"It wasn't here, and now it is. It's everywhere": fentanyl's rising presence in Oregon's drug supply.
"It wasn't here, and now it is. It's everywhere": fentanyl's rising presence in Oregon's drug supply.
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”它不是在这里，现在它是。它无处不在”：芬太尼在俄勒冈州毒品供应中的存在日益增加。
DOI：
10.1186/s12954-022-00659-9
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发表时间：
2022-07-11
影响因子：
4.4
通讯作者：
Korthuis, P. Todd
中科院分区：
文献类型：
--
作者：
Shin, Sarah S.;LaForge, Kate;Stack, Erin;Pope, Justine;Leichtling, Gillian;Larsen, Jessica E.;Leahy, Judith M.;Seaman, Andrew;Hoover, Daniel;Chisholm, Laura;Blazes, Christopher;Baker, Robin;Byers, Mikaela;Branson, Katie;Korthuis, P. Todd
关键词：
非法芬太尼导致药物过量死亡人数急剧增加。虽然芬太尼已涵盖美国东北部和中西部的毒品供应，但最近它已到达美国西部。在这项研究中，我们探讨了吸毒者 (PWUD) 对俄勒冈州毒品供应变化的看法、芬太尼过量用药的经历和反应，以及在过去十年非法芬太尼娱乐性药物供应急剧增加的背景下，PWUD 提出的降低过量风险的建议。 2021 年 5 月至 6 月，我们通过电话对俄勒冈州的 34 名 PWUD 进行了深度访谈。我们使用主题分析来分析笔录并构建主题。 PWUD 了解芬太尼，对芬太尼药丸表示担忧，并了解其他含有芬太尼的非法药物。参与者意识到服药过量的风险会增加，但由于担心被捕，仍不愿与专业急救人员接触。参与者提出了减少芬太尼过量风险的建议，包括增加获取信息的机会、减少危害的用品（例如纳洛酮、芬太尼试纸）和治疗阿片类药物使用障碍的药物；建立药物检查服务和过量预防场所；药品供应合法化和规范；并减少医疗保健提供者造成的耻辱。俄勒冈州的 PWUD 意识到芬太尼和芬太尼药丸的兴起，并希望获得减少芬太尼危害的工具。由于美国西部各州面临药物供应中芬太尼的拐点，公共卫生人员、行为健康提供者和急救人员可以根据 PWUD 的需求采取行动。在线版本包含可在 10.1186/s12954-022-00659-9 获取的补充材料。
Illicit fentanyl has contributed to a drastic increase in overdose drug deaths. While fentanyl has subsumed the drug supply in the Northeastern and Midwestern USA, it has more recently reached the Western USA. For this study, we explored perspectives of people who use drugs (PWUD) on the changing drug supply in Oregon, experiences of and response to fentanyl-involved overdose, and recommendations from PWUD to reduce overdose risk within the context of illicit fentanyl’s dramatic increase in the recreational drug supply over the past decade. We conducted in-depth interviews by phone with 34 PWUD in Oregon from May to June of 2021. We used thematic analysis to analyze transcripts and construct themes. PWUD knew about fentanyl, expressed concern about fentanyl pills, and were aware of other illicit drugs containing fentanyl. Participants were aware of the increased risk of an overdose but remained reluctant to engage with professional first responders due to fear of arrest. Participants had recommendations for reducing fentanyl overdose risk, including increasing access to information, harm reduction supplies (e.g., naloxone, fentanyl test strips), and medications for opioid use disorder; establishing drug checking services and overdose prevention sites; legalizing and regulating the drug supply; and reducing stigma enacted by healthcare providers. PWUD in Oregon are aware of the rise of fentanyl and fentanyl pills and desire access to tools to reduce harm from fentanyl. As states in the Western USA face an inflection point of fentanyl in the drug supply, public health staff, behavioral health providers, and first responders can take action identified by the needs of PWUD. The online version contains supplementary material available at 10.1186/s12954-022-00659-9.
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DOI：
10.1111/add.15305
发表时间：
2021-06
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Gunn CM;Maschke A;Harris M;Schoenberger SF;Sampath S;Walley AY;Bagley SM
通讯作者：
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影响因子：
2.8
作者：
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影响因子：
4.4
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Bergstein, Rachel S.
DOI：
10.1016/j.drugpo.2017.06.008
发表时间：
2017-10
期刊：
The International journal on drug policy
影响因子：
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作者：
Koester S;Mueller SR;Raville L;Langegger S;Binswanger IA
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Binswanger IA
DOI：
10.5811/westjem.2020.7.46079
发表时间：
2020-11-02
期刊：
The western journal of emergency medicine
影响因子：
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作者：
Martin A;Butler K;Chavez T;Herring A;Wakeman S;Hayes BD;Raja A
通讯作者：
Raja A