Jason E. Goldstick's research while affiliated with University of Michigan and other places

Publications (26)

Article
Importance: In 2016, the Centers for Disease Control and Prevention (CDC) released the evidence-based Guideline for Prescribing Opioids for Chronic Pain. How the release of this guideline coincided with changes in nonopioid pain medication prescribing rates remains unknown. Objective: To evaluate changes in nonopioid pain medication prescribing...
Article
Background: Pharmacy standing order policies allow pharmacists to dispense naloxone, thereby increasing access to naloxone. Objectives: To describe pharmacy standing order participation and associations of pharmacy and community characteristics that predict naloxone availability and dispensing across eight counties in Michigan. Methods: We con...
Article
Purpose Cannabis use is increasing among emerging adults (ages 18-25), necessitating the need for prevention interventions. Using a novel platform – social media – we developed an 8-week motivational interviewing and cognitive-behavioral intervention targeting cannabis use among emerging adults. Herein, we report on the feasibility and acceptabilit...
Article
Objective: Simultaneous alcohol and nonmedical prescription drug use (NMPDU) increases acute risks (e.g., overdose) associated with each; understanding social, substance use, and mental health predictors of same-day use may suggest intervention targets. Method: At an urban emergency department, research assistants recruited youth ages 14-24 repo...
Article
Purpose Demolishing abandoned buildings has been found to reduce nearby firearm violence. However, these effects might vary within cities and across time scales. We aimed to identify potential moderators of the effects of demolitions on firearm violence using a novel approach that combined machine learning and aerial imagery. Methods Outcomes were...
Article
Loneliness is a public health problem causing morbidity and mortality. Individuals with substance use problems are often lonelier than the general population. We evaluate the longitudinal associations between social influences, substance use, and loneliness among adolescents and young adults recruited from an urban Emergency Department (ED). We use...
Article
Full-text available
Objective The study was done to evaluate levels of missing and invalid values in the Michigan (MI) National Emergency Medical Services Information System (NEMSIS) (MI-EMSIS) and explore possible causes to inform improvement in data reporting and prehospital care quality. Methods We used a mixed-methods approach to study trends in data reporting. T...
Article
While much is known about attitudes towards police and weapon carriage independently, it is unclear whether the two are associated. In the current study, we explored this potential association and whether it was moderated by race in a sample of adolescents. After adjusting for age, gender, perceived risk of victimization, and violence victimization...
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Full-text available
Importance The Centers for Disease Control and Prevention (CDC) released the “Guideline For Prescribing Opioids For Chronic Pain” (hereafter, CDC guideline) in 2016, but its association with prescribing practices for patients who are opioid naive is unknown. Objective To estimate changes in initial prescribing rates, duration, and dosage practices...
Article
Objective: Cannabis use is broadly associated with risky sexual behaviors, but evidence regarding how cannabis is related to condomless sex at the individual level is mixed. A better understanding of the context in which cannabis use is occurring, that is, why individuals are using cannabis on a particular day, could help clarify these relationshi...
Article
Cannabis-using youth are a large epidemiologic subgroup whose age and smoking-related risks underscore the importance of examining the impact of the COVID-19 pandemic in this population. Within a clinical trial (n = 36 received an intervention prior to data collection reported herein), we surveyed cannabis-using emerging adults (ages 18-25) about p...
Conference Paper
Statement of purpose To use longitudinal data collected from youth presenting to an urban emergency department to determine predictors of within-person changes in alcohol and prescription opioid same day use frequency. Methods/Approach Research assistants recruited youth age 14–24 reporting past-six-month substance use into the Flint Youth Injury...
Conference Paper
Statement of purpose To use data from a state-wide opioid overdose surveillance system in Michigan to evaluate changes in opioid overdose frequency during the COVID-19 pandemic. Methods/Approach The System for Opioid Overdose Surveillance (SOS) is a near real-time overdose surveillance system in the state of Michigan run out of the University of M...
Article
Youth firearm injury is a worsening public health crisis, and the risks are not distributed evenly. Bottiani et al. skillfully explicated those health disparities, described sociological factors underlying them, and explored avenues for prevention. We supplement their analysis by detailing problems and solutions related to a critical barrier to fir...
Conference Paper
Statement of purpose Estimate frequency of drug use disorder (DUD), multiple substance co-diagnosis network characteristics, and predictors of DUD among youth entering an urban emergency department (ED). Methods/Approach Drug-using youth age 14–24 (n=599; 349 assault-injured) presenting to a Level-1 ED were recruited. Participants were contacted a...
Article
Background The distinction between within- and between-person associations with drug use disorder (DUD) has implications for intervention targets and content. We used longitudinal data from youth entering an urban emergency department (ED) to identify factors related to changes in DUD diagnosis, with particular emphasis on alcohol use. Methods Res...
Article
Full-text available
Introduction Out-of-hospital cardiac arrest (OHCA) is a common, life-threatening event encountered routinely by first responders, including police, fire and emergency medical services (EMS). Current literature suggests that there is significant regional variation in outcomes, some of which may be related to modifiable factors. Yet, there is a persi...
Article
More than 652 000 people in the US died from firearm injuries between 1999 and 2018.¹ Given that firearms are embedded within US culture (in 2018, 21.9% of individuals owned a firearm and 35.2% lived in households with firearms²) evidence-based public health measures and policies that enhance firearm safety are needed. Firearm injuries are multifac...
Article
Objective Same day use of alcohol and cannabis is prevalent among emerging/young adults and increases the risk for negative consequences. Although motives for alcohol and cannabis use are well-documented, specific motives on co-use days are under-investigated. We examined differences in motives on single substance use (i.e. alcohol or cannabis) ver...
Article
Introduction: Prescription opioid use and driving is a public health concern given the risks associated with drugged driving, but the issue remains under-studied. We examined the prevalence and correlates of driving after taking prescription opioids (DAPO) among adults seeking emergency department (ED) treatment. Methods: Participants (aged 25-6...
Article
Introduction Exposure to violence is a risk factor for firearm carriage. Youth exposed to violence also have difficulty envisioning positive future outcomes (e.g., educational outcomes), which can increase the likelihood of firearm carriage over time. Researchers, however, have not yet examined whether changes in exposure to violence over time can...
Article
Full-text available
Importance Benzodiazepines, which are associated with safety-related harms for older adults, were not covered when the US Medicare Part D prescription drug benefit began. Coverage was extended to benzodiazepines in 2013. Objective To examine whether the expansion of benzodiazepine coverage among Medicare Advantage (MA) beneficiaries was associated...
Article
Full-text available
This study examines the effects of a neighbourhood greening and beautification strategy called Clean & Green on crime prevention and reduction. Point level data for all Part I index crimes and Clean & Green efforts in the study area from 2005 to 2014 are analysed using spatial and linear regression with two key modifications: (1) controlling for te...
Article
Full-text available
Background: Obesity in the United States is a serious and preventable health concern. Previous research suggests that habitual short sleep may influence obesity-risk behaviors, such as increased caloric intake, decreased physical activity and increased engagement in sedentary activities (e.g., media consumption, computer usage). Given that existin...
Article
Full-text available
OBJECTIVES/SPECIFIC AIMS: To identify characteristics of counties with persistently high opioid-overdose rates and low capacity to deliver medications for OUD (MOUD). METHODS/STUDY POPULATION: Setting: County-level opioid-overdose death data, 2013-2016, and 2017 publicly-available treatment provider data for MOUD: buprenorphine-waivered providers,...

Citations

... Person-focused strategies include community violence intervention, an approach in which credible messengers mediate disputes and connect individuals with social services. 35 Place-based strategies, such as greening vacant lots 36 and demolishing abandoned buildings, 37,38 can address the impacts of physical deterioration and disinvestment that have disproportionately affected communities of color. ...
... Notwithstanding the benefits reported of cannabis consumption in our results and others, it is important to keep in mind that drug use is associated with risky sexual behaviours such as unprotected sex and the appearance of sexually transmitted infections [29,30], leading to careless and unsafe sexual encounters [31]. These high-risk attitudes are frequently associated with increased relaxation, euphoria, disinhibition, decreased self-control, and decreased risk perception caused by psychoactive substances, which cause users to be less cautious and to forget the importance of safe sex [32]. ...
... The U.S. Centers for Disease Control (CDC) Guideline for Prescribing Opioids for Chronic Pain [3] (CDC guideline) was published in the Journal of the American Medical Association (JAMA) in 2016 and despite some initial controversy [4], was generally praised as a major acheivement, and a needed correction to overly liberal opioid prescribing practices [5,6]. In the ensuing years, access to prescription opioids was reduced due to changes in the behavior of individual prescribers and pharmacies [7][8][9], as well as larger scale policies instituted by thirdparty payers and regulatory authorities [10,11]. Although these changes were often based on the content of the CDC Guideline, there were important inconsistencies. ...
... The COVID-19 pandemic has brought a wide variety of unprecedented challenges, many of which appear to be affecting mental health and consumption patterns in cannabis users [16][17][18][19]. Therefore, it is essential for healthcare providers to use all the resources and therapies available to help users adjust to the problems caused by the pandemic. ...
... Improving access to government data on firearm injuries is critically important for future work. 44 CONCLUSIONS Nationally, children of color, especially Black children, experience greater exposure to neighborhood firearm violence than White children. The COVID-19 pandemic only exacerbated these racial disparities. ...
... Glober et al [24] reported proportional increases in EMS runs for opioid overdoses (43%), EMS-administered naloxone for opioid overdoses (61%), and drug overdose deaths (47%) in Marion County (Indiana) as compared to either of two prepandemic periods. Ballesteros et al [25] reported increases in both EMS-administered naloxone for opioid-related overdoses (28%) and opioid overdose deaths (15%) in Michigan from March 1 to September 2020, as compared with the same period in 2019. To our knowledge, no study has examined changes in multiple naloxone administrations during the COVID-19 pandemic. ...
... Of the myriad prehospital challenges confronting emergency medical services (EMS) systems worldwide, out-of-hospital cardiac arrests (OHCAs) remain a global challenge [1][2][3][4][5]. Despite systemic improvements in training, and the upgrading of equipment and skill sets, survival rates remain disappointingly low [1][2][3]. ...
... To prevent firearm violence through a public health approach, it is essential to understand the epidemiology of non-fatal firearm injury victims in order to design prevention efforts by identifying individuals and communities most affected by non-fatal firearm violence. 31 This study highlights three critical avenues to prevent future firearm violence and improve the health of those directly and indirectly impacted by non-fatal firearm injuries. One, our findings clearly demonstrate victimisation rates of non-fatal firearm injuries have shifted during the first 18 months the COVID-19 pandemic with higher rates of female and older victims. ...
... As expected, research shows that the most frequently reported motives differ between substances [4]. While some overlap exists, generally alcohol use is most often motivated by social reasons, cannabis use is most often related to an enhancement motive [10,11] and tobacco use to coping [4]. In recreational methylenedioxymethamphetamine (MDMA) users, the most important motive is enhancement [12,13] while coping [14] and expansion [12] are also frequently reported. ...
... Engaging parents and youth in discussing firearm violence should assess both adolescent firearm carriage, as well as risk factors for carriage such as violence exposure. (50) Theoretically, decreasing access should reduce interpersonal firearm violence, but further research is needed to determine whether this is true and which interventions are effective at decreasing intentional injuries by firearm (ie. HCP counseling, hospital-based violence interruption programs or community-based violence interruption programs). ...