Perceptions of Overdose Response Hotlines and Phone Application Services Among Women and Gender-diverse Individuals Who Use Drugs in Canada: A Qualitative Study.

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE Journal of Addiction Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-23 DOI:10.1097/ADM.0000000000001325
Amanda Lee, Farah Jafri, Dylan Viste, Boogyung Seo, Darci Skiber, Marguerite Medwid, S Monty Ghosh
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Abstract

Objectives: In 2021, opioid-related deaths have increased by 96% and continue to be higher than prepandemic levels. In particular, women and gender-diverse individuals face numerous challenges when assessing harm reduction supports, including physical supervised consumption sites, compared with male counterparts. Mobile overdose response services (MORSs) including overdose response hotlines and phone-based overdose response applications are novel virtual overdose response technologies that may help mitigate this issue. This study aims to explore how women and gender-diverse individuals engage with and perceive these services.

Methods: A qualitative study using grounded theory was conducted. Using existing peer networks and purposive and snowball sampling between March and July 2023, 19 semistructured interviews were conducted with women and gender-diverse individuals in Canada who have lived experience using substances. NVivo was used for thematic analysis, which continued until saturation was reached.

Results: The interviews elucidated the following 5 themes: Overdose response hotlines and applications were generally preferred over supervised consumption sites due to (1) perceived gender-based safety; (2) better accommodation for mothers concerned with stigma, childcare, and child welfare systems; and (3) eased accessibility for those involved in sex work. It was also noted that (4) judgment-free spaces and trauma-informed care provided by staff with lived experiences were invaluable, and (5) decriminalization of illicit substances will encourage uptake of these harm reduction services.

Conclusion: This study found that women and gender-diverse individuals felt positively toward overdose response hotlines and applications with the potential to fill a need in providing harm reduction services that create feelings of safety, support roles of motherhood and sex work, and generate nonstigmatizing spaces.

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加拿大女性和不同性别吸毒者对用药过量应对热线和电话申请服务的看法:定性研究。
目标:2021 年,与阿片类药物相关的死亡人数增加了 96%,并继续高于流行前的水平。与男性相比,女性和性别多元化人群在评估减低伤害支持(包括实际监督消费场所)时尤其面临诸多挑战。包括用药过量响应热线和基于电话的用药过量响应应用程序在内的移动用药过量响应服务(MORS)是一种新型的虚拟用药过量响应技术,可能有助于缓解这一问题。本研究旨在探讨女性和性别多元化人群如何参与和感知这些服务:方法:采用基础理论进行定性研究。在 2023 年 3 月至 7 月期间,利用现有的同伴网络和有目的的滚雪球式抽样,对加拿大有药物使用经历的女性和性别多元化人士进行了 19 次半结构式访谈。采用 NVivo 进行主题分析,直到达到饱和为止:访谈阐明了以下 5 个主题:过量反应热线和应用程序通常比监督消费场所更受青睐,原因是:(1)基于性别的安全感;(2)为担心耻辱、儿童保育和儿童福利制度的母亲提供更好的便利;以及(3)方便从事性工作的人使用。还有人指出:(4) 无评判空间和由有生活经验的工作人员提供的创伤知情护理非常宝贵;(5) 非法药物非刑罪化将鼓励人们接受这些减少伤害的服务:本研究发现,女性和性别多元化人群对药物过量响应热线和应用程序持积极态度,认为它们有可能满足提供减低伤害服务的需求,从而创造安全感、支持母亲角色和性工作,并提供无污名化的空间。
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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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