在农村使用毒品的人群中,感受到的耻辱和非致命的过量服用之间的关系
Adams L Sibley1, Emma Klein2, Hannah L F Cooper2
1Department of Health Behavior, UNC Gillings School of Global Public Health, 170 Rosenau Hall CB #7400, 135 Dauer Dr, Chapel Hill, NC, 27599, USA. asibley@live.unc.edu.
Harm reduction journal
|April 6, 2024
概括
药物使用的污名化增加了农村个体的非致命过量使用风险. 通过干预和量身定制的服务来解决耻辱问题,可能有助于减少过量服用事件,并改善吸毒者的结果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 在美国,每年药物过量死亡人数超过10万.
- 吸毒污名化是获得基本治疗和减少伤害服务的重要障碍.
- 对于耻辱和过量服用之间的联系,特别是农村人口的理解有限.
研究的目的:
- 为了调查感觉的耻辱和非致命的过量服用之间的关联.
- 在一个多元,多州的农村毒品使用者样本中描述这种关系.
主要方法:
- 招募了2,608名报告过去30天在10个州农村地区使用阿片类药物的个人 (2018年1月至2020年3月).
- 采用修改后的链推采样和计算机辅助调查.
- 采用多变量逻辑回归与概括估计方程来分析污名化与过量服用的关联.
主要成果:
- 在过去30天内,6.6%的参与者报告过量服用非致命的药物.
- 感觉耻辱与非致命的过量使用风险增加有显著的关联 (aOR: 1.47).
- 这种关联在敏感性分析中仍然很重要,包括对被颁布的耻辱和内化耻辱的恐惧.
结论:
- 在农村吸毒者中感受到的耻辱与高危的非致命过量风险有关.
- 减少耻辱的干预措施和量身定制的支持服务对于减轻过量服用风险至关重要.
- 这些未充分利用的方法可能是结束过量服用流行病的关键.
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