在乌克兰监狱引入甲维持疗法:对犯罪亚文化的定性研究,俄罗斯的全面入侵,以及有争议的甲对象
Matthew Ponticiello1,2, Lyu Azbel3, Mary M Tate2
1Yale School of Medicine, Yale University, New Haven, CT, United States.
Frontiers in psychiatry
|December 15, 2023
概括
乌克兰监狱中的甲治疗受到不断发展的犯罪亚文化和战争的影响. 侵袭破坏了非正式的治理,为流离失所的个人提供了阿片类药物激动剂治疗 (OAT) 的机会.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 成 药物 药物 药物 药物
背景情况:
- 甲于2021年引入乌克兰监狱,用于治疗阿片类药物使用障碍和预防艾滋病毒/HCV.
- 在监狱中扩大阿片类激素治疗 (OAT) 面临非正式刑事治理的挑战.
- 本研究探讨了影响乌克兰监狱中甲吸收的因素,包括与战争有关的变化.
研究的目的:
- 研究影响乌克兰监狱中甲治疗吸收的社会环境因素.
- 了解俄罗斯的入侵和个人流离失所如何影响治疗.
- 分析犯罪亚文化在美他可获得性方面的作用.
主要方法:
- 与37名被剥夺自由的人 (PDL),4名前PDL和15名监狱工作人员进行了定性采访.
- 在2021年1月至2022年10月期间在乌克兰两个监狱进行的采访.
- 用于数据分析的现象学框架,重点关注犯罪亚文化,毒品使用和治疗.
主要成果:
- 关于犯罪亚文化对吸毒的影响的看法各不相同;其对甲吸收的影响尚不清楚.
- PDL和工作人员很难区分非法和处方甲,造成了模两可.
- 这次入侵导致了流离失所,在新地区的一些PDL发现,由于隔离和削弱的亚文化联系,美沙更容易获得.
结论:
- 乌克兰监狱中的犯罪亚文化充满活力,受到战争的影响.
- 区分医用甲和非法使用对于有效的治疗扩大规模至关重要.
- 目前正在进行的入侵是改变治疗动态和潜在地改善OAT访问的关键时刻.
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