耻辱和歧视的经历是由接受药物治疗阿片类药物使用障碍的个体之间的交叉身份所加剧的
Journal of health care for the poor and underserved
|April 25, 2024
概括
耻辱和歧视对接受阿片类药物使用障碍 (MOUD) 药物治疗的个人产生负面影响. 解决交叉的社会劣势对于改善阿片类药物使用障碍 (OUD) 患者的护理和结果至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 耻辱和歧视对获得和维持阿片类药物使用障碍 (OUD) 患者的护理构成重大障碍.
- 药物治疗阿片类药物使用障碍 (MOUD) 是一种有效的治疗方法,但社会因素可能会阻碍其成功.
- 了解接受MOUD的个人的生活经验对于开发支持性干预是必不可少的.
研究的目的:
- 探索接受MOUD的个人交叉的社会身份.
- 调查个人在MOUD治疗的背景下如何经历耻辱和歧视.
- 确定资源和干预措施,以解决累积的不利情况,并改善对OUD的护理.
主要方法:
- 混合方法研究的定性发现.
- 在美国东北部的三个治疗中心,与25名接受MOUD治疗的个人进行了半结构面试.
- 主题分析以确定关键经验和挑战.
主要成果:
- 六个主要主题出现了:多个边缘化身份和成,损失,普遍的歧视和耻辱,一个"受损"的自我身份,积极的应对机制 (问责制),以及治疗和支持性干预的经验.
- 研究结果强调了社会边缘化和成的复杂相互作用.
- 个人面临着多方面的不利因素,影响他们的治疗之旅.
结论:
- 对OUD的护理必须超越"适合所有人"的方法.
- 识别个人的弱点和优势是改善OUD患者结果的关键.
- 需要量身定制的干预措施来打击污名化,并支持与边缘化身份交叉的个人.
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