607
dc.identifier.urihttps://doi.org/10.11124/JBIES-20-00304
dc.language.isoenen_US
dc.publisherJBI Evidence Synthesisen_US
dc.subjectCultural Safetyen_US
dc.subjectHarm Reductionen_US
dc.subjectHealth Equityen_US
dc.subjectOverdoseen_US
dc.subjectTrauma Informeden_US
dc.titleEquity-oriented frameworks to inform responses to opioid overdoses: a scoping reviewen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Wallace_Bruce_JBIEvidSynth_Equityframeworks_2021.pdf
Size:
777.15 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty Publications (Human & Social Development)
Library Publications
Systematic Review Reports
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.