在英国,二类药物和阿片类药物的联合使用背后的动机:一种定性研究
Gabriele Vojt1,2, Hannah E Family3,4,5, Hannah Poulter3,4,6
1National Institute for Health and Care Research (NIHR) Health Protection Research Unit in Behavioural Science and Evaluation, Bristol Medical School, University of Bristol, Bristol, BS8 2BN, UK. Gabriele.vojt@bristol.ac.uk.
Harm reduction journal
|September 30, 2025
概括
了解为什么人们同时使用阿片类药物和二是减少与药物有关的死亡的关键. 动机范围从收入等功能需求到对特定感觉的体验欲望和创伤逃脱.
科学领域:
- 公共卫生 公共卫生
- 成研究 研究成研究
- 心理药理学 心理药理学
背景情况:
- 在英国,与毒品有关的死亡人数急剧增加,而苏格兰的死亡人数在不成比例地增加.
- 同时服用阿片类药物和类药物 (处方或非法) 是这种死亡率的重要驱动因素.
- 这项研究探讨了这种危险的共同使用模式的潜在动机.
研究的目的:
- 识别和理解阿片类药物和二类药物的联合使用背后的动机.
- 为制定有针对性的处方指南和减少危害策略提供信息.
- 为旨在减少与毒品有关的死亡率的努力做出贡献.
主要方法:
- 进行了半结构面试,48名个人报告了阿片类药物和二类药物/z药物的联合使用.
- 从格拉斯哥,蒂塞德和布里斯托尔招募了参与者.
- 数据使用学术和同行研究人员的反射主题分析来分析.
主要成果:
- 两个主要的元主题出现了:功能动机 (增强效果,自我治疗,创造收入) 和体验动机 ('buzz', 'glow', 'oblivion', 'gouching').
- 经验动机包括寻求特定的精神活性状态,包括逃避创伤和逆境.
- 功能性和体验性动机被发现是动态的,相互联系的,并且经常同时发生.
结论:
- 评估共同使用的动机对于有效减少危害至关重要.
- 了解这些动机应该整合到药物辅助治疗中.
- 常规评估可以有助于减轻与阿片类药物和二二类药物联合使用相关的死亡风险.
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