住房不稳定与以前禁酒的女性回归兴奋剂使用有关
Nicky J Mehtani1,2, Chika C Chuku3, Meredith C Meacham1
1Department of Psychiatry & Behavioral Sciences, University of California, San Francisco, CA 94143, USA.
International journal of environmental research and public health
|October 14, 2023
概括
无家可归显著增加了女性使用兴奋剂的风险. 街头无家可归与可卡因开始有关,而庇护无家可归与甲基胺开始有关,强调需要住房支持.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社会学 社会学 社会学
背景情况:
- 兴奋剂使用障碍对公共健康构成重大风险,包括精神病共同发病,暴力,艾滋病毒传播和过量服用.
- 由于兴奋剂使用障碍的治疗选择有限,有效的预防策略至关重要.
- 对风险人群中兴奋剂使用的开始或复发的经验证据很少.
研究的目的:
- 确定与在不稳定的住房妇女启动兴奋剂使用相关的因素.
- 为预防兴奋剂使用障碍制定基于证据的政策提供信息.
主要方法:
- 在旧金山 (2016-2019) 的245名住房不稳定的妇女进行了纵向队列研究.
- 每月收集有关兴奋剂使用,住房状况和心理健康的自我报告数据,长达6个月.
- 后勤回归分析,以确定在不使用一段时间后与启动兴奋剂使用有关的因素.
主要成果:
- 17.1%的人开始使用可卡因,18.8%的人开始使用甲基胺.
- 街头无家可归与开始使用可卡因有关 (AOR:2.10;95% CI:1.04,4.25).
- 无家可归的无家可归与开始使用甲基胺相关 (AOR:2.57;95% CI:1.37,4.79).
- 其他因素,如种族,收入,未满足的需求,心理健康和治疗坚持并不是显著的预测因素.
结论:
- 住房不稳定,特别是街头和庇护无家可归,是引发弱势妇女使用兴奋剂的重要风险因素.
- 专注于改善获得永久支持性住房的政策对于预防这种人群中使用兴奋剂障碍至关重要.
- 进一步的研究应该探索不同类型的住房不稳定性和特定兴奋剂使用模式之间的细微关系.
相关概念视频
Stimulants
224
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
224
Drug Dependence
1.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.0K
Substance Use Disorders Affecting Sleep
176
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
176
Stress and Mental Health
166
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
166
Drug Abuse and Addiction: Pharmacological Phenomena
489
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
489
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
207
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
207


