COVID-19 and the health of people who use drugs: What is and what could be?
COVID-19 and the health of people who use drugs: What is and what could be?
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DOI：
10.1016/j.drugpo.2020.102958
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Rhodes T
中科院分区：
文献类型：
--
作者：
Grebely J;Cerdá M;Rhodes T
SARS-CoV-2是导致COVID-19的病毒，正如我们所知，它已经改变了世界，并将继续这样做。COVID-19如何影响吸毒者、他们生活的环境以及应对能力，值得立即关注。这期特刊开始描绘COVID-19如何改变吸毒者的健康，包括与吸毒模式、服务响应、可能与吸毒有关的危害、降低危害风险的干预措施、COVID-19健康和药物政策有关的问题。我们强调，需要将COVID-19及其影响视为交叉的“复杂适应系统”：即COVID-19的影响超出病毒和相关疾病状况，涵盖多种社会、文化、经济、政策和政治影响;这些改变了吸毒者生活的风险和有利环境，从而直接或间接地影响他们的健康。我们综合了关于COVID-19对吸毒者健康影响的新证据。我们确定的一个主要关注点是如何维持COVID-19引发的政策和服务交付改善。我们需要保持一种紧急适应和试验的精神，以便为吸毒者的健康创造更安全的环境。
SARS-CoV-2, the virus that causes COVID-19, has changed the world as we know it, and continues to do so. How COVID-19 affects people who use drugs, the environments in which they live, and capacities of response, warrants immediate attention. This special issue begins to map how COVID-19 is altering the health of people who use drugs, including in relation to patterns of drug use, service responses, harms that may relate to drug use, interventions to reduce risk of harms, COVID-19 health, and drug policies. We emphasise the need to envisage COVID-19 and its effects as a matter of intersecting ‘complex adaptive systems’: that is, the impacts of COVID-19 extend beyond the virus and related illness conditions to encompass multiple social, cultural, economic, policy and political effects; and these affect the health of people who use drugs directly as well as indirectly by altering the risk and enabling environments in which they live. We synthesize emergent evidence on the impact of COVID-19 on the health of people who use drugs. A key concern we identify is how to sustain policy and service delivery improvements prompted by COVID-19. We need to maintain an ethos of emergent adaptation and experimentation towards the creation of safer environments in relation to the health of people who use drugs.
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