The Impact of the COVID-19 Pandemic on Drug Use Behaviors, Fentanyl Exposure, and Harm Reduction Service Support among People Who Use Drugs in Rural Settings.
The Impact of the COVID-19 Pandemic on Drug Use Behaviors, Fentanyl Exposure, and Harm Reduction Service Support among People Who Use Drugs in Rural Settings.
复制标题
DOI：
10.3390/ijerph19042230
复制
发表时间：
2022-02-16
影响因子：
--
通讯作者：
Pho MT
中科院分区：
文献类型：
--
作者：
Bolinski RS;Walters S;Salisbury-Afshar E;Ouellet LJ;Jenkins WD;Almirol E;Van Ham B;Fletcher S;Johnson C;Schneider JA;Ompad D;Pho MT
背景：COVID-19大流行加剧了美国的阿片类药物过量危机。农村社区受到阿片类药物使用的影响尤为严重，在这些环境中使用毒品的人可能由于贫困率高、社会孤立和普遍的资源限制而极易受到与流行病有关的破坏。方法：我们进行了一项混合方法研究，以评估大流行的影响，在伊利诺伊州农村使用药物的人的方便样本。我们进行了50项调查，收集人口统计数据，药物可用性，药物使用，分享实践和心理健康症状。总共进行了19次定性访谈，以进一步探索COVID-19知识、对个人和社区生活的影响、药物获取和使用、过量以及保护性物质使用适应。结果：大流行期间毒品使用增加，包括使用芬太尼产品，如凝胶封装的“豆”和“按钮”。据报告，供应中断，包括海洛因供应减少，甲基苯丙胺成本增加，当地甲基苯丙胺产量随之增加，甲基苯丙胺可能受到芬太尼污染。参与者报告单独使用药物增加，过量，抑郁，焦虑和孤独的经历和/或见证。持续获得减少伤害服务，包括纳洛酮和芬太尼试纸，被强调为希望和社区复原力的来源。结论：2019冠状病毒病大流行期间的特点是药物供应不断变化，过量服用风险增加，以及农村地区吸毒者面临的其他与药物相关的危害。我们的研究结果强调了确保获得减少伤害服务的重要性，包括为这一弱势群体提供过量预防和药物检查。
Background: The COVID-19 pandemic has worsened the opioid overdose crisis in the US. Rural communities have been disproportionately affected by opioid use and people who use drugs in these settings may be acutely vulnerable to pandemic-related disruptions due to high rates of poverty, social isolation, and pervasive resource limitations. Methods: We performed a mixed-methods study to assess the impact of the pandemic in a convenience sample of people who use drugs in rural Illinois. We conducted 50 surveys capturing demographics, drug availability, drug use, sharing practices, and mental health symptoms. In total, 19 qualitative interviews were performed to further explore COVID-19 knowledge, impact on personal and community life, drug acquisition and use, overdose, and protective substance use adaptations. Results: Drug use increased during the pandemic, including the use of fentanyl products such as gel encapsulated “beans” and “buttons”. Disruptions in supply, including the decreased availability of heroin, increased methamphetamine costs and a concomitant rise in local methamphetamine production, and possible fentanyl contamination of methamphetamine was reported. Participants reported increased drug use alone, experience and/or witness of overdose, depression, anxiety, and loneliness. Consistent access to harm reduction services, including naloxone and fentanyl test strips, was highlighted as a source of hope and community resiliency. Conclusions: The COVID-19 pandemic period was characterized by changing drug availability, increased overdose risk, and other drug-related harms faced by people who use drugs in rural areas. Our findings emphasize the importance of ensuring access to harm reduction services, including overdose prevention and drug checking for this vulnerable population.
登录
查看更多内容
影响因子：
4.9
作者：
Hughes, Phillip M.;Verrastro, Genevieve;Ostrach, Bayla
通讯作者：
Ostrach, Bayla
影响因子：
4.4
作者：
Walters SM;Reilly KH;Neaigus A;Braunstein S
通讯作者：
Braunstein S
影响因子：
2
作者：
Muncan B;Jordan AE;Perlman DC;Frank D;Ompad DC;Walters SM
通讯作者：
Walters SM
DOI：
10.3390/ijerph18041967
发表时间：
2021-02-18
影响因子：
--
作者：
Gili A;Bacci M;Aroni K;Nicoletti A;Gambelunghe A;Mercurio I;Gambelunghe C
通讯作者：
Gambelunghe C
影响因子：
4.4
作者：
Muncan, Brandon;Walters, Suzan M.;Ompad, Danielle C.
通讯作者：
Ompad, Danielle C.