Women's multiple uses of an overdose prevention technology to mitigate risks and harms within a supportive housing environment: a qualitative study.
Women's multiple uses of an overdose prevention technology to mitigate risks and harms within a supportive housing environment: a qualitative study.
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妇女对预防技术的多种用途来减轻支持性住房环境中的风险和危害：一项定性研究。
DOI：
10.1186/s12905-021-01196-6
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发表时间：
2021-02-02
期刊：
影响因子：
--
通讯作者：
Boyd J
中科院分区：
文献类型：
--
作者：
Bardwell G;Fleming T;McNeil R;Boyd J
北美正处于阿片类药物过量流行之中。在许多情况下，特别是在加拿大，大多数过量死亡发生在室内，影响到结构上脆弱的单独使用药物的人，使有针对性的住房干预成为优先事项。已经开发了移动的应用程序，允许个人寻求帮助以防止过量死亡。我们研究的经验，女性居民利用过量响应按钮技术在一个支持性的住房环境。2019年10月，我们对城市环境中一座女性专用支持性住房建筑的14名居民进行了半结构化定性访谈，该建筑安装了过量响应按钮技术。数据进行了专题分析和结构脆弱性理论的框架。虽然参与者描述了该技术用于过量反应的效用和缺点，但大多数参与者意外地描述了该技术的替代采用。与会者将该技术用于其他紧急情况（例如，基于性别的暴力），而不是其过量反应的预期目的。我们的研究结果强调了当前技术的局限性，同时也表明了以住房为基础的应急干预措施的明确必要性，这些干预措施不仅要解决过量用药的风险，还要解决基于性别的暴力。这些需要与更大的战略一起实施，以解决结构性脆弱性，并为吸毒的边缘化妇女提供更大的机构。
North America is amidst an opioid overdose epidemic. In many settings, particularly Canada, the majority of overdose deaths occur indoors and impact structurally vulnerable people who use drugs alone, making targeted housing-based interventions a priority. Mobile applications have been developed that allow individuals to solicit help to prevent overdose death. We examine the experiences of women residents utilizing an overdose response button technology within a supportive housing environment. In October 2019, we conducted semi-structured qualitative interviews with 14 residents of a women-only supportive housing building in an urban setting where the overdose response button technology was installed. Data was analyzed thematically and framed by theories of structural vulnerability. While participants described the utility and disadvantages of the technology for overdose response, most participants, unexpectedly described alternate adoptions of the technology. Participants used the technology for other emergency situations (e.g., gender-based violence), rather than its intended purpose of overdose response. Our findings highlight the limitations of current technologies while also demonstrating the clear need for housing-based emergency response interventions that address not just overdose risk but also gender-based violence. These need to be implemented alongside larger strategies to address structural vulnerabilities and provide greater agency to marginalized women who use drugs.
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DOI：
10.1016/j.socscimed.2017.01.027
发表时间：
2017-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Damon W;Callon C;Wiebe L;Small W;Kerr T;McNeil R
通讯作者：
McNeil R
性别暴力和预防过量场所：加拿大温哥华过量流行期间的一项快速民族志研究。
DOI：
10.1111/add.14417
发表时间：
2018-12
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Boyd J;Collins AB;Mayer S;Maher L;Kerr T;McNeil R
通讯作者：
McNeil R
DOI：
10.1016/j.drugpo.2020.102733
发表时间：
2020-04
期刊：
The International journal on drug policy
影响因子：
--
作者：
Boyd J;Lavalley J;Czechaczek S;Mayer S;Kerr T;Maher L;McNeil R
通讯作者：
McNeil R
影响因子：
4.4
作者：
Fraser, Suzanne
通讯作者：
Fraser, Suzanne
影响因子：
4.4
作者：
Collins, Alexandra B.;Boyd, Jade;McNeil, Ryan
通讯作者：
McNeil, Ryan