A vulnerable population in a time of crisis: drug users and the attacks on the World Trade Center.
A vulnerable population in a time of crisis: drug users and the attacks on the World Trade Center.
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危机时期的弱势群体：吸毒者和对世贸中心的袭击。
DOI：
10.1093/jurban/79.3.392
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
Finkelstein,Ruth
中科院分区：
文献类型：
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作者：
Weiss,Linda;Fabri,Antonella;McCoy,Kate;Coffin,Phillip;Netherland,Julie;Finkelstein,Ruth
在本文中，我们提出了一项定性研究的初步结果，该研究重点关注世贸中心袭击事件对目前或曾经吸食海洛因、快克和其他形式可卡因的纽约市居民的影响。在其中，我们提供了描述他们对攻击的反应和感受、攻击后药物使用变化以及影响使用变化的因素的数据。我们的分析基于 2001 年 10 月至 2002 年 2 月期间进行的 57 次开放式访谈。大多数研究参与者报告说，这些袭击对他们的情绪产生了重大影响，导致焦虑、悲伤和愤怒。一些人还描述了实际影响，包括收入大幅减少。 9 月 11 日以及随后的几周和几个月，一些一直在积极吸食毒品的参与者确实增加了海洛因、强效快克和/或其他形式可卡因的吸食量。然而，随着时间的推移，使用量的减少与增加一样普遍。以前的吸毒者中有一些复吸的情况，但这仅限于那些在发作前 6 个月内停止吸毒的人。一系列不同的因素相互作用来控制使用。对于一些参与者来说，这些因素是内部因素，与他们的个人动机和吸毒经历有关。其他参与者本质上是由于收入显着减少而被迫限制使用。对于其他人来说，获得卫生和社会服务专业人员以及药物治疗被证明是关键。
In this article, we present preliminary findings from a qualitative study focused on the impact of the World Trade Center attacks on New York City residents who are current or former users of heroin, crack, and other forms of cocaine. In it, we present data describing their responses to and feelings about the attacks, changes in drug use after the attacks, and factors affecting changes in use. Our analysis is based on 57 open-ended interviews conducted between October 2001 and February 2002. The majority of study participants reported that the attacks had a significant emotional impact on them, causing anxiety, sadness, and anger. Several described practical impacts as well, including significant reductions in income. On September 11th and the weeks and months that followed, several participants who had been actively using did increase their use of heroin, crack, and/or other forms of cocaine. Reductions in use were, however, as common over time as were increases. There was some relapse among former users, but this was limited to those who had stopped using drugs within the 6 months immediately preceding the attacks. A diverse set of factors interacted to control use. For some participants, these factors were internal, relating to their individual motivations and drug use experiences. Other participants were essentially forced to limit use by marked reductions in income. For others, access to health and social service professionals, as well as drug treatment, proved to be key.