阿片类药物使用障碍耻辱和支持减少农村县的危害
Christopher R Whipple1, Övgü Kaynak1, Nathan E Kruis2
1School of Behavioral Sciences and Education, Penn State Harrisburg, Middletown, Pennsylvania, USA.
Substance use & misuse
|August 25, 2023
概括
了解宾夕法尼亚州农村地区的阿片类药物使用障碍 (OUD) 耻辱感至关重要. 较低的耻辱感与对降低危害策略,如纳洛分发和注射器服务计划的支持更大相关.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 药物成科学 药物成科学
背景情况:
- 阿片类药物危机在美国是一个重大的公共卫生挑战,特别是在宾夕法尼亚州的农村地区.
- 围绕阿片类药物使用障碍 (OUD) 的耻辱感是治疗的障碍,并阻碍了这些社区的减伤计划.
研究的目的:
- 在宾夕法尼亚州农村地区根据OUD污名识别不同的子组.
- 检查这些污名化子组在支持各种减少危害策略方面有何不同.
主要方法:
- 对252名宾夕法尼亚农村居民进行了一项观察性,横截面研究.
- 隐性类别分析发现了四种不同的耻辱特征.
- 用ANCOVA来比较这些已识别的耻辱等级的危害减轻支持.
主要成果:
- 确定了四种耻辱类别:高耻辱 (HS),高判断/低耻辱行为 (HJ/LB),高耻辱行为/低耻辱态度 (HB/LA) 和低耻辱 (LS).
- 与其他组相比,HS组对安全注射地点,注射器服务计划,芬太尼试剂条和纳洛分发的支持显著减少.
- 与LS组相比,HJ/LB组对减少危害策略的支持也较少.
结论:
- 在宾夕法尼亚州的农村地区,OUD的耻辱概况有很大差异.
- 这些耻辱形象直接与不同程度的支持对必要的减少危害策略有关.
- 减少危害的干预措施应量身定制,以解决特定的耻辱程度,并为有效实施提供有针对性的信息.
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