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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 Q2 Social Sciences 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 Q2 Social Sciences 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 Q2 Social Sciences 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 Q2 Social Sciences 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 Q2 Social Sciences 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 Q2 Social Sciences 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
Medication-Assisted Treatment in Problem-solving Courts: A National Survey of State and Local Court Coordinators. 在解决问题的法院药物辅助治疗:国家和地方法院协调员的全国调查
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-04-01 Epub Date: 2022-08-02 DOI: 10.1177/00220426221109948
Fanni Farago, Thomas R Blue, Lindsay Renee Smith, James C Witte, Michael Gordon, Faye S Taxman

Problem-solving courts (PSCs) are a critical part of a societal effort to mitigate the opioid epidemic's devastating consequences. This paper reports on a national survey of PSCs (N = 42 state-wide court coordinators; N = 849 local court coordinators) and examines the structural factors that could explain the likelihood of a local PSC authorizing medication-assisted treatment (MAT) and MAT utilization. Results of the analyses indicate that MAT availability at the county level was a significant predictor of the likelihood of local courts authorizing MAT. The court's location in a Medicaid expansion state was also a significant predictor of local courts allowing buprenorphine and methadone, but not naltrexone. Problem-solving courts are in the early stages of supporting the use of medications, even when funding is available through Medicaid expansion policies. Adoption and use of treatment innovations like MAT are affected by coordinators' perceptions of MAT as well as structural factors such as the availability of the medications in the community and funding resources. The study has important implications for researchers, policymakers, and practitioners.

解决问题法庭是减轻阿片类药物流行破坏性后果的社会努力的重要组成部分。本文报告了对PSC(N=42名全州法院协调员;N=849名地方法院协调员)的全国性调查,并考察了可以解释地方PSC授权药物辅助治疗(MAT)和MAT使用可能性的结构因素。分析结果表明,县一级的MAT可用性是地方法院批准MAT可能性的重要预测因素。该法院位于医疗补助扩展州也是地方法院允许丁丙诺啡和美沙酮,但不允许纳曲酮的重要预测指标。解决问题的法院正处于支持药物使用的早期阶段,即使通过医疗补助扩大政策可以获得资金。MAT等治疗创新的采用和使用受到协调员对MAT的看法以及社区药物可用性和资金来源等结构性因素的影响。这项研究对研究人员、政策制定者和从业者具有重要意义。
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引用次数: 0
The Perspective of Young Adults Who Experience Homelessness About the Links Between Music and the Psychoactive Substance Use Trajectory 无家可归的年轻人对音乐与精神活性物质使用轨迹之间联系的看法
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-30 DOI: 10.1177/00220426231168082
Elise Cournoyer Lemaire, K. Bertrand, M. Jauffret-Roustide, A. Lemaître, C. Loignon
This study aimed to describe and understand the links between musical activities (i.e. listening, playing, attending festive events, belonging to music-based communities) and the addictive trajectory of homeless young adults who experience problematic psychoactive substance (PS) use. Semi-structured qualitative interviews were conducted with 15 homeless young adults aged 18 to 30 years old, to explore how music modulated their addictive trajectory. A thematic and trajectory analysis were performed. Music most often constituted a tool used to control, reduce, or recover from problematic PS use, and sometimes led to the initiation of novel substances, increased consumption, and relapses. These benefits and harms varied according to specific individual and contextual factors. Almost half of the sample reported no link between music and PS use. A better comprehension of the links between music and the addictive trajectory will guide the development of adapted harm reduction interventions that account for homeless young adults’ strengths.
本研究旨在描述和理解音乐活动(即聆听、演奏、参加节日活动、属于音乐社区)与无家可归的年轻人使用有问题精神活性物质(PS)的成瘾轨迹之间的联系。对15名18至30岁的无家可归的年轻人进行了半结构化的定性访谈,以探索音乐如何调节他们的成瘾轨迹。进行了专题分析和轨迹分析。音乐通常是一种用于控制、减少或从有问题的PS使用中恢复的工具,有时会导致新物质的产生、消费增加和复发。这些益处和危害因具体的个人和环境因素而异。几乎一半的样本报告说音乐和PS使用之间没有联系。更好地理解音乐和成瘾轨迹之间的联系,将指导制定适应无家可归年轻人优势的减少伤害干预措施。
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引用次数: 0
Risk Factors Associated with Simultaneous Use of Alcohol and Prescription Opioids Among Young Adults in Michigan 密歇根州年轻人同时使用酒精和处方阿片类药物的危险因素
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-22 DOI: 10.1177/00220426231165264
Guijin Lee, E. Pasman, J. Ellis, Marvin A. Solberg, Danielle L Hicks, E. Agius, Stella M. Resko
Purpose: Alcohol can have serious side effects alone and can enhance the side effects of prescription opioids in unpredictable and dangerous ways. This study aims to identify risk factors for simultaneous use of alcohol and prescription opioids among young adults. Methods: Demographic characteristics, substance use, mental well-being, other substance-related factors, and simultaneous use of alcohol and prescription opioids were utilized to run multiple logistic regression analysis ( N = 1751; aged 18–25). Results: Mental well-being ( OR = 0.971, p = .003) and education level ( OR = 0.383, p < .001) were associated with a lower likelihood of simultaneous use. Knowing someone who had a fatal overdose ( OR = 2.443, p < .001), binge drinking ( OR = 1.065, p = .012), and older age ( OR = 1.250, p < .001) were associated with a greater likelihood of simultaneous use. Conclusion: The risk and protective factors identified in the current study point to specific areas for intervention to reduce simultaneous use. Further efforts are needed to minimize the increasing polysubstance-involved overdose mortality among young adults.
目的:酒精单独会产生严重的副作用,并会以不可预测和危险的方式增强处方阿片类药物的副作用。本研究旨在确定年轻人同时使用酒精和处方阿片类药物的风险因素。方法:利用人口统计学特征、药物使用、心理健康、其他药物相关因素以及同时使用酒精和处方阿片类药物进行多元逻辑回归分析(N=1751;18-25岁)。结果:心理健康(OR=0.971,p=.003)和教育水平(OR=0.383,p<.001)与同时使用的可能性较低有关。知道有人服用了致命的过量药物(OR=2.443,p<.001)、酗酒(OR=1.065,p=.012)和年龄较大(OR=1.250,p<0.001),同时使用的可能性更大。结论:当前研究中确定的风险和保护因素指出了干预的特定领域,以减少同时使用。需要进一步努力,最大限度地减少年轻人中与多物质相关的过量死亡率的增加。
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引用次数: 0
Marijuana Policies in Drug Treatment Courts 戒毒法庭的大麻政策
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-21 DOI: 10.1177/00220426231163796
Ruibin Lu
Drug treatment courts are challenged by the ongoing trend of marijuana legalization. In states where it is legal for adult citizens to consume marijuana for medical and recreational purposes, treatment courts need to determine whether participants should be allowed to consume or possess marijuana. By analyzing the written policies of treatment courts in states that have legalized recreational and medical marijuana, this study explores how treatment courts address such challenges. The review shows a large percentage of drug treatment courts have yet to clearly communicate their marijuana policies with the participants in writing. However, among the drug treatment courts that have established marijuana-specific policies, the vast majority of courts continue to ban the use of marijuana while a few courts allow medical marijuana use on an individual basis.
毒品治疗法庭受到大麻合法化趋势的挑战。在那些成年公民出于医疗和娱乐目的吸食大麻是合法的州,治疗法庭需要决定参与者是否应该被允许吸食或拥有大麻。通过分析娱乐性和医用大麻合法化州的治疗法院的书面政策,本研究探讨了治疗法院如何应对这些挑战。审查显示,很大比例的药物治疗法庭尚未以书面形式与参与者明确沟通他们的大麻政策。然而,在制定了大麻具体政策的药物治疗法院中,绝大多数法院继续禁止使用大麻,而少数法院允许个人使用医用大麻。
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引用次数: 0
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Journal of Drug Issues
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