{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:35:14Z","timestamp":1779064514331,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01-DA049333"],"award-info":[{"award-number":["R01-DA049333"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Opioid-involved overdose fatalities among African Americans continue to rise. The current study examines African Americans who reported use of opioids in the past 6\u2009months and declined overdose education and free naloxone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Eligible participants included African American Kentuckians who used opioids in the past 6\u2009months and consented to a larger study examining their opioid use. This paper qualitatively explored their reasons for declining overdose education and naloxone using an adjusted and inductive application of structural tabular thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 588 participants, 70 (12%) declined naloxone: the most cited reason for declining naloxone was already possessing the medication. Additional reasons range from not needing or wanting naloxone to no longer using opioids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The findings suggest that African Americans\u2019 hesitancy to carry naloxone can be due to pervasive structural issues. Despite these findings, there remain disproportionate drug treatment rates and mortality from overdose among African Americans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251352271","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T15:17:28Z","timestamp":1752765448000},"page":"193-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Brief Report: Naloxone Decline Among African American Kentuckians"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7035-5988","authenticated-orcid":false,"given":"Rayven L.","family":"Peterson","sequence":"first","affiliation":[{"name":"Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Goggins","sequence":"additional","affiliation":[{"name":"Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Destin L.","family":"Mizelle","sequence":"additional","affiliation":[{"name":"Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Miller-Roenigk","sequence":"additional","affiliation":[{"name":"Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candice N.","family":"Hargons","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, University of Emory, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Stevens-Watkins","sequence":"additional","affiliation":[{"name":"Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Centers for Disease Control and Prevention. 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