"这就是为什么我们今天要发声":通过半结构化的采访,探索印第安纳波利斯黑人社区过量服用预防死亡的障碍
Dong-Chul Seo1, Naomi Satterfield2, Leonardo Alba-Lopez3
1School of Public Health, Indiana University Bloomington, IN, 1025 E 7th St., Bloomington, IN, 47405, USA. seo@iu.edu.
种族主义在黑人社区的阿片类药物过量预防中造成了障碍. 社区主导的互助干预措施可以改善获得救生工具的机会,如纳洛,并增加信任.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 阿片类药物过量死亡不成比例地影响黑人社区.
- 自1999年以来,已有超过一百万人因阿片类药物过量服用而丧生.
- 这项研究调查了印第安纳波利斯这些差异背后的原因.
研究的目的:
- 探索黑人社区内阿片类药物过量预防的障碍和促进因素.
- 了解种族主义在这些差距中的作用.
- 确定有效的干预策略.
主要方法:
- 与23名印第安纳波利斯黑人居民进行半结构面试.
- 采访的重点是阿片类药物过量,康复,预防工具,执法和种族主义.
- 使用接地理论和主题分析分析的数据.
主要成果:
- 种族主义导致心理障碍 (耻辱,恐惧,不信任) 和实际障碍 (纳洛的知识).
- 对机构的不信任和对执法人员遭遇的恐惧阻碍了寻求帮助.
- 参与者更喜欢采用相互援助的干预措施.
结论:
- 种族主义加剧了获得阿片类药物过量预防工具和资源的障碍.
- 基于社区的互助框架对于有效的干预至关重要.
- 利用社区间的关系可以改善参与和信任.
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