U.S. Military veterans and the opioid overdose crisis: a review of risk factors and prevention efforts.
U.S. Military veterans and the opioid overdose crisis: a review of risk factors and prevention efforts.
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DOI：
10.1080/07853890.2022.2092896
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发表时间：
2022-12
影响因子：
4.4
通讯作者：
中科院分区：
文献类型：
--
作者：
美国退伍军人受到阿片类药物过量危机的严重影响，从2010年到2019年，药物过量死亡率增加了53%。退伍军人面临的过量用药风险需要被理解为生物/生理，心理和社会/结构因素之间持续相互作用的结果。解决退伍军人群体中的药物过量问题需要可访问的、非判断性的、低阈值的、全面的和整体的解决方案，这些解决方案要认识到退伍军人过量风险的复杂病因。美国退伍军人受到阿片类药物过量危机的严重影响，从2010年到2019年，药物过量死亡率增加了53%。退伍军人过量的风险是复杂的，并受到生理/生物，心理和社会结构因素之间持续相互作用的影响。对退伍军人中阿片类药物过量的透彻理解，超越简单的药理决定论，必须检查疼痛，疼痛治疗和压力的相互作用，以及心理和社会经验，在服兵役之前，期间和之后。全面努力解决退伍军人中的吸毒过量危机，需要采取干预措施，解决这些方面的每一个问题。有希望的干预措施包括广泛的纳洛酮分配和增加提供低阈值的综合服务，包括阿片类药物使用障碍（MOUD）和整体/补充方法。由同龄人提供的干预措施-与所服务的人群共享关键经验或社会人口特征的个人-可能非常适合解决退伍军人中常见的阿片类药物相关风险缓解的许多障碍。社区护理模式可能有利于大部分与退伍军人健康管理局没有联系的退伍军人，以及由于各种原因，包括心理健康问题和避免污名化，在社会上孤立或不愿意使用传统物质使用服务的退伍军人。干预措施需要以这样一种方式进行调整，使其能够接触到那些在社会上更孤立的退伍军人，他们可能无法获得纳洛酮或社会支持，以帮助他们在过量服用药物的情况下。重要的是要将退伍军人的观点和声音与物质使用的生活经验纳入新的过量预防资源和战略的设计和实施，以满足这一人群的需求。
U.S. military veterans have been heavily impacted by the opioid overdose crisis, with drug overdose mortality rates increasing by 53% from 2010–2019. The risks for overdose that veterans face need to be understood as resulting from an ongoing interaction among biological/physiological, psychological, and social/structural factors. Addressing drug overdose in the veteran population requires accessible and non-judgemental, low threshold, wraparound, and holistic solutions that recognise the complex aetiology of overdose risk for veterans. U.S. military veterans have been heavily impacted by the opioid overdose crisis, with drug overdose mortality rates increasing by 53% from 2010–2019. Risk for overdose among veterans is complex and influenced by ongoing interaction among physiological/biological, psychological, and socio-structural factors. A thorough understanding of opioid-related overdose among veterans, one that goes beyond simple pharmacological determinism, must examine the interplay of pain, pain treatment, and stress, as well as psychological and social experiences—before, during, and after military service. Comprehensive efforts to tackle the overdose crisis among veterans require interventions that address each of these dimensions. Promising interventions include widespread naloxone distribution and increased provision of low-threshold wrap-around services, including medications for opioid use disorder (MOUD) and holistic/complementary approaches. Interventions that are delivered by peers – individuals who share key experiential or sociodemographic characteristics with the population being served – may be ideally suited to address many of the barriers to opioid-related risk mitigation common among veterans. Community care models could be beneficial for the large proportion of veterans who are not connected to the Veterans Health Administration and for veterans who, for various reasons including mental health problems and the avoidance of stigma, are socially isolated or reluctant to use traditional substance use services. Interventions need to be tailored in such a way that they reach those more socially isolated veterans who may not have access to naloxone or the social support to help them in overdose situations. It is important to incorporate the perspectives and voices of veterans with lived experience of substance use into the design and implementation of new overdose prevention resources and strategies to meet the needs of this population.
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影响因子：
2
作者：
Bennett AS;Elliott L;Golub A;Wolfson-Stofko B;Guarino H
通讯作者：
Guarino H
影响因子：
5.5
作者：
Beckman, Kerry L.;Williams, Emily C.;Lehavot, Keren
通讯作者：
Lehavot, Keren
影响因子：
6
作者：
Banerjee, Geetanjoli;Edelman, E. Jennifer;Marshall, Brandon D. L.
通讯作者：
Marshall, Brandon D. L.
影响因子：
2
作者：
Bennett AS;Elliott L;Golub A
通讯作者：
Golub A
DOI：
10.1007/s11524-011-9600-7
发表时间：
2011-12-01
影响因子：
6.6
作者：
Bennett, Alex S.;Bell, Alice;Kral, Alex H.
通讯作者：
Kral, Alex H.