Circumstances of overdose among suburban women who use opioids: Extending an urban analysis informed by drug, set, and setting.
Circumstances of overdose among suburban women who use opioids: Extending an urban analysis informed by drug, set, and setting.
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DOI：
10.1016/j.drugpo.2020.103082
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Turner J
中科院分区：
文献类型：
--
作者：
Lamonica AK;Boeri M;Turner J
阿片类药物过量主要根据所用药物的药理学特性进行讨论。研究表明，其他因素，如社会/物理环境和精神/情绪状态，也会对过量事件产生影响。使用辛伯格的“药物、设置和设置”框架来确定费城街头涉足妇女吸毒过量经历的情况。这篇论文的目的是将他们的分析扩展到经历过服药过量的不同样本的郊区女性。这项混合方法的设计包括人种学田野调查、深入访谈和对32名使用阿片类药物的郊区妇女的简短调查。归纳的理论推理和不断的比较分析促进了“药物、套装和环境”框架内出现的主题。32名女性中有18名认为“毒品”是导致服药过量的主要因素。主要主题是无法确定合成阿片类芬太尼，缺乏知识或对使用量缺乏控制，多物质使用，以及对风险了解不足。32名女性中有11名与她们的服药过量有关。主题包括情感创伤，如儿童死亡，儿童监护权问题，以及精神健康状况，如抑郁症。32名女性中有6名将“设置”与她们的一次服药过量经历联系在一起。主题与与吸毒的朋友或伴侣在一起，以及最近从治疗或监禁中获释有关。研究结果显示，在城市样本中发现了类似的主题，这增加了对针对郊区人口进行有效过量干预的必要性的洞察。阿片类药物危机并不局限于城市，旨在解决阿片类药物过量问题的服务也不应如此。这里提供的知识可以帮助政策制定者支持以女性为中心的减少伤害服务，不仅在城市地区，而且在郊区。
Opioid overdoses are primarily discussed by the pharmacological properties of the drugs used. Research shows that other factors such as the social/physical environment and the mental/emotional states can have an impact on overdose events. used Zinberg’s “drug, set, and setting” framework to identify circumstances surrounding overdose experiences of street-involved women in Philadelphia. The aim of this paper is to extend their analysis to a diverse sample of suburban women who experienced overdoses. The mixed-methods design consisted of ethnographic fieldwork, in-depth interviews, and brief surveys with 32 suburban women who use opioids. Inductive theoretical reasoning and constant comparative analysis facilitated themes emerging within the “drug, set, and setting” framework. Eighteen out of 32 women identified “drug” as the primary factor involved in their overdose events. Major themes were an inability to identify the synthetic opioid fentanyl, lack of knowledge or control over how much to use, poly-substance use, and an insufficient understanding of risks. Eleven out of 32 women linked “set” to their overdose experiences. Themes included emotional trauma, such as death of a child, child custody issues, and mental health conditions, such as depression. Six out of 32 women associated “setting” with one of their overdose experiences. Themes were related to being with friends or partners that used, and having recently been released from treatment or incarceration. Findings show similar themes found among an urban sample, adding insight on the need for effective overdose interventions targeted for suburban populations. The opioid crisis is not confined to the cities, and neither should services aimed at addressing opioid overdose. The knowledge provided here can help policy makers support female-centered harm reduction services not only in urban areas but also in the suburbs.
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