Filling the need for trusted information on national health issues…

HIV and the Opioid Epidemic: 5 Key Points

Issue Brief
  1. SAMHSA. 2016 National Survey on Drug Use and Health. https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.pdf

    ← Return to text

  2. Kaiser Family Foundation. State Health Facts. Opioid Overdose Deaths. https://www.kff.org/other/state-indicator/opioid-overdose-deaths-by-gender/

    ← Return to text

  3. Peters, P., et al. (2016.) “HIV Infection Linked to Injection Use of Oxymorphone in Indiana, 2014–2015.” New England Journal of Medicine. 375:229-239.

    ← Return to text

  4. Van Handle, M., et al. (2016). “County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons who Inject Drugs, United States.” Journal of AIDS. 73:3, 323-331

    ← Return to text

  5. Peters, P., et al. (2016.) “HIV Infection Linked to Injection Use of Oxymorphone in Indiana, 2014–2015.” New England Journal of Medicine. 375:229-239.

    ← Return to text

  6. See for example, Zibell, J., et al. (2018). “Increases in Acute Hepatitis C Virus Infection Related to a Growing Opioid Epidemic and Associated Injection Drug Use, United States, 2004 to 2014. AJPH: Hepatitis C and Opioids. 108:2,175-181 and Van Handle, M., et al. (2016). “County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons who Inject Drugs, United States.” Journal of AIDS. 73:3, 323-331.

    ← Return to text

  7. Van Handle, M., et al. (2016). “County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons who Inject Drugs, United States.” Journal of AIDS. 73:3, 323-331.

    ← Return to text

  8. Centers for Disease Control and Prevention. NCHHSTP AtlasPlus. Updated 2017. https://www.cdc.gov/nchhstp/atlas/index.htm. Accessed February 2018.

    ← Return to text

  9. Wejnert, et al. (2016). MMWR. “Vital signs: Trends in HIV Diagnoses, Risk Behaviors. And Prevention Among Persons Who Inject Drugs –United States.” 65:47,1336-1342.

    ← Return to text

  10. Kaiser Family Foundation analysis of data available from amfAR’s Opioid & Health Indicators Database. Maps from amfAR database, available here: http://opioid.amfar.org/. 220 Vulnerable Counties originally identified in Van Handle, M., et al. (2016). “County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons who Inject Drugs, United States.” Journal of AIDS. 73:3, 323-331.

    ← Return to text

  11. The original article identifying these counties also notes that 43% of the counties did not have a buprenorphine-waivered physician (another indicator of limited capacity to respond to an emerging opioid epidemic).

    ← Return to text

  12. Kaiser Family Foundation. 2018. Medicaid’s Role in Addressing Opioid Addiction. https://www.kff.org/infographic/medicaids-role-in-addressing-opioid-epidemic/

    ← Return to text

  13. Peters, R. Wengle, E. 2016. The Urban Institute. Coverage of Substance-Use Disorder Treatments in Marketplace Plans in Six Cities. https://www.urban.org/sites/default/files/publication/81856/2000838-Coverage-of-Substance-Use-Disorder-Treatments-in-Marketplace-Plans-in-Six-Cities.pdf

    ← Return to text

  14. The three common MATs are buprenorphine; Methadone, and Naltrexone.

    ← Return to text

  15. 23 ADAP formularies include buprenorphine, 16 include Methadone, and 20 cover Naltrexone. NASTAD’s 2018 ADAP formulary database: https://www.nastad.org/adap-formulary-database.

    ← Return to text

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.