开始讨论:呼吁加强对刺激剂使用障碍患者的护理
Justin Alves1,2,3, Victoria Rust1,2, Marielle Baldwin1,4,5
1Grayken Center for Addiction Medicine, Boston Medical Center, Boston, MA, USA.
Substance abuse
|September 20, 2023
概括
兴奋剂使用障碍 (StUD) 影响了许多边缘化群体,但由于耻辱和缺乏专业护理,治疗机会有限. 医疗保健专业人员必须通过了解患者经验和改进护理模式来解决这些障碍.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 健康差异 在健康上的差异
背景情况:
- 兴奋剂使用障碍 (StUD) 是美国与物质相关的发病率和死亡率的重要原因.
- 与STUD和兴奋剂相关的过量死亡人数急剧增加,通常被阿片类药物危机所掩盖.
- 患有StUD的个体经常面临交叉的耻辱化特征,这会给成治疗带来很大的障碍.
研究的目的:
- 突出非法兴奋剂使用和STUD对少数群体的不成比例影响.
- 为了强调历史上的耻辱,犯罪化和忽视,人们面临着STUD.
- 倡导改善医疗保健专业的方法来解决StUD及其决定因素.
主要方法:
- 对影响StUD治疗获取的社会和结构决定因素的定性分析.
- 审查现有的文学关于个人与STUD的经验,特别是在边缘化群体.
- 检查医疗保健提供者,政策制定者和公众对非法兴奋剂使用的态度.
主要成果:
- StUD不成比例地影响少数民族的种族,性别和性取向不同的群体.
- 缺乏基于证据的治疗方法和专业计划加剧了治疗的稀缺性.
- 由于系统性障碍,患有StUD的边缘化群体往往不愿意与医疗保健系统接触.
结论:
- 医疗保健专业人员可以通过改变沟通,文档和响应策略来改善StUD结果.
- 了解患有STUD的个人的生活现实对于修改护理模式至关重要.
- 解决健康的社会和结构性决定因素对于公平的StUD治疗至关重要.
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