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But the term is much more valuable when it is used to describe a causal risk factor something that predicts an outcome because it has an effect on the outcome and affects the chance that it will occur

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that restrict access to medications for opioid use disorder (MOUD), criminalize possession of drug paraphernalia, prevent syringe service programs and overdose prevention centers from operating, and limit prescribing of pre-exposure prophylaxis (PrEP) pose significant barriers to harm reduction access and implementation