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A Comparison of HIV Knowledge, Sex Risk Reduction, HIV Services & Testing, and Risk Reduction Skills in the WaySafe and StaySafe Interventions WaySafe和StaySafe干预中HIV知识、性风险降低、HIV服务和检测以及风险降低技能的比较
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-06-01 DOI: 10.1177/00220426231180109
G. Joe, Thomas B. Sease, Wayne E K Lehman, Jennifer Pankow, K. Knight
Justice-involved people with substance use disorders are an at-risk population for health risk behaviors, particularly those related to Human Immunodeficiency Virus (HIV) and other sexually transmitted infections. Risk-reduction programs provide correctional agencies with a practical solution in to reducing HIV-related health risks in justice-involved populations. This study compared two interventions (in-prison, group-based WaySafe with self-adminstered, tablet-based StaySafe for people on probation) to determine whether one intervention was more effective than the other in terms of common outcomes. Multi-level analyses compared effect sizes from outcome studies testing WaySafe and StaySafe. Results showed the interventions had similar effects with regard to measures of HIV Knowledge, HIV Services and Testing, and Risk Reduction Skills. Collectively, this study suggests the StaySafe intervention can be used in situations where the more intensive WaySafe intervention is not feasible and affords correctional agencies the flexibility to implement the curriculum that best meets their organization’s goals and needs.
涉及司法的物质使用障碍患者是健康风险行为的高危人群,特别是与人类免疫缺陷病毒(艾滋病毒)和其他性传播感染有关的行为。减少风险方案为惩教机构提供了一个切实可行的解决方案,以减少与司法有关的人群中与艾滋病毒有关的健康风险。这项研究比较了两种干预措施(在监狱中,基于小组的WaySafe和自我管理的,基于平板电脑的StaySafe,用于缓刑人员),以确定一种干预措施是否比另一种干预措施更有效。多层次分析比较了测试WaySafe和StaySafe的结果研究的效应大小。结果表明,干预措施在艾滋病毒知识、艾滋病毒服务和检测以及降低风险技能方面具有相似的效果。总的来说,这项研究表明,在更密集的WaySafe干预措施不可行的情况下,可以使用StaySafe干预措施,并为惩教机构提供灵活性,以实施最能满足其组织目标和需求的课程。
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引用次数: 0
The Ambiguous Nature of Contextual Dynamics During Drug Addiction Recovery: A Qualitative Study of Personal Narratives 戒毒过程中语境动态的模糊性——对个人叙述的定性研究
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-31 DOI: 10.1177/00220426231179381
L. Bellaert, C. De Ruysscher, T. Martinelli, F. Vander Laenen, D. Sinclair, W. Vanderplasschen
The concept of recovery has emerged as a prominent paradigm to understand processes of change in individuals with substance use problems. To date, most studies have focused on personal recovery as the key driving force of recovery journeys, generally individualizing the often-disabling social realities that persons in recovery face. To counterbalance this bias, this paper focuses on the contextual dynamics at stake during recovery processes, based on the lived experiences of 30 persons in drug addiction recovery in Flanders (Belgium). A Lifeline Interview Method was applied to elicit recovery narratives, which were thematically analysed. We found that interpersonal relationships, enabling and disabling places, and socio-economic factors facilitate or impede recovery in meaningful ways. The findings also show how these diverse contextual dimensions are interrelated and ambiguous. Researchers, policymakers, and treatment providers should acknowledge the relational nature of recovery and the invalidating impact of stigma across the three identified contextual levels.
康复概念已成为理解有药物使用问题的个人变化过程的一个突出范式。迄今为止,大多数研究都将个人康复作为康复之旅的关键驱动力,通常将康复者面临的往往致残的社会现实个人化。为了抵消这种偏见,本文基于佛兰德斯(比利时)30名吸毒成瘾康复者的生活经历,重点关注康复过程中的情境动态。采用生命线访谈法引出康复故事,并对其进行主题分析。我们发现,人际关系、有利和不利的场所以及社会经济因素以有意义的方式促进或阻碍了康复。研究结果还表明,这些不同的语境维度是如何相互关联和模糊的。研究人员、政策制定者和治疗提供者应该认识到康复的关系性质,以及污名化在三个确定的背景层面上的无效影响。
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引用次数: 0
Neurocognitive Functions in Opioid Dependence: Comparisons Between Opioid Categories 阿片类药物依赖的神经认知功能:阿片类药物类别的比较
4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-30 DOI: 10.1177/00220426231179208
Abhishek Ghosh, Alka Shaktan, Abhishek Verma, Ritu Nehra, Debasish Basu, Devender K Rana, Chirag K Ahuja, Manish Modi, Paramjit Singh
We examined the differences in neurocognitive functions in individuals dependent on heroin ( n = 120), pharmaceutical ( n = 52), and natural opioids ( n = 66) and compared with healthy controls (HC, n = 94). We estimated independent effects of the opioid groups on cognitive tests, adjusted for effect modifiers. Pharmaceutical opioid dependent group performed worse than HC in Wisconsin Card Sorting Test in conceptual level response and trials to complete first category. Pharmaceutical and heroin groups had higher error scores than HC in verbal and visual N-Back Tests (NBTs). There was no significant difference between pharmaceutical and heroin groups, but both had higher error scores than the natural opioid users in NBTs. Time to complete Trail Making- A test was higher in pharmaceutical than in natural opioid group. The natural opioid group required more trials than HC to complete the first category. Pharmaceutical opioid group had worst cognitive impairment. Cognitive functions are relatively spared in natural opioid-dependent group.
我们检测了依赖海洛因(n = 120)、药物(n = 52)和天然阿片类药物(n = 66)的个体在神经认知功能上的差异,并与健康对照(HC, n = 94)进行了比较。我们估计了阿片类药物组对认知测试的独立影响,并根据影响调节剂进行了调整。药物类阿片依赖组在威斯康星卡片分类测验的概念水平反应和完成第一类的试验中表现差于HC。药物组和海洛因组在言语和视觉N-Back测试中的错误得分高于HC组。药物组和海洛因组之间的错误评分没有显著差异,但两者的错误评分都高于天然阿片类药物使用者。完成Trail Making- A测试的时间,药物组高于天然阿片类药物组。天然阿片类药物组比HC需要更多的试验来完成第一类。阿片类药物组认知功能障碍最严重。天然阿片类药物依赖组的认知功能相对完好。
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引用次数: 0
Alcohol Use Disorder Among Textile Workers: Evidence from Ethiopia 纺织工人的酒精使用障碍:来自埃塞俄比亚的证据
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-29 DOI: 10.1177/00220426231180123
Habte Belete, Tilahun Belete, Samuel B. Bacharach, Kathleen A. Briggs, Peter A. Bamberger
Little is known about its prevalence of Alcohol Use Disorder (AUD) and its work-based etiology among employed adults in developing countries. To address this knowledge gap, we surveyed a total of 423 Ethiopian textile workers (of whom 313 were non-abstaining) assessing AUD. Using the Alcohol Use Disorders Identification Test or “AUDIT” and categorizing an AUD as any AUDIT score of 16 or greater, the prevalence of AUD was estimated at 4.3% among overall participants and 5.8% among non-abstainers. Logistic regression analysis identified younger age, work-related disability, and stress as significantly associated with AUD. Given the link between these potential work-related risk factors and AUD, the findings suggest that alcohol use prevention programs such as peer-led counseling and/or Employment Assistance Programs, along with brief interventions, may be useful in addressing potential AUD risk factors, reducing AUD prevalence and associated sequaelae, and treating workers with AUD in developing countries.
在发展中国家的成年就业者中,人们对酒精使用障碍(AUD)的患病率及其基于工作的病因知之甚少。为了解决这一知识差距,我们调查了总共423名埃塞俄比亚纺织工人(其中313人没有弃权)评估澳元。使用酒精使用障碍识别测试或“审计”并将AUD分类为审计得分为16或更高的任何AUD,估计AUD的患病率在所有参与者中为4.3%,在非戒酒者中为5.8%。Logistic回归分析发现,年龄较小、与工作有关的残疾和压力与AUD显著相关。鉴于这些潜在的与工作相关的风险因素与AUD之间的联系,研究结果表明,酒精使用预防计划,如同伴主导的咨询和/或就业援助计划,以及简短的干预措施,可能有助于解决潜在的AUD风险因素,减少AUD患病率和相关的后遗症,并治疗发展中国家的AUD工人。
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引用次数: 0
Individual and Community Characteristics of the Opioid Crisis in West Virginia 西弗吉尼亚州阿片类药物危机的个人和社区特征
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-26 DOI: 10.1177/00220426231179211
Collin D. Hodges, H. Stephens, C. Sedney
In this paper we examine the changing demographics of overdose deaths in West Virginia based upon death certificate and economic data in West Virginia for the years 2001–2016. During the period under study, opioid overdose deaths accounted for 7% of deaths overall, and a significant number of premature deaths. Those affected were an average of 41 years old and were more likely to be unmarried and less than college educated. Eighty percent were employed at the time of death and individual employment in specific industries was associated with an increased risk of opioid overdose death. Previous state and national level policies attempting to address the opioid crisis may have lagged behind the data trends for this time period and thus been less effectual. Future policies intended to ameliorate the harms associated with the opioid crisis should reflect current data trends to help the communities and individuals at high risk for overdose death.
在本文中,我们根据2001-2016年西弗吉尼亚州的死亡证明和经济数据,研究了西弗吉尼亚州过量死亡的人口统计变化。在本研究期间,阿片类药物过量死亡占总死亡人数的7%,其中有大量过早死亡。受影响的人平均年龄为41岁,未婚和大学教育程度较低的比例更高。80%的人在死亡时就业,特定行业的个人就业与阿片类药物过量死亡的风险增加有关。以前试图解决阿片类药物危机的州和国家一级政策可能落后于这一时期的数据趋势,因此效果较差。旨在改善与阿片类药物危机相关危害的未来政策应反映当前的数据趋势,以帮助处于过量死亡高风险的社区和个人。
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引用次数: 0
Coaching and Doping: A Test of Situational Action Theory 教练与兴奋剂:情境行为理论的检验
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-26 DOI: 10.1177/00220426231179217
S. Shadmanfaat, Saeed Kabiri, Hayden P. Smith, John K. Cochran, T. S. Andersen, Javad Madahi
Deviant and criminal behavior in sport remains a significant problem because it threatens the rules, norms and culture that value fairness. The use of performance-enhancing substances (PED), also known as "doping", is generally prohibited in sanctioned sports because they violate this philosophy. While previous research has documented the crucial role that coaches occupy in player’s deviancy, there is a lack of theoretical perspectives used to assess the relationship between coaches and athletes in decisions to engage in doping. The present study examines a sample of Iranian sports coaches ( n = 374) using situational action theory and regression models. The results indicate that deviant coaching is a form of moral action that involves an interaction between characteristics of the coach.
体育运动中的越轨和犯罪行为仍然是一个重大问题,因为它威胁到重视公平的规则、规范和文化。在受制裁的体育运动中,通常禁止使用兴奋剂(PED),也被称为“兴奋剂”,因为它们违反了这一理念。虽然之前的研究已经记录了教练在球员越轨行为中所起的关键作用,但缺乏用于评估教练和运动员在决定使用兴奋剂时的关系的理论视角。本研究采用情景动作理论和回归模型对伊朗体育教练(n=374)进行了抽样调查。研究结果表明,越轨教练是一种道德行为,涉及教练特征之间的互动。
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引用次数: 0
Adverse Childhood Experiences and Co-Occurring Disorders: Is There a Relationship Among ACEs, Mental Health Issues, and Substance Use Among Inmates? 不良童年经历和共同发生的障碍:在囚犯中,ace、精神健康问题和药物使用之间是否存在关系?
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-23 DOI: 10.1177/00220426231176466
Skylar N. Crick, Courtney A. Crittenden, C. Policastro, Tammy S. Garland, Rick Dierenfeldt
Previous literature has shown that adverse childhood experiences (ACEs) are a factor in future criminal behavior, victimization, and overall health. Research has also found that co-occurring disorders (CODs) are prevalent among inmates with approximately half of inmates meeting the criteria of mental health and substance use disorders in previous studies. Exposure to ACEs and drug use may also be higher in rural, Appalachian areas with the opioid crisis impacting adults and children alike. Moreover, research has indicated that some relationships, such as parenthood, may serve as protective factors for those involved in the justice system. The current study explores the relationship between ACEs and CODs, specifically in the areas of substance use and mental health among a rural jail sample. This study utilizes an Inmate History and Needs interview survey completed by 166 inmates (59 females, 107 males) from three different rural jails in a southern state to examine the relationship between ACEs and CODs among inmates, if CODs differ among male and female inmates, and the relationship between parents, CODs, and living with their children prior to arrest. We found that inmates in our study report high rates of ACEs, mental health issues, and drug use, and there is a significant relationship between exposure to ACEs and CODs.
先前的文献表明,不良的童年经历(ace)是未来犯罪行为、受害和整体健康的一个因素。研究还发现,同时发生的疾病在囚犯中很普遍,在以前的研究中,大约一半的囚犯符合精神健康和物质使用障碍的标准。在农村和阿巴拉契亚地区,阿片类药物危机对成人和儿童的影响也可能更高。此外,研究表明,某些关系,如父母关系,可能成为司法系统中涉及的人的保护因素。目前的研究探讨了ace和CODs之间的关系,特别是在农村监狱样本的物质使用和心理健康领域。本研究通过对美国南部州三所不同农村监狱166名囚犯(59名女性,107名男性)的囚犯历史和需求访谈调查,考察了囚犯的生活经历与心理需求之间的关系、男女囚犯的心理需求是否存在差异,以及父母、心理需求以及在被捕前与子女一起生活之间的关系。我们发现,在我们的研究中,囚犯报告了高发生率的ace,心理健康问题和药物使用,并且暴露于ace和CODs之间存在显着关系。
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引用次数: 0
“It Depends on What You Consider Recovery”: Perceptions of Client Cannabis Use Among Peer Recovery Coaches “这取决于你对康复的看法”:同伴康复教练对客户大麻使用的看法
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-19 DOI: 10.1177/00220426231176446
E. Pasman, J. Clift, Michael J. Broman, E. Madden, E. Agius, Stella M. Resko
Peer recovery coaches (PRCs), direct service providers with lived experience in recovery, are a growing sector of the substance use workforce. As rates of cannabis use increase nationwide, including among treatment-seeking populations, many PRCs will work with clients who wish to use cannabis for medical or recreational purposes. This study explores how PRCs perceive the use of cannabis among clients in treatment or recovery services. Semi-structured phone interviews were completed with 28 PRCs in Michigan. Inductive thematic analysis was used to document PRCs’ perceptions of client cannabis use, including overall trends, potential benefits, and concerns. While participants indicated a desire to support clients’ autonomy, and many were able to identify potential benefits of cannabis use, they also expressed concerns about the quality of clients’ recovery and difficulties managing personal biases. Findings highlight key areas for training and technical assistance to assist PRCs in their work with clients who use cannabis.
同伴康复教练(prc)是具有康复生活经验的直接服务提供者,是药物使用工作队伍中一个日益增长的部门。随着全国范围内,包括寻求治疗的人群中大麻使用率的上升,许多诊所将与希望将大麻用于医疗或娱乐目的的客户合作。本研究探讨了中华人民共和国如何看待在治疗或康复服务中使用大麻的客户。对密歇根州的28个prc进行了半结构化的电话访谈。使用归纳专题分析来记录中华人民共和国对客户大麻使用的看法,包括总体趋势、潜在利益和关切。虽然与会者表示希望支持客户的自主权,而且许多人能够确定使用大麻的潜在好处,但他们也对客户的康复质量和管理个人偏见的困难表示担忧。调查结果强调了培训和技术援助的关键领域,以协助prc与使用大麻的客户开展工作。
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引用次数: 0
Distal Factors Associated With Proximal Overdose Risk Behaviors and Recent Non-Fatal Overdose Among a Sample of People Who Use Illicit Opioids in New York City 在纽约市使用非法阿片类药物的人群样本中,与近端过量风险行为和近期非致命过量相关的远端因素
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-24 DOI: 10.1177/00220426231168081
Luther Elliott, Yu-Yi Chen, Melody S. Goodman, Alex S. Bennett
This analysis identifies factors associated with overdose risk behaviors and non-fatal overdose among a sample of 577 adult-age people who use illicit opioids and live in NYC. Survey data--which included outcome measures assessing (1) past 30-day non-fatal overdose and past 30-day overdose-related risk behaviors and (2) predictors representing potential risk and protective factors—were analyzed using bivariate and Poisson regression techniques. Results indicate being 41–56 years in age, being widowed, using cannabis, injecting, and having greater pain severity and mental health challenges were associated with greater risks. Current employment, homelessness, and prescription of medications for opioid use disorder were associated with fewer risks. Being 57+ was negatively associated with past-month overdose; higher pain severity and opioid related withdrawal were positively related, as were employment, cannabis use, and injection. Findings suggest the importance of expanding access to MOUD and tailoring OD prevention interventions for mental health and pain management services.
该分析在577名居住在纽约的使用非法阿片类药物的成年人样本中确定了与过量风险行为和非致命过量相关的因素。调查数据——包括评估(1)过去30天非致命性过量和过去30天过量相关风险行为的结果测量,(2)代表潜在风险和保护因素的预测因子——使用双变量和泊松回归技术进行分析。结果表明,年龄在41-56岁之间、丧偶、使用大麻、注射大麻、疼痛严重程度和精神健康挑战更大的人患乳腺癌的风险更高。目前的就业、无家可归和阿片类药物使用障碍的药物处方与较低的风险相关。57岁以上与过去一个月服药过量呈负相关;较高的疼痛严重程度和阿片类药物相关戒断呈正相关,就业、大麻使用和注射也是如此。研究结果表明,扩大获得mod的机会以及为心理健康和疼痛管理服务量身定制OD预防干预措施的重要性。
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引用次数: 0
Substance Use Disorder, Bail Reform, and Failure to Appear in Court: Results From a Naturalistic Study 物质使用障碍、保释改革与不出庭:自然主义研究的结果
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-01 DOI: 10.1177/00220426221107561
Albert M. Kopak, Alexa J. Singer
Most adults processed through local correctional facilities report symptoms consistent with substance use disorder and there is growing interest in bail reform to reduce or eliminate financial conditions as a requirement for release from detention in local jails. These practices are endorsed for their ability to reduce jail populations and enhance judicial efficiency, but failure to appear in court has become a major area of concern under these new procedures. The current study examined the associations between substance use disorder, financial release conditions, and failure to appear in court in the context of a naturalistic study of bail reform in one judicial district. Multivariate logistic regression results demonstrate significantly higher odds of failure to appear in court among adults with substance use disorder who received a nonfinancial release from jail. Findings suggest bail reform initiatives must address substance use disorder and provide person-centered services during the pretrial release period to become effective.
在当地教养设施处理的大多数成年人报告的症状与药物使用障碍一致,人们越来越有兴趣进行保释改革,以减少或消除作为从当地监狱释放的必要条件的财务条件。这些做法因其能够减少监狱人口和提高司法效率而得到认可,但在这些新程序下,不出庭已成为令人关切的一个主要方面。当前的研究在一个司法区对保释改革进行自然主义研究的背景下,调查了物质使用障碍、财务释放条件和未能出庭之间的关系。多变量逻辑回归结果显示,在药物使用障碍的成年人中,获得非经济释放的人出现在法庭上的几率明显更高。研究结果表明,保释改革举措必须解决药物使用障碍问题,并在审前释放期间提供以人为本的服务,才能发挥作用。
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引用次数: 2
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Journal of Drug Issues
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