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Key stakeholders' perspectives of illicit drug use and associated harms in the Northern Territory of Australia. 主要利益相关者对澳大利亚北部地区非法药物使用及相关危害的看法。
IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-20 DOI: 10.1186/s12954-024-01092-w
Bryce Brickley, Samuel Moore, Noemi Tari-Keresztes, Anthea Brand, Madeleine Bower, Jason G Bonson, Alice McEntee, Ashlea J Bartram, Nataly Bovopoulos, Skye McPhie, Craig Martin, Cassandra Wright, Jacqueline Bowden, James A Smith

Background: In the Northern Territory (NT) of Australia, there are significant evidence gaps about illicit drug use and harms, despite having established monitoring and reporting systems. This paper reports on illicit drug use, associated harms, contributing factors, service needs and priorities in the NT from the perspective and experiences of key stakeholders engaged in providing services for, or advocating on behalf of, people who use illicit drugs in the NT.

Methods: Face-to-face and online qualitative interviews were conducted with stakeholders across urban and remote locations in the NT. Key stakeholders were service providers, including acute and primary care clinicians, representatives of Aboriginal community controlled health organisations, lived experience advocates, peak body representatives and public health executives. Qualitative data were analysed thematically.

Results: Four researchers interviewed 21 participants across urban (62%), and remote areas (38%) of the NT. Themes identified were: (1) Illicit drug use and harms are diverse and distinct; (2) Client support needs are complex and influenced by co-morbidities, socio-demographic and cultural factors; (3) Priority population sub-groups need targeted strategies; (4) Local service strengths can be further developed and enhanced; (5) Local services need better resourcing; (6) Invest in progressive legislative and policy reforms; and (7) Improve routine monitoring and evaluation.

Conclusions: Key stakeholders described illicit drug use, harms and contributing factors, which provided insights into the local challenges. Participants emphasised that clients have complex care needs, and further investment into targeted strategies are required to improve service engagement with priority groups. Service needs included greater understanding the role of dual diagnosis and its implementation and enhancing integrated and collaborative care in both primary health and acute care contexts. The voices of people with lived experience captured in this paper must inform local strategy and policy development relating to illicit drug use, in alignment with national strategy.

背景:在澳大利亚北部地区(NT),尽管已经建立了监测和报告系统,但有关非法药物使用和危害的证据仍存在很大差距。本文从为北部地区非法药物使用者提供服务或代表他们进行宣传的主要利益相关者的角度和经验出发,报告了北部地区的非法药物使用情况、相关危害、诱因、服务需求和优先事项:对北部地区城市和偏远地区的利益相关者进行了面对面和在线定性访谈。主要利益相关者包括服务提供者(包括急诊和初级保健临床医生)、原住民社区控制的健康组织代表、生活经验倡导者、高峰机构代表和公共卫生管理人员。对定性数据进行了专题分析:四名研究人员对北部地区城市(62%)和偏远地区(38%)的 21 名参与者进行了访谈。确定的主题有(1) 非法药物的使用和危害具有多样性和独特性;(2) 客户的支持需求非常复杂,并受到并发症、社会人口和文化因素的影响;(3) 重点人群亚群需要有针对性的策略;(4) 当地服务的优势可以进一步发展和增强;(5) 当地服务需要更好的资源配置;(6) 投资于渐进的立法和政策改革;以及 (7) 改进日常监测和评估:主要利益相关方介绍了非法药物的使用、危害和诱因,从而深入了解了当地面临的挑战。与会者强调,吸毒者有复杂的护理需求,需要进一步投资于有针对性的战略,以改善对重点人群的服务。服务需求包括更好地了解双重诊断的作用及其实施,以及在初级保健和急症护理中加强综合协作护理。本文所记录的有生活经验者的声音必须与国家战略保持一致,为地方制定有关非法药物使用的战略和政策提供依据。
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引用次数: 0
Is smokeless tobacco a healthier option in patients with AUD? A follow-up study during treatment. 无烟烟草是 AUD 患者更健康的选择吗?治疗期间的随访研究。
IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-20 DOI: 10.1186/s12954-024-01077-9
Lars Lien, Ingeborg Bolstad, Jørgen G Bramness

Introduction: Smoking is negatively related to mental health, but there is a paucity of research on the relationship between the use of smokeless tobacco, such as snus, and mental health outcomes, especially in people with alcohol use disorders (AUD). The aim of the present study was to examine the development of mental distress and quality of life (QoL) among AUD patients in treatment who did or did not use snus.

Method: The study included 128 AUD patients (27% female) from three rehabilitation clinics in Eastern Norway who were interviewed at admission, at 6 weeks, and after 6 months. Patients were asked about their mental health-related problems, alcohol, and substance use, QoL, and physical activity. Information about tobacco use was gathered with the questions "Do you smoke cigarettes?" and "Do you use snus?", with follow-up questions "How often?".

Result: There were 39 current snus users (31%), of which 20 were also current smokers (dual users). Seventy-five patients (59%) were smokers only, and only 14 (11%) patients were abstainers. Those who used snus only had a lower severity of dependence score than the other groups (p < 0.05). The dual use group reported lower QoL than the no tobacco use group. In a regression model adjusted for sex and age, smokers and dual users, but not users of snus, had higher levels of mental distress and poorer QoL compared to nontobacco users (p < 0.05). There were no differences between tobacco groups at follow-ups.

Conclusion: In this study, among AUD patients, snus users reported QoL and mental distress close to that of non-smokers, indicating a lower problem load among snus users compared to smokers.

Implications: Previous studies have shown conflicting results regarding the potential harm reduction effect of snus use among patients with AUD who smoke regarding their tobacco use, quality of life and mental health problems. This study suggests that snus use could also be a viable alternative to smoking for patients with addictions.

导言:吸烟与心理健康呈负相关,但有关使用鼻烟等无烟烟草与心理健康结果之间关系的研究却很少,尤其是在酒精使用障碍(AUD)患者中。本研究旨在探讨接受治疗的酒精使用障碍患者中使用或不使用鼻烟者的精神痛苦发展情况和生活质量(QoL):研究对象包括来自挪威东部三家康复诊所的 128 名 AUD 患者(27% 为女性),他们分别在入院时、6 周后和 6 个月后接受了访谈。研究人员询问了患者的心理健康相关问题、酒精和药物使用情况、生活质量以及体育锻炼情况。通过 "您吸烟吗?"和 "您使用鼻烟吗?"这两个问题以及 "多久使用一次?"等后续问题收集了有关烟草使用的信息:结果:目前使用鼻烟的患者有 39 人(31%),其中 20 人同时也是吸烟者(双重使用者)。75名患者(59%)只吸烟,只有14名患者(11%)戒烟。只吸食鼻烟的患者的依赖严重程度评分低于其他组别(P 结论:"只吸食鼻烟的患者的依赖严重程度评分低于其他组别":在这项研究中,在 AUD 患者中,吸食鼻烟者报告的 QoL 和精神痛苦接近非吸烟者,表明吸食鼻烟者的问题负荷低于吸烟者:以往的研究显示,在吸烟的 AUD 患者中,使用鼻烟对其烟草使用、生活质量和心理健康问题的潜在减害效果存在相互矛盾的结果。这项研究表明,对于成瘾患者来说,使用鼻烟也是一种可行的替代吸烟的方法。
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引用次数: 0
Opioid-specific harm reduction in the emergency department: how staff provide harm reduction and contextual factors that impact their capacity to engage in harm reduction practice 急诊科的阿片类药物减低伤害工作:工作人员如何提供减低伤害服务,以及影响他们参与减低伤害实践能力的背景因素
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-18 DOI: 10.1186/s12954-024-01088-6
Sunny Jiao, Vicky Bungay, Emily Jenkins, Marilou Gagnon
Emergency Departments (ED) staff, including nurses and physicians, are most directly involved in the care of people who use unregulated substances, and are ideally positioned to provide harm reduction interventions. Conceptualizing the ED as a complex adaptive system, this paper examines how ED staff experience opioid-specific harm reduction provision and engage in harm reduction practice, including potential facilitators and barriers to engagement. Using a mixed methods approach, ED nurses and physicians completed a self-administered staff survey (n = 99) and one-on-one semi-structured interviews (n = 15). Five additional interviews were completed with clinical leaders. Survey data were analyzed to generate descriptive statistics and to compute scale scores. De-identified interview data were analyzed using a reflexive thematic analysis approach, which was informed by the theory of complex adaptive systems, as well as understandings of harm reduction as both a technical solution and a contextualized social practice. The final analysis involved mixed analysis through integrating both quantitative and qualitative data to generate overarching analytical themes. Study findings illustrated that, within the context of the ED as a complex adaptive system, three interrelated contextual factors shape the capacity of staff to engage in harm reduction practice, and to implement the full range of opioid-specific harm reduction interventions available. These factors include opportunities to leverage benefits afforded by working collaboratively with colleagues, adequate preparation through receiving the necessary education and training, and support in helping patients establish connections for ongoing care. There is a need for harm reduction provision across all health and social care settings where people who use unregulated opioids access public sector services. In the context of the ED, attention to contextual factors including teamwork, preparedness, and connections is warranted to support that ED staff engage in harm reduction practice.
急诊科(ED)的工作人员,包括护士和医生,最直接地参与了对使用非管制药物者的护理,是提供减低伤害干预的理想场所。本文将急诊室视为一个复杂的适应性系统,研究急诊室工作人员如何体验阿片类药物减低伤害服务并参与减低伤害实践,包括参与的潜在促进因素和障碍。采用混合方法,急诊室护士和医生完成了一项自我管理的员工调查(n = 99)和一对一半结构化访谈(n = 15)。另外还与临床领导进行了五次访谈。对调查数据进行了分析,以生成描述性统计数据并计算量表分数。对去身份化的访谈数据采用反思性主题分析方法进行分析,该方法借鉴了复杂适应系统理论,以及对减低伤害作为一种技术解决方案和背景化社会实践的理解。最后的分析涉及混合分析,通过整合定量和定性数据来产生总体分析主题。研究结果表明,在急诊室作为一个复杂的适应系统的背景下,三个相互关联的背景因素决定了工作人员参与减低伤害实践的能力,以及实施各种阿片类药物减低伤害干预措施的能力。这些因素包括:与同事合作的机会,通过接受必要的教育和培训做好充分准备,以及帮助患者建立持续护理联系的支持。在使用未受管制阿片类药物的人获得公共部门服务的所有医疗和社会护理机构中,都需要提供减少伤害的服务。就急诊室而言,需要关注包括团队合作、准备和联系在内的环境因素,以支持急诊室工作人员参与减低伤害的实践。
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引用次数: 0
Correlates of fentanyl preference among people who use drugs in Rhode Island 罗得岛吸毒者偏好芬太尼的相关因素
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-14 DOI: 10.1186/s12954-024-01089-5
Siena C. Napoleon, Carolyn J. Park, Jacqueline Goldman, Yu Li, Jane A. Buxton, Alexandria Macmadu, Katie B. Biello, Julia Noguchi, Brandon D.L. Marshall
Fentanyl is increasingly pervasive in the unregulated drug supply and is a driver of drug overdose deaths in the United States. The aims of this study were to characterize and identify correlates of fentanyl preference among people who use drugs (PWUD) in Rhode Island (RI). Using bivariate analysis, we examined associations between fentanyl preference and sociodemographic and psychosocial characteristics at baseline among participants enrolled in the RI Prescription Drug and Illicit Drug Study from August 2020-February 2023. Fentanyl preference was operationalized based on responses to a five-point Likert scale: “I prefer using fentanyl or drugs that have fentanyl in them.” Participants who responded that they “strongly disagree,” “disagree,” or were “neutral” with respect to this statement were classified as not preferring fentanyl, whereas participants who responded that they “agree” or “strongly agree” were classified as preferring fentanyl. Among 506 PWUD eligible for inclusion in this analysis, 15% expressed a preference for fentanyl or drugs containing fentanyl as their drug of choice. In bivariate analyses, preference for fentanyl was positively associated with younger age, white race, lifetime history of overdose, history of injection drug use, past month enrollment in a substance use treatment program, past month treatment with medications for opioid use disorder, and preferences for heroin and crystal methamphetamine (all p < 0.05). Descriptive data yielded further insight into reasons for fentanyl preference, the predominant having to do with perceived effects of the drug and desire to avoid withdrawal symptoms. Only a relatively small subset of study participants preferred drugs containing fentanyl. Given the increased prevalence of fentanyl contamination across substances within the unregulated drug market, the result for PWUD is increasingly less agency with respect to choice of drug; for example, people may be forced to use fentanyl due to restricted supply and the need to mitigate withdrawal symptoms, or may be using fentanyl without intending to do so. Novel and more effective interventions for PWUD, including increased access to age-appropriate harm reduction programs such as fentanyl test strips and overdose prevention centers, are needed to mitigate fentanyl-related harms.
芬太尼在不受管制的毒品供应中越来越普遍,是导致美国吸毒过量死亡的原因之一。本研究旨在描述和识别罗得岛州(RI)吸毒者(PWUD)对芬太尼偏好的相关性。通过双变量分析,我们考察了 2020 年 8 月至 2023 年 2 月期间参加罗德岛州处方药和非法药物研究的参与者在基线时芬太尼偏好与社会人口和社会心理特征之间的关联。芬太尼偏好根据对五点李克特量表的回答进行操作:"我更喜欢使用芬太尼或含有芬太尼的药物"。对这句话回答 "非常不同意"、"不同意 "或 "中立 "的参与者被归类为不喜欢使用芬太尼,而回答 "同意 "或 "非常同意 "的参与者被归类为喜欢使用芬太尼。在 506 名符合分析条件的吸毒者中,15% 的人表示首选芬太尼或含有芬太尼的药物。在双变量分析中,对芬太尼的偏好与以下因素呈正相关:年龄较小、白种人、终生有过用药过量史、有过注射吸毒史、上个月参加过药物使用治疗项目、上个月接受过阿片类药物使用障碍的药物治疗,以及对海洛因和冰毒的偏好(均 p < 0.05)。描述性数据进一步揭示了偏好芬太尼的原因,其中最主要的原因与药物的感知效果和避免戒断症状的愿望有关。只有相对较少的一部分研究参与者偏好含有芬太尼的药物。鉴于芬太尼污染在不受管制的毒品市场上的各种物质中越来越普遍,对吸毒和残废者来说,结果是他们在选择毒品方面的选择权越来越小;例如,人们可能由于供应受限和需要减轻戒断症状而被迫使用芬太尼,或者可能无意中使用了芬太尼。为减轻与芬太尼有关的危害,需要对残疾人采取新颖、更有效的干预措施,包括增加获得适合其年龄的减低危害计划(如芬太尼试纸和过量预防中心)的机会。
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引用次数: 0
Expanding single-venue services to better engage young people who inject drugs: insights from India 扩大单一场所服务以更好地吸引注射吸毒的年轻人:印度的启示
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-14 DOI: 10.1186/s12954-024-01084-w
Lakshmi Ganapathi, Aylur K. Srikrishnan, Allison M. McFall, Mihili P. Gunaratne, Muniratnam Suresh Kumar, Gregory M. Lucas, Shruti H. Mehta, Sunil S. Solomon
Over the last decade, India has had an alarming rise in injection of opioids across several cities. Although scale-up of public sector services for people who inject drugs (PWID) in India has occurred over decades, accessibility has been diminished by fragmented services across physical locations. To circumvent this barrier, and in alignment with the World Health Organization’s guidelines to provide comprehensive care to key populations, Integrated Care Centers (ICCs) were established across 8 Indian cities as a public–private service delivery model for providing free single-venue services to PWID. ICCs have been very successful in expanding service availability and convenience for PWID generally. However, few studies from low- and middle-income countries (LMIC) have evaluated how well young PWID (defined as those ≤ 29 years of age) engage with single-venue service models like ICCs or specific services provided in such models. Young PWID are an important subpopulation in India, as they bear a disproportionate burden of new HIV infections because of greater risk and evidence of lower receipt of HIV testing and harm reduction services compared to older PWID. In this comment, we offer insights specific to young PWID drawn from multiple quantitative and qualitative studies examining the reach and effectiveness of ICCs, which may provide generalizable insights into limitations of services for young PWID more broadly in India and globally. Our studies suggest that while ICCs have expanded service availability, particularly in cities with emerging injection drug use epidemics, population-level reach to foster initial engagement among young PWID can be optimized. Additionally, young PWID who do engage with ICCs experience gaps in substance use treatment receipt and retention, and experience barriers to receipt of ICC services that are distinct from those experienced by older PWID. Notably, HIV incidence among ICC clients is concentrated in young PWID. Finally, ICCs were not intended to reach adolescent PWID, and new services are needed for this subpopulation. In addition to co-locating services, iterative optimization of models such as ICCs should incorporate youth-specific differentiated interventions and be accompanied by policy changes that are critical to improving the reach and effectiveness of harm reduction and HIV services among young PWID in India.
在过去十年中,印度多个城市的阿片类药物注射量出现了惊人的增长。尽管几十年来印度公共部门为注射吸毒者(PWID)提供的服务不断扩大,但由于服务地点分散,服务的可及性受到影响。为了规避这一障碍,并与世界卫生组织为重点人群提供全面护理的指导方针保持一致,印度在 8 个城市建立了综合护理中心 (ICC),作为一种公私合作的服务提供模式,为注射吸毒者提供免费的单一场所服务。综合护理中心非常成功地扩大了服务的可获得性,并普遍为吸毒者提供了便利。然而,很少有中低收入国家(LMIC)的研究对年轻的吸毒者(定义为年龄小于 29 岁者)如何参与综合咨询中心等单一场所服务模式或此类模式中提供的具体服务进行评估。在印度,年轻的感染艾滋病病毒者是一个重要的亚人群,因为与年龄较大的感染艾滋病病毒者相比,他们面临的风险更大,而且有证据表明他们接受艾滋病病毒检测和减低危害服务的比例较低,因此承担着不成比例的新感染艾滋病病毒的负担。在本评论中,我们从多个定量和定性研究中得出了针对年轻艾滋病感染者的见解,这些研究考察了综合社区中心的覆盖范围和有效性,可以为印度乃至全球范围内针对年轻艾滋病感染者的服务局限性提供具有普遍意义的见解。我们的研究表明,虽然综合社区中心扩大了服务范围,尤其是在注射吸毒流行的城市,但仍可优化人口层面的覆盖范围,以促进年轻的吸毒者初步参与。此外,参与 ICC 的年轻吸毒者在接受和保持药物使用治疗方面存在差距,他们在接受 ICC 服务时遇到的障碍与年龄较大的吸毒者不同。值得注意的是,ICC 服务对象中的艾滋病毒感染率主要集中在年轻的吸毒者身上。最后,ICC 并非针对青少年吸毒者,因此需要为这一亚人群提供新的服务。除了在同一地点提供服务外,ICC 等模式的迭代优化还应纳入针对青少年的差异化干预措施,同时进行政策改革,这对于提高印度青少年感染者中减低危害和艾滋病服务的覆盖面和有效性至关重要。
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引用次数: 0
Correction: The “goldfish bowl”: a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting 更正:金鱼缸":关于加强监控对加拿大农村和沿海地区吸毒者影响的定性研究
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-11 DOI: 10.1186/s12954-024-01085-9
Geoff Bardwell, Manal Mansoor, Ashley Van Zwietering, Ellery Cleveland, Dan Snell, Thomas Kerr
<p><b>Correction to: Harm Reduction Journal (2022) 19:136 </b> <b>https://doi.org/10.1186/s12954-022-00725-2</b></p><br/><p>Following publication of the original article [1], part of the first quotation in the Results section has been removed for legal reasons.</p><br/><p>The original article has been corrected.</p><ol data-track-component="outbound reference" data-track-context="references section"><li data-counter="1."><p>Bardwell G, Mansoor M, Van Zwietering A, et al. The “goldfish bowl”: a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting. Harm Reduct J. 2022;19:136. https://doi.org/10.1186/s12954-022-00725-2.</p><p>Article PubMed PubMed Central Google Scholar </p></li></ol><p>Download references<svg aria-hidden="true" focusable="false" height="16" role="img" width="16"><use xlink:href="#icon-eds-i-download-medium" xmlns:xlink="http://www.w3.org/1999/xlink"></use></svg></p><h3>Authors and Affiliations</h3><ol><li><p>School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada</p><p>Geoff Bardwell</p></li><li><p>British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada</p><p>Geoff Bardwell, Manal Mansoor & Thomas Kerr</p></li><li><p>Department of Medicine, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada</p><p>Geoff Bardwell & Thomas Kerr</p></li><li><p>Qathet Community Action Team, 218-6975 Alberni Street, Powell River, BC, V8A 2B8, Canada</p><p>Ashley Van Zwietering, Ellery Cleveland & Dan Snell</p></li><li><p>Lift Community Services of Qathet Society, 218-6975 Alberni Street, Powell River, BC, V8A 2B8, Canada</p><p>Ellery Cleveland & Dan Snell</p></li><li><p>Substance Users Society Teaching Advocacy Instead of Neglect (SUSTAIN), 218-6975 Alberni Street, Powell River, BC, V8A 2B8, Canada</p><p>Dan Snell</p></li></ol><span>Authors</span><ol><li><span>Geoff Bardwell</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Manal Mansoor</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Ashley Van Zwietering</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Ellery Cleveland</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Dan Snell</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Thomas Kerr</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li></ol><h3>Corresponding author</h3><p>Correspondence to Geoff Bard
更正:Harm Reduct J. (2022) 19:136 https://doi.org/10.1186/s12954-022-00725-2Following 原文[1]发表后,由于法律原因,结果部分第一段引文中的部分内容被删除。原文已更正。Bardwell G, Mansoor M, Van Zwietering A, et al. The "goldfish bowl": a qualitative study of the effects of heightened surveillance on people who use drugs in a rural and coastal Canadian setting.Harm Reduct J. 2022; 19:136. https://doi.org/10.1186/s12954-022-00725-2.Article PubMed PubMed Central Google Scholar Download references作者及工作单位滑铁卢大学公共卫生科学学院,200 University Avenue West, Waterloo, ON, N2L 3G1, CanadaGeoff BardwellBritish Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, CanadaGeoff Bardwell, Manal Mansoor & Thomas Kerr不列颠哥伦比亚大学医学系,St.Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, CanadaGeoff Bardwell & Thomas KerrQathet Community Action Team, 218-6975 Alberni Street, Powell River, BC, V8A 2B8, CanadaAshley Van Zwietering, Ellery Cleveland &;Dan SnellLift Community Services of Qathet Society, 218-6975 Alberni Street, Powell River, BC, V8A 2B8, CanadaEllery Cleveland &;Dan SnellSubstance Users Society Teaching Advocacy Instead of Neglect (SUSTAIN), 218-6975 Alberni Street, Powell River, BC, V8A 2B8、加拿大Dan Snell作者Geoff Bardwell查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者Manal Mansoor查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者Ashley Van Zwietering查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者ElleryClevelandView 作者发表作品您也可以在 PubMed Google Scholar 中搜索该作者Dan SnellView 作者发表作品您也可以在 PubMed Google Scholar 中搜索该作者Thomas KerrView 作者发表作品您也可以在 PubMed Google Scholar 中搜索该作者通信作者:Geoff Bardwell。开放获取本文采用知识共享署名 4.0 国际许可协议进行许可,该协议允许以任何媒介或格式使用、共享、改编、分发和复制,只要您适当注明原作者和来源,提供知识共享许可协议的链接,并说明是否进行了修改。本文中的图片或其他第三方材料均包含在文章的知识共享许可协议中,除非在材料的署名栏中另有说明。如果材料未包含在文章的知识共享许可协议中,且您打算使用的材料不符合法律规定或超出许可使用范围,您需要直接从版权所有者处获得许可。要查看该许可的副本,请访问 http://creativecommons.org/licenses/by/4.0/。除非在数据的信用行中另有说明,否则知识共享公共领域专用免责声明(http://creativecommons.org/publicdomain/zero/1.0/)适用于本文提供的数据。转载和许可引用本文Bardwell, G., Mansoor, M., Van Zwietering, A. et al. Correction:金鱼缸":关于加强监控对加拿大农村和沿海地区吸毒者影响的定性研究。Harm Reduct J 21, 168 (2024). https://doi.org/10.1186/s12954-024-01085-9Download citationPublished: 11 September 2024DOI: https://doi.org/10.1186/s12954-024-01085-9Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative.
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引用次数: 0
Muslims perceptions of safe alcohol use: a qualitative study in the Gulf Council Cooperation countries 穆斯林对安全饮酒的看法:海湾合作委员会国家的定性研究
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-10 DOI: 10.1186/s12954-024-01087-7
Samah Alageel, Noura Alomair
The purpose of this study was to explore Muslim’s perceptions and views of raising awareness on safe alcohol use and counterfeit alcohol harms in Islamic countries. Qualitative semi-structured interviews with a purposive sample from the Gulf Council Cooperation (GCC) countries. The data were analysed using a reflexive thematic analysis method. Twenty-three participants took part in this study. We have identified five themes from the data, including perceptions on alcohol use in the GCC, community’s openness to alcohol discussions, approaches to raising awareness on alcohol use, all forbidden is desirable, and legalisation is the solution. All participants acknowledged the existence of alcohol use in GCC communities and advocated for the need to raise public awareness about the harms of alcohol use. Opinions on approaches to raising awareness varied. Some participants suggested focusing awareness on the religious messages prohibiting alcohol use, emphasising that alcohol is harmful in any quantity. For some, raising awareness of safe alcohol consumption was viewed as accepting and encouraging alcohol use, which goes against Islamic religious beliefs. Some participants attributed alcohol misuse and the consumption of counterfeit alcohol to the ban on alcohol products in some GCC countries. Muslims acknowledge the existence of alcohol use in Muslim communities, yet there is a hesitancy in raising awareness of safe alcohol use. Although challenging, there is a need to combine the public health perspective on safe alcohol use while providing messages that acknowledge the religious aspect.
本研究旨在探讨伊斯兰国家穆斯林对提高安全饮酒意识和假酒危害的看法和观点。对来自海湾合作委员会(GCC)国家的特定样本进行了定性半结构式访谈。采用反思性专题分析方法对数据进行了分析。23 名参与者参加了此次研究。我们从数据中确定了五个主题,包括对海湾合作委员会国家酒精使用的看法、社区对酒精讨论的开放程度、提高酒精使用意识的方法、所有禁止都是可取的,以及合法化是解决之道。所有与会者都承认海湾合作委员会社区存在饮酒现象,并主张有必要提高公众对饮酒危害的认识。与会者对提高认识的方法意见不一。一些与会者建议重点宣传禁止饮酒的宗教信息,强调任何数量的酒精都是有害的。有些人则认为,提高对安全饮酒的认识就是接受和鼓励饮酒,这与伊斯兰宗教信仰背道而驰。一些与会者将滥用酒精和消费假酒归咎于一些海湾合作委员会国家对酒类产品的禁令。穆斯林承认穆斯林社区存在饮酒现象,但在提高安全饮酒意识方面却犹豫不决。尽管具有挑战性,但仍有必要将安全饮酒的公共卫生观点与承认宗教方面的信息结合起来。
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引用次数: 0
ADHD: prevalence and effect on opioid use disorder treatment outcome in a French sample of patients receiving medication for opioid use disorder—the influence of impulsivity as a mediating factor 多动症:在法国接受阿片类药物治疗的患者样本中的患病率及其对阿片类药物使用障碍治疗结果的影响--冲动性作为中介因素的影响
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-09 DOI: 10.1186/s12954-024-01079-7
Auxane Beslot, Marie Grall-Bronnec, Marianne Balem, Benoit Schreck, Edouard-Jules Laforgue, Caroline Victorri-Vigneau, Morgane Guillou-Landreat, Juliette Leboucher, Gaëlle Challet-Bouju, Clémence Cabelguen
Opioid use disorder (OUD) poses a global health challenge, and despite medications for opioid use disorder (MOUD) and psychosocial interventions, relapse remains a significant concern. Comorbid psychiatric disorders, including attention deficit hyperactivity disorder (ADHD), are one of the major factors associated with poor OUD treatment outcome. We aimed to estimate the frequency of probable ADHD (in childhood and in adulthood) in patients with OUD; to assess the factors associated with this comorbidity; and to explore the factors that mediate the relationship between ADHD and OUD treatment outcome. We conducted an observational study using a sample of 229 patients aged 18 years and older who were diagnosed with OUD and had received MOUD for at least six months. Participants were assessed through a structured interview and self-report questionnaires. Multivariate logistic regressions and a mediation analysis were performed. Almost half of the participants reported probable ADHD in childhood, and ADHD persisted into adulthood among two-thirds of the patients. The factors associated with poor OUD treatment outcome included earlier onset of OUD, lower education, and greater impulsivity. There was no direct effect of probable ADHD in childhood on OUD treatment outcome, but there was an indirect effect through negative urgency, the tendency to respond impulsively to negatively connoted emotional experiences. The findings suggest that ADHD symptoms, particularly impulsivity, may contribute to vulnerability in opioid use and play a crucial role in treatment outcomes for this population. Trial registration: ClinicalTrials identifier NCT01847729.
阿片类药物使用障碍(OUD)是一项全球性的健康挑战,尽管有治疗阿片类药物使用障碍(MOUD)的药物和社会心理干预措施,复发仍然是一个令人严重关切的问题。包括注意缺陷多动障碍(ADHD)在内的合并精神障碍是导致 OUD 治疗效果不佳的主要因素之一。我们的目的是估算 OUD 患者中可能患有多动症(儿童期和成年期)的频率;评估与这种合并症相关的因素;并探讨多动症与 OUD 治疗效果之间的中介因素。我们对 229 名年龄在 18 岁及以上、被诊断为 OUD 并接受 MOUD 治疗至少 6 个月的患者进行了抽样观察研究。我们通过结构化访谈和自我报告问卷对参与者进行了评估。研究人员进行了多变量逻辑回归和中介分析。近一半的受试者表示在童年时可能患有多动症,三分之二的患者在成年后仍患有多动症。与 OUD 治疗效果不佳相关的因素包括 OUD 发病时间较早、受教育程度较低以及冲动性较强。儿童时期可能患有的多动症对 OUD 治疗效果没有直接影响,但通过消极的紧迫感(即对具有负面含义的情绪体验做出冲动反应的倾向)会产生间接影响。研究结果表明,多动症症状,尤其是冲动性,可能会导致阿片类药物使用的脆弱性,并对这一人群的治疗效果起到至关重要的作用。试验注册:临床试验标识符 NCT01847729。
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引用次数: 0
Correction: Economic evaluation of the effect of needle and syringe programs on skin, soft tissue, and vascular infections in people who inject drugs: a microsimulation modelling approach 更正:针头和针筒计划对注射吸毒者皮肤、软组织和血管感染影响的经济评估:微观模拟建模方法
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-09 DOI: 10.1186/s12954-024-01083-x
Jihoon Lim, W Alton Russell, Mariam El-Sheikh, David L. Buckeridge, Dimitra Panagiotoglou
<p><b>Correction: Harm Reduction Journal (2024) 21:126</b></p><p><b>https://doi.org/10.1186/s12954-024-01037-3</b></p><p>Following publication of the original article [1], the author would like to include missing co-author W Alton Russell in the author group. The author contribution is mentioned in the acknowledgement section, however inadvertently not provided in the author group.</p><p>The author group should appear as mentioned below:</p><p>Jihoon Lim<sup>1</sup>, W Alton Russell<sup>1</sup>, Mariam El Sheikh<sup>1</sup>, David L Buckeridge<sup>1</sup> and Dimitra Panagiotoglou<sup>1*</sup></p><p>The original article has been corrected.</p><ol data-track-component="outbound reference" data-track-context="references section"><li data-counter="1."><p>Lim, J., El-Sheikh, M., Buckeridge, D.L. et al. Economic evaluation of the effect of needle and syringe programs on skin, soft tissue, and vascular infections in people who inject drugs: a microsimulation modelling approach. Harm Reduct J 2024;21:126. https://doi.org/10.1186/s12954-024-01037-3</p></li></ol><p>Download references<svg aria-hidden="true" focusable="false" height="16" role="img" width="16"><use xlink:href="#icon-eds-i-download-medium" xmlns:xlink="http://www.w3.org/1999/xlink"></use></svg></p><h3>Authors and Affiliations</h3><ol><li><p>Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, 2001 McGill College Avenue, Suite 1200, Montreal, QC, H3A 1G1, Canada</p><p>Jihoon Lim, W Alton Russell, Mariam El-Sheikh, David L. Buckeridge & Dimitra Panagiotoglou</p></li></ol><span>Authors</span><ol><li><span>Jihoon Lim</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>W Alton Russell</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Mariam El-Sheikh</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>David L. Buckeridge</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li><li><span>Dimitra Panagiotoglou</span>View author publications<p>You can also search for this author in <span>PubMed<span> </span>Google Scholar</span></p></li></ol><h3>Corresponding author</h3><p>Correspondence to Dimitra Panagiotoglou.</p><h3>Publisher’s note</h3><p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p><p>The online version of the original article can be found at https://doi.org/10.1186/s12954-024-01037-3.</p><p><b>Open Access</b> This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) a
更正:Harm Reduction Journal (2024) 21:126https://doi.org/10.1186/s12954-024-01037-3Following 原文[1]发表后,作者希望将缺失的合著者W Alton Russell列入作者群。作者在致谢部分提到了作者的贡献,但不慎未在作者群中提供。作者群应如下所示:Jihoon Lim1, W Alton Russell1, Mariam El Sheikh1, David L Buckeridge1 and Dimitra Panagiotoglou1*原文已更正、El-Sheikh, M., Buckeridge, D.L. et al. 针头和注射器计划对注射吸毒者皮肤、软组织和血管感染影响的经济评估:微观模拟建模方法。Harm Reduct J 2024;21:126. https://doi.org/10.1186/s12954-024-01037-3Download 参考文献作者和工作单位麦吉尔大学流行病学、生物统计学和职业健康系,2001 McGill College Avenue, Suite 1200, Montreal, QC, H3A 1G1, CanadaJihoon Lim, W Alton Russell, Mariam El-Sheikh, David L. Buckeridge & Dimensions.Buckeridge & Dimitra Panagiotoglou作者Jihoon Lim查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者W Alton Russell查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者Mariam El-Sheikh查看作者发表的文章您也可以在PubMed Google Scholar中搜索该作者David L.BuckeridgeView author publications您也可以在PubMed Google Scholar中搜索该作者Dimitra PanagiotoglouView author publications您也可以在PubMed Google Scholar中搜索该作者Corresponding authorCorrespondence to Dimitra Panagiotoglou.Publisher's note施普林格-自然对出版地图和机构隶属关系中的管辖权主张保持中立。原文的在线版本可在 https://doi.org/10.1186/s12954-024-01037-3.Open Access 上找到。本文采用知识共享署名 4.0 国际许可协议进行许可,该协议允许以任何媒介或格式使用、共享、改编、分发和复制,只要您适当注明原作者和来源,提供知识共享许可协议的链接,并说明是否进行了修改。本文中的图片或其他第三方材料均包含在文章的知识共享许可协议中,除非在材料的署名栏中另有说明。如果材料未包含在文章的知识共享许可协议中,且您打算使用的材料不符合法律规定或超出许可使用范围,您需要直接从版权所有者处获得许可。如需查看该许可的副本,请访问 http://creativecommons.org/licenses/by/4.0/。除非在数据的信用行中另有说明,否则本文提供的数据适用知识共享公共领域专用免责声明 (http://creativecommons.org/publicdomain/zero/1.0/)。转载与许可引用本文Lim, J., Russell, W., El-Sheikh, M. et al. Correction:针头和注射器计划对注射吸毒者皮肤、软组织和血管感染影响的经济评估:微观模拟建模方法。Harm Reduct J 21, 164 (2024). https://doi.org/10.1186/s12954-024-01083-xDownload citationPublished: 09 September 2024DOI: https://doi.org/10.1186/s12954-024-01083-xShare this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative.
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引用次数: 0
“I don’t need my kid to be high”: prioritizing harm reduction when using cannabis during pregnancy "我不需要我的孩子嗑药":孕期吸食大麻时优先考虑减少危害
IF 4.4 2区 社会学 Q1 SUBSTANCE ABUSE Pub Date : 2024-09-09 DOI: 10.1186/s12954-024-01046-2
Erin E. Gould, Siddhi S. Ganesh, Rachel Carmen Ceasar
Cannabis is the most common illicit substance used in pregnancy. As use continues to increase, understanding peoples’ behaviors surrounding cannabis use during pregnancy is needed to improve maternal and child health outcomes. The aim of this study was to better understand pregnant individuals' perceptions and knowledge of cannabis use and use patterns as well as the social and environmental factors that may influence their use. We conducted interviews with 19 participants between December 2022 and March 2023. Individuals self-identified as BIPOC (Black, Indigenous, People of Color), were over 21 years of age, spoke English or Spanish, resided in California, and had used cannabis during pregnancy in the last 0–2 years. Using qualitative, constructivist grounded theory methods, we analyzed the contexts that contributed to participants’ lived experiences surrounding cannabis use behaviors during pregnancy. Participants reported making conscious decisions to responsibly manage their cannabis use during pregnancy to minimize potential harm to the fetus. Participants prioritized making what they perceived to be safer adjustments to their use of cannabis: (1) changing the amount of cannabis used, (2) changing the types of cannabis products used, and (3) changing sources of cannabis procurement. Our findings show that pregnant individuals are seeking information about safe cannabis use beyond medical supervision and are open to altering their cannabis consumption patterns. However, they are unable to find trustworthy and evidence-based harm reduction practices which can be implemented to mitigate harm to their unborn children. A harm reduction approach is needed in the field of maternal cannabis use to promote positive maternal and fetal health outcomes. More data is needed on comprehensive harm reduction approaches to cannabis use during pregnancy. This requires implementation of education on these topics in healthcare settings presented by prenatal care clinicians.
大麻是孕期最常见的非法药物。随着使用量的不断增加,需要了解人们在孕期使用大麻的行为,以改善母婴健康状况。本研究旨在更好地了解孕妇对大麻使用和使用模式的看法和知识,以及可能影响其使用的社会和环境因素。我们在 2022 年 12 月至 2023 年 3 月期间对 19 名参与者进行了访谈。这些人自我认同为 BIPOC(黑人、土著人、有色人种),年龄超过 21 岁,会讲英语或西班牙语,居住在加利福尼亚州,在过去 0-2 年中曾在怀孕期间使用过大麻。我们采用定性的建构主义基础理论方法,分析了导致参与者在怀孕期间使用大麻行为的生活经历的背景。参与者称,他们有意识地决定在怀孕期间负责任地管理自己的大麻使用,以尽量减少对胎儿的潜在伤害。参与者优先考虑对大麻使用做出他们认为更安全的调整:(1)改变大麻使用量,(2)改变大麻产品使用类型,以及(3)改变大麻采购来源。我们的研究结果表明,孕妇正在寻求有关在医疗监督之外安全使用大麻的信息,并愿意改变其大麻消费模式。然而,他们无法找到值得信赖的循证减害做法来减轻对未出生胎儿的伤害。在孕产妇吸食大麻领域,需要采取减少危害的方法来促进孕产妇和胎儿健康的积极成果。需要更多关于孕期使用大麻的综合减害方法的数据。这需要产前护理临床医生在医疗保健环境中开展有关这些主题的教育。
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引用次数: 0
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Harm Reduction Journal
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