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Context of Substance Use: Harm Reduction and Safer Supply 物质使用的背景:减少危害和更安全的供应
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-01-31 DOI: 10.1177/00220426241231499
Marlene Haines, Patrick O’Byrne
Canada continues to be in the midst of an ongoing unregulated drug poisoning crisis, with over 40,000 opioid-related deaths since 2016. To develop a better understanding of the context of drug use, we interviewed safer supply program participants in Ottawa, Canada. Data collection included semi-structured interviews which were analyzed thematically. Overall, 2 major themes arose, which included 1) the historical and ongoing effects of trauma, and 2) a cycle of drug use that overwhelmed them. From this, a framework was created which depicts the context of substance use. Our research reinforced the importance of considering the historical and ongoing effects of trauma on the lives of people who use drugs when developing harm reduction and substance use programs. Further, participants found safer supply programs to be useful in disrupting a cycle of drug use they felt trapped in and allowed them a sense of autonomy regarding their drug use.
加拿大仍处于持续的无管制药物中毒危机之中,自 2016 年以来,与阿片类药物相关的死亡人数已超过 40,000 人。为了更好地了解毒品使用的背景,我们在加拿大渥太华采访了更安全供应计划的参与者。数据收集包括半结构化访谈,并对访谈内容进行了专题分析。总体而言,产生了两大主题,其中包括:1)历史和持续的创伤影响;2)使他们不堪重负的吸毒循环。由此,我们建立了一个描述药物使用背景的框架。我们的研究强调了在制定减少危害和药物使用计划时,考虑历史创伤和持续创伤对吸毒者生活影响的重要性。此外,参与者还发现,更安全的供应计划有助于打破他们深陷其中的吸毒循环,让他们对自己的吸毒行为有一种自主感。
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引用次数: 0
Pilot Testing an Asynchronous Online Harm Reduction and Pharmacotherapy Stigma Reduction Training for Substance Use Treatment Professionals 针对药物使用治疗专业人员的异步在线减低伤害和药物治疗污名化培训试点测试
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-01-05 DOI: 10.1177/00220426231226223
Sandra H. Sulzer, Suzanne Prevedel, T. Barrett, Margo Mekjian, Mindy Vincent, Felicia Frabis, Cris Meier, Claire Warnick Shiverdecker, Maren Wright Voss, Paula J. Cook, Erin Fanning Madden
Harm reduction and pharmacotherapy approaches to addressing substance use disorder are evidence-based practices for reducing adverse health outcomes. However, professional stigma toward these approaches impedes implementation. In this pilot study, professionals working in substance use treatment services received a 4-hour asynchronous online harm reduction and pharmacotherapy training. Pre- and post-training surveys used Likert-scale questions to assess attitudes and planned actions. Four of the 23 survey items demonstrated a significant change in pre- to post-attitudes and planned actions relating to harm reduction or pharmacotherapy. These items included less attitudinal stigma towards: methadone and buprenorphine ( p = .021), overdose prevention sites/“drug consumption facilities” ( p = .025), and naloxone distribution ( p = .017), as well as lower intent to primarily promote abstinence-based interventions ( p = .007). This study demonstrated that online asynchronous educational interventions show promise for reducing stigmatizing attitudes towards evidence-based practices among substance use treatment professionals.
减少危害和药物疗法是解决药物使用障碍的循证方法,可减少不良健康后果。然而,专业人士对这些方法的成见阻碍了这些方法的实施。在这项试点研究中,从事药物使用治疗服务的专业人员接受了 4 小时的异步在线减低伤害和药物治疗培训。培训前后的调查使用李克特量表问题来评估态度和计划采取的行动。在 23 个调查项目中,有 4 个项目表明,培训前与培训后在减低伤害或药物治疗方面的态度和计划行动发生了显著变化。这些项目包括对美沙酮和丁丙诺啡(p = .021)、预防用药过量场所/"药物消费设施"(p = .025)和纳洛酮分发(p = .017)的态度成见减少,以及主要推广基于禁欲的干预措施的意愿降低(p = .007)。这项研究表明,在线异步教育干预有望减少药物使用治疗专业人员对循证实践的轻蔑态度。
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引用次数: 0
Who is in, for How Long and What for. Exploring the Social Dimension of Cannabis Social Clubs in Barcelona, 2017-2020 谁参加、参加多久、为了什么?探索 2017-2020 年巴塞罗那大麻社交俱乐部的社会维度
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-01-04 DOI: 10.1177/00220426231226222
Anna Obradors-Pineda, José Carlos Bouso, Joan Colom, Jakob Manthey
Analyzing the activity data of 2007 Cannabis Social Clubs (CSCs) members in Barcelona between 2017 and 2020 we describe the demographics, the amounts of cannabis collected (.46 g/day amongst men; .37 for woman) and the relationships established with the CSCs: frequency of procurement (every 15.4 days for woman; 11.6 days for men); and membership length (mean 657.3 days). An 80% of members were men (mean 36.1 years old). Women, older adults, and those registered as medical users had generally longer memberships than the average despite the frequencies and the amounts procured by them tended to be lower compared to young recreational male members. The daily amount used rose from an estimated general average of .44 g, to an estimated 1.41–4.76 g collected by a 5% of CSC members. Beyond providing small amounts of cannabis, CSCs are mainly used as socializing spaces for people who use cannabis.
通过分析巴塞罗那 2007 名大麻社交俱乐部(CSCs)成员在 2017 年至 2020 年期间的活动数据,我们描述了他们的人口统计学特征、大麻收集量(男性为 0.46 克/天;女性为 0.37 克/天)以及与 CSCs 建立的关系:购买频率(女性为每 15.4 天一次;男性为每 11.6 天一次);以及成员资格时间(平均 657.3 天)。80% 的会员为男性(平均 36.1 岁)。女性、老年人和登记为医疗用户的会员的会员资格时间普遍长于平均水平,尽管与年轻的娱乐男性会员相比,他们的频率和购买量往往较低。每日使用量从估计的一般平均 0.44 克上升到 5%的社区服务中心成员估计收集的 1.41-4.76 克。除了提供少量大麻外,社区服务中心主要被用作吸食大麻者的社交场所。
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引用次数: 0
Daily Cannabis Use: Do Impulsivity and Sensation Seeking Predict Negative Cannabis Related Consequences? 日常使用大麻:冲动和寻求感觉是否能预测与大麻相关的负面后果?
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-01-04 DOI: 10.1177/00220426231226221
Jamie E. Parnes, Alexander J. Tyskiewicz, Mark A. Prince, Bradley T. Conner
Cannabis use can result in negative cannabis-related consequences (NCRC), particularly among individuals high in impulsivity and sensation seeking. Continued research is necessary to determine if these associations generalize to community adults with daily legal cannabis use. We hypothesized that impulsivity and sensation seeking would positively predict NCRC. Community adults ( N = 51) participated in a study measuring personality, cannabis use, and related outcomes, as part of a larger study. Two multiple regression models predicting NCRC were conducted: one for impulsivity facets and one for sensation seeking facets. Positive urgency was significantly negatively associated with NCRC. Risk seeking was significantly positively associated with NCRC. All other personality facets were not significantly associated with NCRC. Associations between some personality facets and NCRC may differ among adults with daily legal cannabis use. Future research should continue to explore unique personality associations related to NCRC among individuals with daily use.
吸食大麻会导致与大麻有关的负面后果(NCRC),特别是在冲动性和寻求感觉性较高的人群中。有必要继续开展研究,以确定这些关联是否适用于每天合法吸食大麻的社区成年人。我们的假设是,冲动和寻求感觉会对 NCRC 产生积极的预测作用。作为一项大型研究的一部分,社区成年人(N = 51)参加了一项测量人格、大麻使用情况和相关结果的研究。该研究建立了两个预测 NCRC 的多元回归模型:一个是冲动方面的模型,另一个是寻求感觉方面的模型。积极紧迫感与 NCRC 呈显著负相关。寻求风险与 NCRC 呈显著正相关。所有其他性格特征与 NCRC 的关系都不明显。在每天合法吸食大麻的成年人中,某些性格特征与 NCRC 之间的关系可能有所不同。未来的研究应继续探索日常使用大麻的个人中与 NCRC 相关的独特人格关联。
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引用次数: 0
Drug Legalization and Decriminalization Beliefs Among Individuals with and without a History of Substance Use 有吸毒史和无吸毒史者的毒品合法化和非刑罪化信念
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-11-20 DOI: 10.1177/00220426231216086
Brandon Park, Alexis S. Hammond, Kelly E. Dunn, Eric C. Strain, Cecilia L. Bergeria
Drug legalization and decriminalization policy has changed in recent years. This study examined attitudes regarding drug legalization and decriminalization among persons who use substances, a perspective that can provide a unique view on legalization/decriminalization. A nationwide sample of 515 adults with and without substance use were surveyed online to assess opinions on drug legalization and decriminalization. Legalization/decriminalization beliefs were rated on an 11-point scale (0, “strongly disagree”; 10, “strongly agree”) and compared across demographic and drug use characteristics. Among persons with lived experiences in substance use, direct use of certain substances such as opioids or stimulants appears to be associated with low levels of support for legalization and modest support for decriminalization. Individuals with cannabis use largely supported cannabis legalization and decriminalization. Reasons behind ratings by persons with opioid and cocaine use should be further evaluated. Evolving social acceptance of illicit drug use may shift attitudes over time.
近年来,毒品合法化和非刑罪化政策发生了变化。本研究考察了毒品使用者对毒品合法化和非刑罪化的态度,这一视角可以为毒品合法化/非刑罪化提供独特的视角。我们在全国范围内抽样调查了 515 名使用或不使用毒品的成年人,以评估他们对毒品合法化和非刑罪化的看法。对毒品合法化/非刑罪化的看法进行了 11 级评分(0 分代表 "非常不同意";10 分代表 "非常同意"),并对不同的人口统计学特征和毒品使用特征进行了比较。在有药物使用生活经历的人中,直接使用某些药物(如阿片类或兴奋剂)似乎与对合法化的低度支持和对非刑罪化的适度支持有关。使用大麻的人基本上支持大麻合法化和非刑罪化。应进一步评估使用类阿片和可卡因的人作出评价的原因。随着时间的推移,社会对非法药物使用的接受程度可能会改变人们的态度。
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引用次数: 0
Why Do University Students Smoke Tobacco? French Validity of Brief Wisconsin Inventory of Smoking Dependence Motives Among (non-) Daily Smokers and Associations With Psychological Variables 大学生为什么吸烟?威斯康星吸烟依赖动机简明量表在(非)日常吸烟者中的法式有效性及其与心理变量的关联
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-11-16 DOI: 10.1177/00220426231214461
Maxime Mauduy, Nicolas Mauny, Hélène Beaunieux, J. Mange
This study investigates the validity of the Brief Wisconsin Inventory of Smoking Dependence Motives (B-WISDM) among French daily and non-daily university student smokers. Measurement models, measurement invariances, and concurrent and convergent validity with psychosocial and psychopathological variables were tested. Results (1) confirmed the B-WISDM dimensionality in 11 first-order intercorrelated factors; (2) showed its measurement invariance for the types of smokers; (3) showed that tobacco dependence is only and positively predicted by primary dependence motives, which confirm that they are core components of tobacco dependence; and (4) highlighted specific associations between smoking motives and psychological variables, such as smoking identity and perceived behavioral control with some primary dependence motives, social goads with social norms, and weight control with eating disorders. Thus, external validity of the B-WISDM is extended to non-daily smokers. Specific associations of B-WISDM with smoking-related psychological potentially make it a very useful diagnostic tool to support smokers toward quitting.
本研究调查了威斯康星州吸烟依赖动机简明量表(B-WISDM)在法国日常和非日常大学生吸烟者中的有效性。对测量模型、测量不变量以及与社会心理和精神病理学变量的并发和收敛效度进行了测试。结果(1)证实了B-WISDM的11个一阶相互关联因子的维度性;(2)显示了其对吸烟者类型的测量不变性;(3)显示烟草依赖仅由初级依赖动机正向预测,这证实了初级依赖动机是烟草依赖的核心组成部分;(4)强调了吸烟动机与心理变量之间的特定关联,如吸烟认同和感知行为控制与某些初级依赖动机、社会诱因与社会规范、体重控制与饮食失调。因此,B-WISDM 的外部有效性已扩展到非日常吸烟者。B-WISDM与吸烟相关心理的特定关联可能使其成为一个非常有用的诊断工具,帮助吸烟者戒烟。
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引用次数: 0
Mid-level Illicit Drug Supply in a Small English City: Sellers’ Perspectives and Experiences 英国一个小城市的中级毒品供应:卖主的视角与经验
4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-11-04 DOI: 10.1177/00220426231212887
Benjamin Pelling, Luke Anthony Turnock
This article examines the experiences of eight mid-level drug suppliers operating in a small English city, through use of qualitative interviews. Building on the literature relating to social supply and drift into ‘real dealing’, we explore whether the mid-market for non-‘street’ drugs in this locale follows a continuation of these norms, or whether features that are prominent in recent explorations of UK drug distribution relating to increasingly aggressive marketing, and organised criminal gangs moving into markets in provincial towns, are present in the city’s market. Analysis encompasses suppliers’ experiences of ‘drift’ into commercial supply, pull factors for market involvement, approaches to marketing and customer service, ethical concerns in supply, and finally perceptions of market violence. We observe that the market, while retaining many features of social supply, nonetheless shows evidence of issues relating to emergent norms of altered distribution, notably market violence linked to establishing ‘lines’ in new locales.
本文通过定性访谈的方法,考察了在英国一个小城市经营的八家中级药品供应商的经验。基于与社会供应和“真实交易”相关的文献,我们探讨了该地区非“街头”毒品的中端市场是否遵循这些规范的延续,或者最近在英国毒品分销方面的探索中突出的特征是否与日益激进的营销有关,以及有组织的犯罪团伙进入省级城镇的市场,在城市市场中存在。分析包括供应商“漂移”到商业供应的经验,市场参与的拉动因素,营销和客户服务的方法,供应中的道德问题,以及最后对市场暴力的看法。我们观察到,市场虽然保留了社会供应的许多特征,但仍然显示出与改变分配的新兴规范有关的问题,特别是与在新地区建立“线路”有关的市场暴力。
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引用次数: 0
Police Knowledge, Attitudes, and Beliefs About Opioid Addiction Treatment and Harm Reduction: A Survey of Illinois Officers 警察对阿片类药物成瘾治疗和减少危害的知识、态度和信念:对伊利诺伊州官员的调查
4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-11-03 DOI: 10.1177/00220426231212567
Jessica Reichert, Kaitlin F. Martins, Bruce Taylor, Brandon del Pozo
Police officers encounter individuals with opioid use disorder (OUD) during their routine work and are often called to the scene of overdoses. Despite this frequency, officer knowledge and attitudes about addiction, treatment, and harm reduction vary. Views held by officers, and the extent of their knowledge, can impact the decisions they make regarding people with OUD, yet our understanding of these factors is limited. Using stratified random sampling, we surveyed 248 officers from 27 Illinois police departments on their knowledge of addiction and the means to address it. We performed descriptive and regression analyses to examine differences based on officer characteristics. We found a high proportion of officers lacked knowledge of addiction, treatment, and harm reduction. Our findings suggest the need for police training to improve understanding of addiction. Community collaboration and coordination of resources may give officers the tools to better address OUD, reduce harm, and decrease overdose.
警察在日常工作中遇到有阿片类药物使用障碍(OUD)的人,经常被叫到过量用药的现场。尽管这种频率,官员的知识和态度成瘾,治疗和减少伤害各不相同。官员的观点和他们的知识程度会影响他们对OUD患者做出的决定,但我们对这些因素的了解有限。通过分层随机抽样,我们调查了来自伊利诺伊州27个警察局的248名警官,了解他们对成瘾的了解以及解决成瘾的方法。我们进行了描述性和回归分析,以检查基于军官特征的差异。我们发现,很大比例的官员缺乏成瘾、治疗和减少伤害的知识。我们的研究结果表明,需要对警察进行培训,以提高对成瘾的理解。社区合作和资源协调可以为警察提供更好地解决吸毒问题、减少伤害和减少吸毒过量的工具。
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引用次数: 0
Reviewing the Impact of the Opioid Overdose Epidemic on the Mental Wellbeing of First Responders 回顾阿片类药物过量流行对急救人员心理健康的影响
4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-10-20 DOI: 10.1177/00220426231208109
Kellie O’Dare, Leah Atwell
The opioid overdose epidemic is a growing concern for first responders on the front lines. Yet, limited knowledge exists regarding the psychological impacts from repeated exposure to overdose events. Using a scoping review approach, authors searched scholarly databases for a combination of related keywords including first responders, mental health, and opioid epidemic. Twenty-three (23) peer reviewed articles met criteria for inclusion. Six (6) additional non-refereed reports were also included. Frequently cited concerns included increased/unmanageable workloads, burnout, compassion fatigue, safety, negative attitudes/cynicism, cumulative/repeated exposures, and frustration with lack of resources. Several resources described proactive measures to mitigate the consequences. One such measure is a Behavioral Health Access Program (BHAP), a comprehensive, specialized program designed to address the mental health needs of first responders. Opioid settlement funding should be utilized to support the development of BHAPs in all first responder organizations to mitigate the negative mental health impacts inflicted by the epidemic.
阿片类药物过量流行是一线急救人员日益关注的问题。然而,关于反复暴露于过量事件的心理影响的知识有限。使用范围审查方法,作者在学术数据库中搜索相关关键词的组合,包括急救人员、心理健康和阿片类药物流行。23篇同行评议文章符合纳入标准。另外六(6)份未经评审的报告也被包括在内。经常被提到的担忧包括工作量增加/无法管理、精疲力竭、同情疲劳、安全、消极态度/玩世不恭、累积/重复暴露,以及对缺乏资源的沮丧。一些资源描述了减轻后果的主动措施。其中一项措施是行为健康获取计划(BHAP),这是一个全面的、专门的计划,旨在解决第一响应者的心理健康需求。应利用阿片类药物解决方案资金,支持在所有第一反应组织中发展bhap,以减轻这一流行病对心理健康造成的负面影响。
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引用次数: 0
Perceived Risk of Weekly Marijuana Use Among Students Participating in the National Survey on Drug Use and Health 参加全国药物使用和健康调查的学生每周使用大麻的感知风险
4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-10-18 DOI: 10.1177/00220426231207779
Michael S. Dunn, Madison A. Klump
This study sought to assess the relationship of risk perception of weekly marijuana use and the influence of parental, peer, and school factors as predictors among U.S. adolescents. Data for this study was derived from the 2020 National Survey on Drug Use and Health. Students who reported strong parental involvement/support, peer disapproval of marijuana use, low perception of peer use, and enjoyed school were more likely to report that using marijuana weekly was a risk behavior. Students who reported no lifetime alcohol or illicit drug use were more likely to view weekly marijuana use as a risk behavior. Differences were also observed for sex of respondent. This study further adds evidence of the influence of parental, peer, and school factors as effective strategies to control adolescent marijuana use. There is a need for multidimensional programs that target adolescents’ perceptions of risk of marijuana use, as well as targeting significant others.
本研究旨在评估美国青少年每周使用大麻的风险感知与父母、同伴和学校因素作为预测因素的影响之间的关系。这项研究的数据来自2020年全国药物使用和健康调查。那些报告强烈的父母参与/支持、同伴不赞成使用大麻、对同伴使用大麻的认知较低、享受学校生活的学生更有可能报告每周使用大麻是一种危险行为。报告称从未饮酒或使用非法药物的学生更有可能将每周吸食大麻视为一种危险行为。调查对象的性别也存在差异。这项研究进一步证明了父母、同伴和学校因素作为控制青少年大麻使用的有效策略的影响。有必要开展多维度的项目,针对青少年对大麻使用风险的认知,以及针对重要的其他人。
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引用次数: 0
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Journal of Drug Issues
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