COVID-19 パンデミックおよびその後のアメリカン・インディアンおよびアラスカ・ネイティブの成人の間でのオピオイド使用障害治療の提供:介護の促進者および障壁
Katherine A Hirchak1,2,3, Kelsey Bajet1,2,3, Meenakshi Richardson1,2,3,4
1Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.
Journal of ethnicity in substance abuse
|September 7, 2025
まとめ
COVID-19はアメリカン・インディアン/アラスカ・ネイティブ (AI/AN) コミュニティにおけるオピオイド中毒を増加させた. 柔軟な政策と遠隔医療により オピオイド使用障害 (MOUD) の治療薬へのアクセスが拡大したが,障壁は残っている.
科学分野:
- 公衆衛生
- 依存症 医学
- 医療サービス研究
背景:
- アメリカン・インディアンとアラスカ・ネイティブ (AI/AN) のコミュニティは,COVID-19のパンデミックの間,オピオイド関連の中毒の不均衡な増加に直面しました.
- オピオイド使用障害 (MOUD) 治療のための薬へのアクセスが重要になってきましたが,この集団での研究は限られています.
研究 の 目的:
- AI/ANの成人のMOUDケアに及ぼすCOVID-19の影響を評価する.
- パンデミック中の治療の提供者の見解を理解する.
主な方法:
- 薬物使用障害 (SUD) の治療を提供する25人のAI/AN成人の半構造面接を含む定性研究.
- 提供者は,主に太平洋北西部で,田舎の部族と都市部で6つのプログラムを代表しました.
- COVID-19 期間中の MOUD のケアに関連する新興テーマについて,トランスクリプトを分析しました.
主要な成果:
- 政策の有益な変化,大きな変化としてテレヘルス,複雑性への対処,文化サービスといった4つの主要なテーマが浮上した.
- 医療提供者は,遠隔医療,移動サービス,および持ち帰りの投与量の拡大により,治療へのアクセスが増加したと報告しました.
- 継続的な障壁にはインターネットアクセス,輸送,遠隔医療の補償が含まれています.
結論:
- 遠隔医療の拡大と維持はMOUDの提供にとって極めて重要です.
- 柔軟なMOUD政策は,流行の間,治療へのアクセスを維持し,拡大するために不可欠でした.
- オピオイド危機に対するAI/AN主導の解決策には,文化的に適切な関与と社会的支援が必要である.
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