Changes in Drug Use Patterns during the COVID-19 Pandemic in Italy: Monitoring a Vulnerable Group by Hair Analysis.

Changes in Drug Use Patterns during the COVID-19 Pandemic in Italy: Monitoring a Vulnerable Group by Hair Analysis.
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DOI:
10.3390/ijerph18041967
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发表时间:
2021-02-18
影响因子:
--
通讯作者:
Gambelunghe C
Gambelunghe C
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gili A;Bacci M;Aroni K;Nicoletti A;Gambelunghe A;Mercurio I;Gambelunghe C

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2020年3月22日至5月18日,意大利下令全面封锁,作为应对COVID-19大流行的对策。社会隔离措施对某些人群的影响大于其他人群,吸毒和/或酗酒的人更有可能受到不利影响。本研究首次提供了意大利第一波COVID-19大流行期间高危人群酒精和药物使用的实验室数据。30名患有sud的受试者在封锁前、期间和之后每3个月通过头发分析监测非法药物和酒精的使用情况。在封锁期间,海洛因、可卡因、摇头丸和大麻检测呈阳性的样本数量大幅下降,然后在禁闭期结束后恢复到封锁前的水平。有趣的是,苯二氮卓类药物和酒精的消费趋势正好相反;苯二氮卓类药物阳性样本的数量和酒精消费水平都有所增加,即使在封锁结束时也仍然很高。监禁措施使药物/酒精使用模式发生了重大变化,转向使用更容易获得的物质,用作治疗消极情绪的自我药物,并用于减轻戒除不再容易获得的药物的影响。
From 22 March until 18 May 2020, a complete lockdown in Italy was ordered as a countermeasure against the COVID-19 pandemic. Social isolation measures affect some populations more than others, and people with drug and/or alcohol disorders (SUDs) are more likely to be adversely affected. This study presents, for the first time, laboratory data on the use of alcohol and drugs in a high-risk population during Italy’s first wave of the COVID-19 pandemic. Thirty subjects with SUDs were monitored for the use of illicit drugs and alcohol every 3 months before, during and after the lockdown, by hair analysis. The number of samples positive for heroin, cocaine, MDMA and cannabis fell considerably during the lockdown and then resumed to pre-lockdown levels when the period of confinement was over. Interestingly, the consumption of benzodiazepines and alcohol followed the opposite trend; both the number of benzodiazepine-positive samples and the level of alcohol consumption increased and remained high, even at the end of the lockdown. The confinement measures produced significant changes in drug/alcohol use patterns, with a shift toward the use of substances that were more easily accessible, used as self-medication for negative feelings, and used to alleviate the effects of abstinence from drugs that were no longer readily available.
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影响因子: 4.7
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