Where Is the Opioid Use Epidemic in Mexico? A Cautionary Tale for Policymakers South of the US-Mexico Border

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dc.contributor.affiliationDavid Goodman-Meza and Raphael J. Landovitz are with Division of Infectious Diseases, David Geffen School of Medicine at University of California Los Angeles (UCLA). Raphael J. Landovitz is also with Center for Clinical AIDS Research and Education, Los Angeles
dc.contributor.emaildgoodman@mednet.ucla.edu (David Goodman-Meza)
dc.creatorGoodman-Meza, David
dc.creatorMedina-Mora, María Elena
dc.creatorMagis-Rodríguez, Carlos
dc.creatorLandovitz, Raphael J.
dc.creatorShoptaw, Steve
dc.creatorWerb, Dan
dc.date2019
dc.date.accessioned2026-11-05T17:28:04Z
dc.date.issued2019
dc.date.published2019
dc.descriptionIn North America, opioid use and its harms have increased in the United States and Canada over the past 2 decades. However, Mexico has yet to document patterns suggesting a higher level of opioid use or attendant harms.Historically, Mexico has been a country with low-level use of opioids, although heroin use has been documented. Low-level opioid use is likely attributable to structural, cultural, and individual factors. However, a range of dynamic factors may be converging to increase the use of opioids: legislative changes to opioid prescribing, national health insurance coverage of opioids, pressure from the pharmaceutical industry, changing demographics and disease burden, forced migration and its trauma, and an increase in the production and trafficking of heroin. In addition, harm-reduction services are scarce.Mexico may transition from a country of low opioid use to high opioid use but has the opportunity to respond effectively through a combination of targeted public health surveillance of high-risk groups, preparation of appropriate infrastructure to support evidence-based treatment, and interventions and policies to avoid a widespread opioid use epidemic.
dc.formatPDF
dc.identifierJC25DIEP18
dc.identifier.doi10.2105/AJPH.2018.304767
dc.identifier.eissn1541-0048
dc.identifier.issn0090-0036
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeEstados Unidos
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/242
dc.identifier.urihttps://doi.org/10.2105/AJPH.2018.304767
dc.language.isoeng
dc.publisherAmerican Public Health Association
dc.relation109(1):73-82
dc.relation.jnabreviadoAM J PUBLIC HEALTH
dc.relation.journalAmerican Journal of Public Health
dc.rightsAcceso Cerrado
dc.titleWhere Is the Opioid Use Epidemic in Mexico? A Cautionary Tale for Policymakers South of the US-Mexico Border
dc.typeArtículo

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