新泽西州吸毒者过量使用药物的危险环境:想象减少危害的从业者可能的干预点
Nora Sullivan1, Michael Enich2, Rachel Flumo3
1Rutgers University School of Social Work.
Research square
|February 20, 2025
概括
使用毒品的人 (PWUD) 的过量服用风险是由环境和社会因素塑造的,而不仅仅是个人的行为. 解决系统性问题和耻辱是有效的过量预防干预的关键.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 药物政策 药物政策
背景情况:
- 风险环境框架是理解与毒品有关的危害的关键模型.
- 吸毒者过量服用的风险 (PWUD) 受复杂的社会力量的影响.
- 识别这些因素可以为PWUD制定更好的政策和干预措施.
研究的目的:
- 调查导致新泽西州PWUD过量使用风险的因素.
- 应用风险环境框架来了解过量决定因素.
- 为 PWUD.UD 的目标干预和政策提供信息.
主要方法:
- 使用的是基于社区的参与式设计模型.
- 与PWUD和纳洛分销商进行的30个半结构化深度访谈.
- 使用协作方法进行的主题分析.
主要成果:
- 过量服用的风险因素与风险环境框架中的物理,社会,经济和政策类别保持一致.
- 识别的因素往往重叠类别,存在于宏观和微观层面.
- 宏观层面的因素包括系统性问题,机构关注和耻辱;微观层面的因素包括心理健康,物质使用,治疗和创伤.
结论:
- 干预措施必须将过量使用风险视为环境和结构问题,而不仅仅是个人问题.
- 需要进行全面的风险评估,考虑宏观层面的社会影响和微观层面的个人因素.
- 政策和计划应针对系统因素和耻辱,以减少PWUD过量风险.
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