The Impacts of COVID-19 on Mental Health, Substance Use, and Overdose Concerns of People Who Use Drugs in Rural Communities.
The Impacts of COVID-19 on Mental Health, Substance Use, and Overdose Concerns of People Who Use Drugs in Rural Communities.
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Covid-19对在农村社区使用毒品的人们的心理健康，药物使用和过量关注的影响。
DOI：
10.1097/adm.0000000000000770
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发表时间：
2021-09-01
影响因子：
5.5
通讯作者：
Korthuis PT
中科院分区：
文献类型：
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作者：
Stack E;Leichtling G;Larsen JE;Gray M;Pope J;Leahy JM;Gelberg L;Seaman A;Korthuis PT
本研究的目的是调查COVID-19对农村社区吸毒者（pwud）的心理健康、物质使用和过量担忧的影响，以探讨变化的原因和未来减轻COVID-19影响的方法。我们对俄勒冈州5个用药过量率高的农村县的pwud进行了半结构化的深度访谈。参与者是通过参与者驱动的抽样以及传单和文字广告来确定的（n = 36）。研究人员通过电话进行了录音深度访谈，评估COVID-19对物质使用、心理健康和过量风险的影响。使用语义方法对转录的采访者进行主题编码。参与者报告了因COVID-19导致的各种心理健康症状和经历，包括无聊、孤独和抑郁的感觉增加；忧虑和压力增加；以及自杀意念的增加。参与者描述了COVID-19对药物使用的不同影响。总体而言，仅使用甲基苯丙胺的参与者报告使用量减少，而仅使用海洛因或海洛因与甲基苯丙胺的参与者报告使用量增加。大多数参与者报告说，他们并不担心药物过量，尽管危险用药和自杀意念增加，但COVID-19并未影响他们对药物过量的担忧。随着农村社区应对COVID-19不断变化的影响，越来越需要确定战略，以满足农村贫困人口在COVID-19期间的精神、身体和社会卫生需求。
The objective of this study was to investigate the impact of COVID-19 on the mental health, substance use, and overdose concerns among people who use drugs (PWUDs) in rural communities to explore reasons for changes and ways to mitigate COVID-19 impact in the future. We conducted semi-structured in-depth interviews with PWUDs in 5 rural Oregon counties with high overdose rates. Participants were identified through participant-driven sampling along with flyer and text advertising (n = 36). Research staff conducted audio-recorded in-depth interviews via telephone, assessing COVID-19 effects on substance use, mental health, and overdose risk. Transcribed interviewers were coded for themes using a semantic approach. Participants reported various mental health symptoms and experiences due to COVID-19, including increased feelings of boredom, loneliness, and depression; increased worry and stress; and increased suicidal ideation. Participants described varying impacts of COVID-19 on substance use. Overall, participants who used only methamphetamine reported decreased use and people who used only heroin or heroin with methamphetamine reported increased use. Most participants reported that they were not concerned about overdose and that COVID-19 did not impact their concerns about overdose, despite increases in risky use and suicidal ideations. As rural communities respond to the evolving impacts of COVID-19, there is increasing need to identify strategies to address PWUD's mental, physical, and social health needs during COVID-19.