The Knowledge, Attitude and Practices of Safe Sex Behavior among Sex Workers

In the years of the renaissances, the growing epidemic of the world was the bubonic plague, or in the early 20th century, the “Spanish Flu”. The epidemic of today's world, however, isn’t a disease, it's opioid abuse. With a death from opioid abuse every 17 minutes, that makes heroin and opioid abuse cause more deaths than car accidents in the United States (The Opioid Crisis). That’s 47,000 lives lost a year. The release of a new drug known as Narcan is meant to bring down the vast 47,000 lives lost a year (Annual causes of death).

In Nolan and Amico’s article, “How Bad is the Opioid Epidemic?” they argue the opioid epidemic has become the worst drug crisis in American history. Heroin and other opioids overdose kill more than 47,055 people a year. Deaths caused from drug overdose has outnumber as much as 40 percent compared to the death caused from car crashes in 2014 (Nolan and Amico 3). Furthermore, in 1999 there were only 15000 people died from drug overdose. This number has tripled in 15 years. Also, in his article, “America’s Addiction to Opioids: Heroin and Prescription Drug Abuse” Volkow also presents the fact that “with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise. For example, the number of unintentional overdose deaths from prescription pain relievers has

This epidemic is widespread and impacts a large and diverse group of society. In 2015, there were 194,716

Opioids are killing Americans throughout the world and also decreasing their lifespans overall. According to a medical report from JAMA Opioids take about 3 months off of our lives. In 2015 life expectancy in the US decreased since the year 1993. Deaths from drug overdose continue to get higher and according to The Center for Disease control there were 64,000 deaths from a drug overdose in 2016. The amount of deaths related to Opioid’s has multiplied by four since 1999. One of the main causes for opioid overdose deaths has been from heroin and fentanyl. According to the CDC Fentanyl is the number one cause of opioid overdose. (CNN)

If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the

Did you know that 91 Americans die every day due to an Opioid overdose and yet American’s still report no relief of pain? Since 1999 the number of deaths due to prescriptions opioid or heroin overdose has quadrupled (http://www.cdc.gov). Four out of five Americans turned to the black market for heroin, which initially started as an opioid drug addiction. It is an American crisis, due to the number of individuals that consume oxycodone, which accounts for eight-one percent of Americans (http://www.drugabuse.gov).

labor force. The Department of Health and Human Services discovered about three-quarters of states saw an unprecedented number of children entering foster care due to parental substance use (Hoban, 2017). In addition, the Centers for Disease Control presents an increase in numbers of babies who were born with Neonatal Abstinence Syndrome (NAS) which is a drug withdrawal syndrome that happens shortly after birth (Hoban, 2017). It is important to note that the number of babies who were born with NAS has quadrupled over the past 15 years in the U.S. (Hoban, 2017). In regards to the labor force, research conducted by Alan B Krueger (2017) found that the increase in opioid use from 1999 to 2015 could account for about 20% of the observed decline in men’s labor force participation (LFP) (Hoban, 2017). Moreover, it is found by Krueger (2017) that LFP fell more in counties where more opioids were prescribed in the past 15 years. Hoban (2017) also indicated that many victims of the opioid crisis tend to be individuals who are older, white, and they are legally prescribed opioids. It is estimated that 2.7 million Americans are suffering from opioid dependence or addiction in 2015, and individuals, who received legal prescriptions from medical providers, aged from 45 to 64 account for nearly 40 % of all opioid overdose deaths (Hoban, 2017). Lastly, Carol Graham (2017) presented an understandable magnitude of

America is in the midst of yet another drug-related epidemic only this time it is the worst opioid overdose epidemic the world has seen since the late 1990’s. According to the Center for Disease Control and Prevention (CDC 2016), “since 1999, the number of overdose deaths involving opioids has quadrupled.” Opioids (including prescription opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. (Rudd, Seth, David, School, 2015). With overdoses from heroin, prescription drugs, and opioid pain relievers surpassing car accidents as the leading cause of injury-related death in America, it became clear that swift and comprehensive legislation was needed for treatment, recovery support and prevention education in communities

According to NIH, millions of people suffer from opioid use disorder throughout the United States. This epidemic has continued to spread and the numbers of people who are becoming addicted is on the rise so much that the total burden of cost is at 78.5 billion dollars per year for prescription opioid misuse, this includes the cost of addiction treatment, criminal justice services, and health care (NIH, 2017. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-crisis) Unfortunately there does not seem to be an end to this epidemic anytime soon. The numbers are unremarkable; natural and semi-synthetic opioids peeked at 14,427, heroin at 15,446 and synthetic opioids other than methadone at 20,145. That is a total of 50,018 deaths for some type

Additionally, opioid medications are the primary cause for overdose deaths in the United States. According to the Weekly Standard, “In 2014, the most recent year for which we have measurements, 47,055 Americans died from drug-induced deaths, with almost 29,000 dying from opioids…” (2), a figure that includes illicit synthetics, heroin, and prescriptions. From 2015 to 2016 in Maryland, fentanyl deaths rose by 268 percent and heroin deaths by sixty eight percent. Fentanyl has contributed to this dramatic increase in OD deaths because of its potency and lethality. It only takes two milligrams of fentanyl to kill a human. In fact, a single kilogram of fentanyl is capable of killing 500,000 people (Murray, Blake, and Walters 2). More than 30,000 opioid deaths occurred for the first time ever in 2015, which is 5,000 more than in 2014. Since the 1990s, heroin deaths had not surpassed prescription opioids (oxycodone and hydrocodone) until now. In 2007, gun homicides outnumbered heroin deaths at a rate of five to one, however at the height of the epidemic, now heroin OD deaths outnumber gun homicides (Ingraham 2). It is obvious that these unprecedented levels of drug deaths are derived from the opioid epidemic and need immediate attention.

In Anika Reed’s article “Drug Abuse”, it is reported that between 59,000 and 65,000 people died from drug related overdoses last year. In fact, it is a 19% increase from 2015, which is the most substantial annual increase ever recorded. Not only that but opioids, heroin and painkillers, took a major part in that statistic by raking in a whopping 33,000 Americans, and for the first time in recent history heroin surpassed gun homicides. This is a rather alarming set of statistics, each of these deaths affected not only loved ones but the humans who serve to save these lives. Consequently, in 2014, opioids were responsible for 1.27 million emergency room visits, 99% rise since 2005, and impatient care which was also a 64% increase (Reed). Ultimately, overdose related deaths are only going to continue unless we as country pull together and fight against addiction

Scientists from the Centers for Disease Control and Prevention report in JAMA that while life expectancy in the U.S. increased overall from 2000 to 2015, that improvement was blunted by deaths from opioid overdoses. (According to other recent research, deaths from opioid overdoses nearly doubled in the U.S. from 2009 to 2015.)

Research methodology is a way how the research is conducted step by step and in order. There are two methods used for data collection which is the primary data and secondary data. These data can be obtained and used many ways. The data is taken and analyzed in advance to produce a result that we can use for research and future reference. This study will relate to the objective we want to achieve and finding the answer to every objective we seek. In order to successfully achieve the objectives we seek, we must know

A study design is the procedure that guides a researcher on how to collect, analyze and interpret observations. It is a logical model that guides the investigator while he navigates through the various stages of the research. Study types can be classified severally depending on the research strategy employed. A study type can be non-interventional that is ‘observational’ where a researcher just observes and analyses researchable objects or situations without intervening. Non-interventional study designs can be exploratory, descriptive or comparative. A study can also be

First of all. I learned research methods from the video lecture. That is the first time I've heard about a detailed explanation of research methods. I was really interested in it because it is very important for us. The higher education level we are, the more research we need to do. As what I've learned, research has seven methods. The first step called: “defining the problem”. That means at the really first time when we do research, we should know what we want to know via this research. We need to come up some research question in our mind. The second step called: “reviewing the literature”. In this step, we should read some previous studies which are related to our topic. The literature must be trustable, and for journals, peer review is the better choice. The third step called: ” forming a hypothesis”. This step tells us after we are familiar with the previous research, maybe we can form a hypothesis in our mind. Actually, I have a little question about this step. Is this hypothesis based on the gap in the previous? The fourth step is choosing a research design. This is a step that organizes our research method. We need to think about who is the participants, when and how well we collect data. The fifth step is collecting the data. This step is kind of do your research plan what you prepared in the fourth step. There are many ways we can choose to collect data. Such as questionnaires, online survey etc. Next step is analyzing the data. This step is kind of tell the readers our research results. For here, we should determine if our hypothesis was true, false, or inconclusive. Also how the result similar to your thought. The final step is drawing conclusions. I think this is the most important part because you