Correlates of Current Methamphetamine Use and Opioid Co-Use Among Latina Women in a Low-Income Community.

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-09-02 DOI:10.1080/02791072.2024.2395494
J Frankeberger, T Perdue, E Ramirez, A Valdez, A Cepeda
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Abstract

Using data from Proyecto SALTO, a 15-year follow-up study of a cohort of Mexican American women in a low-income community in San Antonio, Texas, this study examines emerging patterns of current methamphetamine (MA) use, including opioid co-use, among this understudied population. A bivariate analysis compared individuals with and without current MA use and identified sociodemographic correlates and co-occurring mental health and substance use. A secondary analysis compared those with current MA use, opioid use, and concurrent MA and opioid use. Nineteen percent of the sample had current MA use. MA use was associated with having a lower income (OR = 7.04-1.93, SE = 1.59-5.46), residential instability (OR = 5.19, SE = 1.99), and suicidal ideation (OR = 2.62, SE = 0.93). Participants with MA use had more than four times the odds of using opioids than those without MA use. Women with concurrent MA and opioid use differed in sociodemographics and behavioral risks compared to those with only MA or only opioid use. These findings explore the social, mental health, and structural inequities that exacerbate risks and harms associated with high-risk substance use among marginalized Latino populations. Prevention and intervention strategies should adopt a holistic approach that considers and addresses polysubstance use, mental health, and the sociocultural contexts in which individuals live.

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低收入社区拉丁裔妇女目前使用甲基苯丙胺和共同使用阿片类药物的相关因素。
SALTO 项目是一项对德克萨斯州圣安东尼奥低收入社区的墨西哥裔美国妇女队列进行的为期 15 年的跟踪研究,本研究利用该项目提供的数据,探讨了这一未得到充分研究的人群中当前使用甲基苯丙胺(MA)的新模式,包括阿片类药物的共同使用。一项双变量分析比较了目前使用和未使用甲基苯丙胺的人群,并确定了社会人口学相关因素以及精神健康和药物使用的共存情况。二次分析比较了目前使用 MA、使用阿片类药物以及同时使用 MA 和阿片类药物的人群。19%的样本目前使用 MA。使用 MA 与收入较低(OR = 7.04-1.93,SE = 1.59-5.46)、居住不稳定(OR = 5.19,SE = 1.99)和自杀倾向(OR = 2.62,SE = 0.93)有关。使用 MA 的参与者使用阿片类药物的几率是未使用 MA 的参与者的四倍多。与仅使用 MA 或仅使用阿片类药物的女性相比,同时使用 MA 和阿片类药物的女性在社会人口统计学和行为风险方面存在差异。这些发现探讨了社会、心理健康和结构上的不平等,这些不平等加剧了边缘化拉丁裔人群使用高风险药物的相关风险和危害。预防和干预策略应采用综合方法,考虑并解决多种药物使用、心理健康以及个人所处的社会文化背景等问题。
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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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