Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions
Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions
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DOI：
10.3389/fpsyt.2020.00714
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发表时间：
2020-07-21
影响因子：
4.7
通讯作者：
Lundgren, Lena M.
中科院分区：
文献类型：
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作者：
Jemberie, Wossenseged Birhane;Stewart Williams, Jennifer;Lundgren, Lena M.
COVID-19冲击了卫生和经济系统，使数百万人失去就业和安全网。由于物质使用障碍（SUD）与COVID-19的冲突，大流行对SUD患者的影响尤为严重。SUD的合并症和风险环境可能是COVID-19的风险因素。这种流行病反过来又减少了SUD患者康复和福祉所需的资源。本文从跨学科和国际视角探讨了COVID-19及其相关的系统性冲击如何直接和间接地影响SUD患者。我们强调需要了解SUD的生物心理社会障碍，并使用循证政策来消除SUD的污名。我们建议采取一系列多部门行动和战略，以加强、现代化和补充成瘾护理系统，使其能够应对未来类似COVID-19大流行的系统性冲击。
COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and well-being. This article presents an interdisciplinary and international perspective on how COVID-19 and the related systemic shock impact on individuals with SUDs directly and indirectly. We highlight a need to understand SUDs as biopsychosocial disorders and use evidence-based policies to destigmatize SUDs. We recommend a suite of multi-sectorial actions and strategies to strengthen, modernize and complement addiction care systems which will become resilient and responsive to future systemic shocks similar to the COVID-19 pandemic.