"只需谷歌":对生育年龄妇女在获得阿片类药物使用障碍的布普伦诺芬时的耻辱化经历进行了定性研究
Dominique Bulgin1, Velma McBride Murry2, Tamarra McElroy2
1The University of Tennessee, Knoxville College of Nursing, Knoxville, Tennessee.
概括
寻求治疗阿片类药物使用障碍 (OUD) 的女性面临着重大障碍,包括人际耻辱和系统性问题,特别是如果她们怀孕,有色人种或缺乏保险. 应对这些挑战需要多层次的干预措施,以改善获得布普伦诺芬药物的机会.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物危机不成比例地影响着女性,她们对阿片类药物使用障碍 (OUD) 的布普伦诺芬的获取有限.
- 污名化对获得必要的OUD药物构成重大障碍.
研究的目的:
- 分析女性在寻求Buprenorphine用于OUD时面临的障碍,考虑怀孕状态,种族/种族和保险.
- 确定改善获得OUD药物的潜在干预措施.
主要方法:
- 对模拟的患者电话向不使用布普伦诺芬的提供者进行定性分析.
- 卫生污名和歧视框架的应用.
- 包括来自OUD治疗生活经验的女性的见解.
主要成果:
- 人际耻辱与系统性障碍和制度文化有关.
- 种族/种族,怀孕和保险状况显著影响了耻辱的经历.
- 黑人和西班牙裔妇女报告了基于种族的微型攻击;孕妇面临判断和减少访问.
结论:
- 需要采取多层次的干预措施,以改善妇女获得OUD药物的机会.
- 反污名的政策和实践对于跨社会生态层次的平等获取至关重要.
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