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Factors Associated With Self-Reported Overdose Reversals Using Naloxone in Little Rock, Arkansas: Implications for Harm Reduction Service Delivery in the US South 阿肯色州小石城使用纳洛酮自我报告用药过量逆转的相关因素:对美国南部提供减低伤害服务的启示
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-03-08 DOI: 10.1177/00220426241236686
George Pro, Camille Richoux, Mackenzie Bolt, Amber Kincade, Rahem White, Clay Kasper, Nick Zaller
Background. The Central Arkansas Harm Reduction Project (CAHR) is located in Little Rock, Arkansas, and is the only harm reduction service provider in the city. This quality improvement study was conducted to inform harm reduction programming decisions. Methods. We used CAHR data among clients who reported methamphetamine and/or opioid use (2021-2022; N = 459). We used an explanatory mixed methods design to identify factors associated with self-reported overdose reversals using naloxone. Results. The average number of reversals was 3.27. Nearly all clients (95%) reported methamphetamine use. The use of both methamphetamine and opioids (vs. opioids only; [Formula: see text] = 0.26, p = .04) was positively associated with a higher number of reversals. Our qualitative analysis provided additional context around methamphetamine and overdose, including leveraging community members connected to large networks of people who use drugs. Conclusion. Future CAHR initiatives will focus on expanding public health education around naloxone and fentanyl for a population increasingly using methamphetamine.
背景。阿肯色州中部减低伤害项目(CAHR)位于阿肯色州小石城,是该市唯一的减低伤害服务机构。这项质量改进研究旨在为减低伤害计划的决策提供信息。研究方法。我们使用了 CAHR 报告使用甲基苯丙胺和/或阿片类药物的客户数据(2021-2022 年;N = 459)。我们采用了解释性混合方法设计,以确定与自我报告使用纳洛酮扭转用药过量相关的因素。结果平均逆转次数为 3.27 次。几乎所有吸毒者(95%)都报告使用过甲基苯丙胺。同时使用甲基苯丙胺和阿片类药物(与仅使用阿片类药物相比;[公式:见正文] = 0.26,p = .04)与更高的逆转次数呈正相关。我们的定性分析提供了有关甲基苯丙胺和用药过量的更多信息,包括利用社区成员与庞大的吸毒者网络的联系。结论。未来的 CAHR 计划将侧重于扩大纳洛酮和芬太尼的公共卫生教育,以帮助越来越多地使用甲基苯丙胺的人群。
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引用次数: 0
Recreational Nitrous Oxide Dosing and Administration and Its Use in Traffic: An Online Survey 娱乐性一氧化二氮的剂量和管理及其在交通中的使用:在线调查
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-02-24 DOI: 10.1177/00220426241233193
Frederick Vinckenbosch, Eef Theunissen, Agnieszka Stelling, Charles Goldenbeld, Johannes G. Ramaekers
Nitrous oxide (N2O) is a popular recreational intoxicant and associated paraphernalia are increasingly being found at road traffic accident scenes in the Netherlands, suggesting that N2O intoxication causally contributes to the occurrence of a significant number of road traffic accidents. However, information on the pharmacodynamics- and kinetic characteristics of recreational N2O use is limited, impeding policy making and enforcement. This investigation aimed to determine a representative dosing method for recreational N2O use and establish a relevant timeframe for assessing psychomotoric functioning in future research. Online survey responses of 511 N2O users revealed that the majority inhaled N2O from party balloons filled with 4–14 L of N2O. Inhalation typically involved a repetitive “rebreathing” technique with 20–30 second breaks every six cycles, or without breaks, for approximately 12 cycles in total. 10.3% of respondents admitted to have inhaled N2O during driving in the past. Driving departure within 1 hour of inhalation was common, providing a relevant timeframe for the investigation of psychomotoric effects of recreational N2O use in future research.
一氧化二氮(N2O)是一种流行的娱乐性麻醉剂,在荷兰的道路交通事故现场,越来越多地发现了与之相关的用具,这表明一氧化二氮中毒是导致大量道路交通事故发生的原因之一。然而,有关娱乐性使用一氧化二氮的药效学和动力学特征的信息十分有限,这阻碍了政策的制定和执行。这项调查旨在确定娱乐性使用一氧化二氮的代表性剂量方法,并为未来研究中的精神动力功能评估确定相关的时间框架。对 511 名一氧化二氮使用者进行的在线调查显示,大多数人从装有 4-14 升一氧化二氮的派对气球中吸入一氧化二氮。吸入通常采用重复的 "再吸气 "技术,每六个周期休息 20-30 秒,或不休息,总共约 12 个周期。10.3% 的受访者承认过去曾在驾驶过程中吸入过一氧化二氮。在吸入后 1 小时内驾车离开的情况很普遍,这为今后调查娱乐性使用一氧化二氮的精神作用提供了相关的时间范围。
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引用次数: 0
Implementing Harm Reduction-Based Medical Assistance via an Online Platform for People Who Use Drugs in Russia: A Qualitative Study 俄罗斯通过在线平台为吸毒者实施基于减低伤害的医疗援助:定性研究
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-02-21 DOI: 10.1177/00220426241234819
Arsen Davitadze, Peter Meylakhs, Tatiana Rodionova, Aleksey Lakhov
Although people who use drugs (PWUD) in Russia could benefit from harm reduction services, these services do not always reach them. Harm reduction organizations are adapting to these conditions with mHealth initiatives. The newest one involves a doctor providing medical assistance anonymously and free-of-charge to PWUD in an instant messenger (Telegram). Thematic analysis was applied to 161 anonymized text conversations between PWUD and the doctor to explore the needs of PWUD and the services provided to them. Theme 1 included needs for online only medical assistance: PWUD asked for help with drug-related health problems and consultations on drug consumption. Theme 2 consisted of needs for online and offline medical assistance: PWUD wanted to get help with more severe health problems and treat their substance misuse. The doctor helped most PWUD online by instructing them how to manage their problems by themselves, while he helped connect others to ambulances and hospitals.
尽管俄罗斯的吸毒者(PWUD)可以从减低危害服务中受益,但这些服务并不总能惠及他们。减低危害组织正在通过移动医疗措施来适应这些情况。最新的一项举措涉及一名医生通过即时通讯工具(Telegram)向吸毒者提供匿名、免费的医疗援助。对 PWUD 和医生之间的 161 条匿名文本对话进行了主题分析,以探讨 PWUD 的需求和为他们提供的服务。主题 1 包括对在线医疗援助的需求:残疾人要求帮助他们解决与毒品有关的健康问题,并就吸毒问题进行咨询。主题 2 包括在线和离线医疗援助需求:残疾人希望获得更严重健康问题的帮助和药物滥用的治疗。医生在线帮助大多数残疾人,指导他们如何自己处理问题,同时帮助其他人联系救护车和医院。
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引用次数: 0
Physical and Social Drinking Contexts Changes Due to the Lockdown During the COVID-19 Pandemic Modified Alcohol Consumption in a Sample of Argentine College Students COVID-19 大流行期间因封锁造成的身体和社会饮酒环境变化改变了阿根廷大学生样本的酒精消费量
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-02-21 DOI: 10.1177/00220426241235159
Candela Sofía Carreira Caro, Ángel Emanuel Lietti, Gustavo Ezequiel Buján, Jesica Formoso, Angelina Pilatti, Laura Ruth Guelman, Sonia Jazmín Molina
Alcohol consumption is highly prevalent in college students, being important to identify risk factors for alcohol consumption. Thus, this work explored students' alcohol consumption and the influence of drinking contexts and how the lockdown modified drinking contexts and its influence on alcohol consumption. Argentinean college students ( N = 1762; 74.8% women; Mean age = 23.25 ± 2.64) completed a survey that assessed alcohol consumption and related contexts before and during the lockdown. Latent Class Analysis identified 5 context-classes that showed different alcohol consumption patterns. A high percent of students drink alcohol in various contexts, but especially those related with social encounters with peers. Moreover, students who consume alcohol at social events with peers tend to have higher consumption rates per occasion and on a monthly basis. The confinement measures could have an effect on reducing alcohol use in college students, probably by modifying the drinking context of some students. college students consume alcohol extensively, which is worrying considering the health disturbances that it produces. Moreover, it is important to consider special situations such as the lockdown -that could modify contexts and its influence on consumption-to devise intervention strategies to reduce alcohol consumption.
酒精消费在大学生中非常普遍,因此识别酒精消费的风险因素非常重要。因此,本研究探讨了学生的酒精消费和饮酒环境的影响,以及禁酒令如何改变饮酒环境及其对酒精消费的影响。阿根廷大学生(人数=1762;74.8%为女性;平均年龄=23.25 ± 2.64)完成了一项调查,评估了封锁前和封锁期间的饮酒量及相关情境。潜类分析(Latent Class Analysis)确定了 5 个显示不同酒精消费模式的情境类别。很高比例的学生在各种情境下饮酒,尤其是在与同伴的社交场合。此外,在与同伴的社交活动中饮酒的学生每次和每月的饮酒量往往较高。禁酒措施可能通过改变部分学生的饮酒环境,对减少大学生饮酒起到一定作用。大学生大量饮酒,考虑到其对健康造成的影响,这一点令人担忧。此外,重要的是要考虑到特殊情况,如禁闭--可能会改变饮酒环境及其对饮酒的影响--来制定减少饮酒的干预策略。
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引用次数: 0
Tests of Social Bonding, Differential Association/Social Learning, Strain Theories, and Cigarette Use Among Adolescents in Türkiye 测试土耳其青少年的社会联系、差异关联/社会学习、应变理论和香烟使用情况
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-02-19 DOI: 10.1177/00220426241234816
Ozden Ozbay, Ozge Zeybekoglu Akbas, Gokhan V. Kokturk
Background: Only a few studies have tested the effects of social bonding, differential association/social learning, and strain theories on cigarette smoking by adolescents in the West/the U.S. and Türkiye. Objectives: Using data collected from adolescents (N = 1.710) living in central Ankara (the capital of Türkiye) in 2001, this study explored whether social bonding, differential association/social learning, and strain theories had any effect on adolescent cigarette use and whether the link between these theories and cigarette smoking varied by gender. Results: While family supervision was negatively associated with the likelihood of cigarette smoking, substance use by close friends, having delinquent friends, definitions favorable to smoking, school failure and punishment at school were positively related to the likelihood of cigarette smoking. Conclusion: Social bonding, differential association/social learning, and strain theories are generally associated with smoking in the theoretically expected direction. However, the data also indicate that variables from social learning theory have a greater impact on cigarette smoking by adolescents, followed by variables from strain and social bonding theories. Finally, the three theories appear to play more important roles in female than male adolescent smoking behaviors.
研究背景在西方/美国和土耳其,只有少数研究检验了社会纽带、差异联想/社会学习和应变理论对青少年吸烟的影响。研究目的本研究使用 2001 年从居住在安卡拉(土耳其首都)市中心的青少年(N = 1.710)收集的数据,探讨了社会纽带、差异联想/社会学习和应变理论是否对青少年吸烟有影响,以及这些理论与吸烟之间的联系是否因性别而异。研究结果家庭监督与吸烟的可能性呈负相关,而亲密朋友使用药物、有不良朋友、对吸烟有利的定义、学业失败和学校惩罚与吸烟的可能性呈正相关。结论社会纽带理论、差异联想/社会学习理论和应变理论一般都与吸烟有理论预期的联系。然而,数据还表明,社会学习理论中的变量对青少年吸烟的影响更大,其次是应变和社会联系理论中的变量。最后,这三种理论对女性青少年吸烟行为的影响似乎比对男性青少年吸烟行为的影响更大。
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引用次数: 0
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
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Journal of Drug Issues
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