Living Under Coronavirus and Injecting Drugs in Bristol (LUCID-B): A qualitative study of experiences of COVID-19 among people who inject drugs.
Living Under Coronavirus and Injecting Drugs in Bristol (LUCID-B): A qualitative study of experiences of COVID-19 among people who inject drugs.
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DOI：
10.1016/j.drugpo.2021.103391
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Hines LA
中科院分区：
文献类型：
--
作者：
Kesten JM;Holland A;Linton MJ;Family H;Scott J;Horwood J;Hickman M;Telfer M;Ayres R;Hussey D;Wilkinson J;Hines LA
注射毒品者（PWID）是COVID-19传播和严重健康后果的高危人群。英国为应对疫情而实施的限制导致医疗和住房服务迅速改变。我们旨在研究PWID在以下方面的经验：1）与COVID-19公共卫生措施相关的挑战; 2）阿片类药物替代疗法（OST）和减少伤害服务的变化;以及3）COVID-19对药物使用模式和风险行为的影响。电话半结构化访谈进行了28 PWID在布里斯托，英格兰西南部。分析遵循自反性主题分析。对COVID-19的关注和对公共卫生指导的遵守情况各不相同。各服务部门在大流行期间继续提供支助的努力受到赞赏，并倾向于作出一些改变，如减少OST收集的频率、放松监督消费以及针头和注射器方案（NSP）送货上门。然而，有人强调指出，远程接触形式的好处较少，而且比面对面接触更难接触。公共卫生指南建议人们“呆在家里”，导致孤立、无聊和沉思的时间增加，这对心理健康产生了负面影响。封锁限制直接影响了收入来源和日常生活。吸毒情况的变化被解释为与世隔绝和与同龄人交往减少、获得药物的问题、药物纯度降低和财政资源减少的结果。该研究反映了COVID-19疫情对PWID生活的重大影响和挑战。虽然快速调整服务提供以帮助减轻COVID-19的风险受到赞赏，并且一些变化（如放松对日常OST消费的监督）受到积极评价，但需要进一步关注获取障碍。展望未来，可能有机会利用服务业某些变化的积极方面。
People who inject drugs (PWID) are a high-risk group for COVID-19 transmission and serious health consequences. Restrictions imposed in the UK in response to the pandemic led to rapid health and housing service alterations. We aimed to examine PWID experiences of: 1) challenges relating to the COVID-19 public health measures; 2) changes to opioid substitution therapy (OST) and harm reduction services; and 3) perceived effects of COVID-19 on drug use patterns and risk behaviour. Telephone semi-structured interviews were conducted with 28 PWID in Bristol, Southwest of England. Analysis followed a reflexive thematic analysis. Concern about COVID-19 and adherence to public health guidance varied. Efforts made by services to continue providing support during the pandemic were appreciated and some changes were preferred, such as less frequent OST collection, relaxation of supervised consumption and needle and syringe programmes (NSP) home delivery. However, remote forms of contact were highlighted as less beneficial and more difficult to engage with than in-person contact. Public health guidance advising people to ‘stay home’ led to increased isolation, boredom, and time to ruminate which impacted negatively on mental health. Lockdown restrictions directly impacted on sources of income and routine. Changes in drug use were explained as a consequence of isolation and fewer interactions with peers, problems accessing drugs, reduced drug purity and reduced financial resources. This study captures the significant impacts and challenges of the COVID-19 pandemic on the lives of PWID. While rapid adaptations to service delivery to help mitigate the risks of COVID-19 were appreciated and some changes such as relaxation of supervised daily OST consumption were viewed positively, barriers to access need further attention. Going forwards there may be opportunities to harness the positive aspects of some changes to services.
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影响因子：
3.9
作者：
Russell, Cayley;Ali, Farihah;Nafeh, Frishta;Rehm, Juergen;LeBlanc, Sean;Elton-Marshall, Tara
通讯作者：
Elton-Marshall, Tara
影响因子：
5.2
作者：
Croxford S;Emanuel E;Ibitoye A;Njoroge J;Edmundson C;Bardsley M;Heinsbroek E;Hope V;Phipps E
通讯作者：
Phipps E
DOI：
10.1016/j.drugpo.2020.102958
发表时间：
2020-09
期刊：
The International journal on drug policy
影响因子：
--
作者：
Grebely J;Cerdá M;Rhodes T
通讯作者：
Rhodes T
影响因子：
3.8
作者：
Hagger, Martin S.;Smith, Stephanie R.;Hamilton, Kyra
通讯作者：
Hamilton, Kyra
在Covid-19期间接受美沙酮维护治疗的人中的剂量经历。
影响因子：
3.9
作者：
Figgatt MC;Salazar Z;Day E;Vincent L;Dasgupta N
通讯作者：
Dasgupta N