Attitudes toward harm reduction and low-threshold healthcare during the COVID-19 pandemic: qualitative interviews with people who use drugs in rural southern Illinois.
Attitudes toward harm reduction and low-threshold healthcare during the COVID-19 pandemic: qualitative interviews with people who use drugs in rural southern Illinois.
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对减少伤害的态度和阈值降低期间的医疗保健在Covid-19大流行期间：与在伊利诺伊州南部农村使用毒品的人进行定性访谈。
DOI：
10.1186/s12954-022-00710-9
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发表时间：
2022-11-19
影响因子：
4.4
通讯作者：
Pho, Mai T.
中科院分区：
文献类型：
--
作者：
Rains, Alex;York, Mary;Bolinski, Rebecca;Ezell, Jerel;Ouellet, Lawrence J.;Jenkins, Wiley D.;Pho, Mai T.
关键词：
与长期吸毒相关的慢性健康状况可能会给吸毒者(PWUD)带来额外的风险，如果再加上新冠肺炎感染的话。尽管如此，PWUD，特别是那些生活在农村地区的人，可能不太可能寻求医疗服务。以前的研究已经强调了新冠肺炎在PWUD中增加的疾病负担。我们的手稿通过探索生活在农村地区的PWUD对大流行的独特态度、新冠肺炎疫苗接种以及减少危害(HR)组织在提高PWUD健康意识方面的作用来补充这篇文献。对20名居住在伊利诺伊州南部农村的PWUD进行了半结构化访谈。录音都是经过专业转录的。根据访谈领域创建了一个初步的代码簿。两名训练有素的编码员对成绩单进行迭代编码，并通过逐行编码和主题分组添加新的编码。20名参与者(45%为女性，平均年龄38岁)在2021年6月至11月期间完成了访谈。与会者报告了大流行对精神健康、经济福祉和药品质量的负面影响。然而，新冠肺炎对健康的影响往往被描述为与其说是对健康的影响，不如说是对生活其他方面的影响。许多人对新冠肺炎感染的严重性表示怀疑。在16名未接种疫苗的参与者中，他们报告说他们的大部分信息来自互联网或口碑，对疫苗内容的不确定性以及对医疗保健和政府机构的不信任导致了对疫苗接种的警惕。对医疗保健提供者的不信任与过去的污名和判断有关，但并不延伸到当地人力资源组织，该组织被一致认为是一个积极的机构。在没有直接从人力资源组织获得服务的参与者中，由其他残障人士提供的人力资源用品的二次分配是一种普遍被引用的健康保障形式。与会者表达了对低门槛医疗保健的兴趣，包括新冠肺炎疫苗接种，如果它在当地人力资源组织的办公室和移动单位提供的话。新冠肺炎和相关公共卫生措施在许多方面影响了这个社区。将医疗服务整合到减少伤害的基础设施中，并动员用品的二级分销商，可能会促进更多地参与疫苗接种计划和其他医疗服务。NCT04427202。
Chronic health conditions associated with long-term drug use may pose additional risks to people who use drugs (PWUD) when coupled with COVID-19 infection. Despite this, PWUD, especially those living in rural areas, may be less likely to seek out health services. Previous research has highlighted the increased disease burden of COVID-19 among PWUD. Our manuscript supplements this literature by exploring unique attitudes of PWUD living in rural areas toward the pandemic, COVID-19 vaccination, and the role of harm reduction (HR) organizations in raising health awareness among PWUD. Semi-structured interviews were conducted with 20 PWUD living in rural southern Illinois. Audio recordings were professionally transcribed. A preliminary codebook was created based on interview domains. Two trained coders conducted iterative coding of the transcripts, and new codes were added through line-by-line coding and thematic grouping. Twenty participants (45% female, mean age of 38) completed interviews between June and November 2021. Participants reported negative impacts of the pandemic on mental health, financial wellbeing, and drug quality. However, the health impacts of COVID-19 were often described as less concerning than its impacts on these other aspects of life. Many expressed doubt in the severity of COVID-19 infection. Among the 16 unvaccinated participants who reported receiving most of their information from the internet or word of mouth, uncertainty about vaccine contents and distrust of healthcare and government institutions engendered wariness of the vaccination. Distrust of healthcare providers was related to past stigmatization and judgement, but did not extend to the local HR organization, which was unanimously endorsed as a positive institution. Among participants who did not access services directly from the HR organization, secondary distribution of HR supplies by other PWUD was a universally cited form of health maintenance. Participants expressed interest in low-threshold healthcare, including COVID-19 vaccination, should it be offered in the local HR organization’s office and mobile units. COVID-19 and related public health measures have affected this community in numerous ways. Integrating healthcare services into harm reduction infrastructures and mobilizing secondary distributors of supplies may promote greater engagement with vaccination programs and other healthcare services. NCT04427202.
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影响因子：
4.4
作者：
Perri M;Kaminski N;Bonn M;Kolla G;Guta A;Bayoumi AM;Challacombe L;Gagnon M;Touesnard N;McDougall P;Strike C
通讯作者：
Strike C
影响因子：
11.8
作者：
Crawford, Sione;Bath, Nicky
通讯作者：
Bath, Nicky
影响因子：
4.4
作者：
Needle, RH;Burrows, D;Latkin, C
通讯作者：
Latkin, C
影响因子：
4.4
作者：
Edland-Gryt, Marit;Skatvedt, Astrid Helene
通讯作者：
Skatvedt, Astrid Helene
DOI：
10.1016/s2214-109x(17)30375-3
发表时间：
2017-12
期刊：
The Lancet. Global health
影响因子：
--
作者：
Degenhardt L;Peacock A;Colledge S;Leung J;Grebely J;Vickerman P;Stone J;Cunningham EB;Trickey A;Dumchev K;Lynskey M;Griffiths P;Mattick RP;Hickman M;Larney S
通讯作者：
Larney S