The opioid crisis: a contextual, social-ecological framework
The opioid crisis: a contextual, social-ecological framework
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DOI：
10.1186/s12961-020-00596-8
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发表时间：
2020-08-06
影响因子：
4
通讯作者：
McHugh, R. Kathryn
中科院分区：
文献类型：
--
作者：
Jalali, Mohammad S.;Botticelli, Michael;McHugh, R. Kathryn
在过去25年里，阿片类药物使用和滥用的普遍现象造成了惊人的死亡人数。根据不同的特点和经验，人们对个体风险的关注越来越多。然而，更广泛的社会和背景领域也是阿片类药物危机的重要因素，例如人际关系以及人们生活的社区和社会条件。尽管努力解决这一问题，但阿片类药物滥用和非致命和致命过量的比率仍然很高。许多人呼吁采取广泛的公共卫生办法，但尚未充分阐明这一战略可能带来的后果。为了提高对阿片类药物滥用的认识，我们开发了一个社会生态框架，帮助概念化阿片类药物滥用的多变量风险因素，并促进在个人，人际，社区和社会层面对其进行审查。我们的框架说明了阿片类药物危机的多层复杂性，更全面地抓住了危机作为一个多维问题，需要更广泛和综合的方法来预防和治疗。
The prevalence of opioid use and misuse has provoked a staggering number of deaths over the past two and a half decades. Much attention has focused on individual risks according to various characteristics and experiences. However, broader social and contextual domains are also essential contributors to the opioid crisis such as interpersonal relationships and the conditions of the community and society that people live in. Despite efforts to tackle the issue, the rates of opioid misuse and non-fatal and fatal overdose remain high. Many call for a broad public health approach, but articulation of what such a strategy could entail has not been fully realised. In order to improve the awareness surrounding opioid misuse, we developed a social-ecological framework that helps conceptualise the multivariable risk factors of opioid misuse and facilitates reviewing them in individual, interpersonal, communal and societal levels. Our framework illustrates the multi-layer complexity of the opioid crisis that more completely captures the crisis as a multidimensional issue requiring a broader and integrated approach to prevention and treatment.