Predictors of participant engagement and naloxone utilization in a community-based naloxone distribution program

AIMS: To describe characteristics of participants and overdose reversals associated with a community-based naloxone distribution program and identify predictors of obtaining naloxone refills and using naloxone for overdose reversal. DESIGN: Bivariate statistical tests were used to compare characteristics of participants who obtained refills and reported overdose reversals, versus those who did not. We fitted multiple logistic regression models to identify predictors of refills and reversals; zero-inflated multiple Poisson regression models were used to identify predictors of number of refills and reversals. SETTING: San Francisco, California, U.S.A. PARTICIPANTS: Naloxone program participants registered and reversals reported from 2010-2013. MEASUREMENTS: Baseline characteristics of participants and reported characteristics of reversals. FINDINGS: 2500 participants were registered and 702 reversals were reported from 2010-2013. Participants who had witnessed an overdose [AOR=2.02(1.53-2.66); AOR=2.73(1.73-4.30)] or used heroin [AOR=1.85(1.44-2.37); AOR=2.19(1.54-3.13)], or methamphetamine [AOR=1.71(1.37-2.15); AOR=1.61(1.18-2.19)] had higher odds of obtaining a refill and reporting a reversal, respectively. African American [Adjusted Odds Ratio=0.63(95%CI=0.45-0.88)] and Latino [AOR=0.65(0.43-1.00)] participants had lower odds of obtaining a naloxone refill whereas Latino participants who obtained at least one refill reported a higher number of refills [Incidence Rate Ratio=1.33(1.05-1.69)]. CONCLUSIONS: Community naloxone distribution programs are capable of reaching sizeable populations of high-risk individuals and facilitating large numbers of overdose reversals. Community members most likely to engage with a naloxone program and use naloxone to reverse an overdose are active drug users

Homonationalism and Western progressive narrative: locating ‘conservative heartlands’ with Zenne Dancer (2012) and its Western reviews

In this paper, we analyze the Turkish film Zenne Dancer (2012), which is largely based on what has been called a first gay honor killing in Turkey. We employ a framing analysis to both the film's content and its Western reviews to compare how different media texts frame the murder. The results indicate that while both the film and the reviews recognize tradition, understood here as native and archaic values as well as Islamic religion, as a key factor behind the murder, they locate this tradition quite differently: the film relegates it to the eastern Turkey, and thus implicitly to Kurds, while the reviews tend to extend it to the entire country or even the whole Middle East. We relate these results to the Western progressive narrative that positions the West as a civic and moral ideal that could be achieved by others over time. In particular, we employ Puar's concept of homonationalism to show how different media texts challenge or exploit the Western imperative to ‘come out’ and what effects it has for the East–West juxtapositions

Learning, innovation and competitive advantage in not-for-profit aged care marketing: a conceptual model and research propositions

The rapid expansion and the increased commercialization of the elderly consumers market have forced not-for-profit organizations (NFPs) to adopt a competitive posture in their operations and to pursue innovative ways of delivering superior aged care to the target market. This paper attempts to model the antecedents of innovation-based competitive strategy in NFPs. Premised on the capability-based model of sustained competitive advantage and incorporating the emerging concept of social entrepreneurship, it is argued that entrepreneurial NFP organizations, in their mission to create social value to multiple stakeholders, build and nurture distinctive learning capabilities that enable them to formulate innovative strategies for superior aged care delivery. Key theoretical constructs within the model are explored and research propositions are presented