Return to drug use and overdose after release from prison: a qualitative study of risk and protective factors.
Return to drug use and overdose after release from prison: a qualitative study of risk and protective factors.
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DOI：
10.1186/1940-0640-7-3
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发表时间：
2012
影响因子：
3.7
通讯作者：
Steiner JF
中科院分区：
文献类型：
--
作者：
Binswanger IA;Nowels C;Corsi KF;Glanz J;Long J;Booth RE;Steiner JF
前囚犯因吸毒过量而死亡的风险很高，特别是在刚刚释放后的时期。本研究的目的是了解前囚犯的药物使用经历，对过量风险的看法以及过量的经历。这项定性研究包括前监狱囚犯（N = 29），他们在释放后两个月内被招募。采访者进行了面对面的半结构化访谈，探讨了参与者的经历和看法。利用基于团队的归纳分析方法分析转录本。出现了以下主题：1)吸毒和酗酒是在社会支持不足、医疗合并症和经济资源不足的情况下发生的；2)出狱人员在生活环境中普遍接触毒品；3)在情境压力下，故意过量被认为是一种“出路”，意外过量被认为与耐受性下降有关；4)保护因素包括结构化药物治疗方案、灵性/宗教、社区资源（包括自助团体）和家庭。出狱的囚犯回到了强烈引发吸毒复发的环境，并使他们面临吸毒过量的风险。预防从监狱释放后吸毒过量的干预措施可能受益于包括逐步过渡到社区的结构化治疗、增强保护因素和减少使用毒品的环境触发因素。
Former inmates are at high risk for death from drug overdose, especially in the immediate post-release period. The purpose of the study is to understand the drug use experiences, perceptions of overdose risk, and experiences with overdose among former prisoners. This qualitative study included former prison inmates (N = 29) who were recruited within two months after their release. Interviewers conducted in-person, semi-structured interviews which explored participants' experiences and perceptions. Transcripts were analyzed utilizing a team-based method of inductive analysis. The following themes emerged: 1) Relapse to drugs and alcohol occurred in a context of poor social support, medical co-morbidity and inadequate economic resources; 2) former inmates experienced ubiquitous exposure to drugs in their living environments; 3) intentional overdose was considered "a way out" given situational stressors, and accidental overdose was perceived as related to decreased tolerance; and 4) protective factors included structured drug treatment programs, spirituality/religion, community-based resources (including self-help groups), and family. Former inmates return to environments that strongly trigger relapse to drug use and put them at risk for overdose. Interventions to prevent overdose after release from prison may benefit from including structured treatment with gradual transition to the community, enhanced protective factors, and reductions of environmental triggers to use drugs.