A case series of substance abuse among urban slum population during the COVID 19 pandemic

Sandeep Nallapu, N. Borah, Shweta Gangurde, Swati Ghonge
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引用次数: 0

Abstract

The COVID 19 pandemic stuck the world already burdened with numerous diseases. The approach toward controlling the pandemic disturbed the healthcare delivery system and also aggravated the already existing problems of malnutrition, unemployment, economic inequalities, decreased routine immunization services, and substance abuse. Six individuals with multiple substance use histories were identified and in depth interviews were conducted in an urban slum under the field practice area of a medical college. Common features were identified and reported. The age of initiation of alcohol and tobacco use was found to be in the early adolescence period (10–14 years). Chronic substance abuse causes poor health, an economic burden on families, and domestic violence. Lack of self esteem due to unemployment, decreased social interaction, and multiple failed attempts at abstinence were the shared features among dependents. Measures employed during the COVID 19 pandemic to contain the virus have caused unanticipated adverse effects on health, finance, and social life. A holistic approach would play a pivotal role rather than reactionary and momentary interventions.
COVID 19 大流行期间城市贫民窟人口药物滥用病例系列
COVID 19 大流行给本已疾病缠身的世界雪上加霜。控制大流行病的方法扰乱了医疗保健服务体系,也加剧了营养不良、失业、经济不平等、常规免疫服务减少和药物滥用等已经存在的问题。研究人员在一所医学院实地实习区内的城市贫民窟确定了六名有多种药物滥用史的人,并对他们进行了深入访谈。确定并报告了共同特征。发现开始使用酒精和烟草的年龄在青春期早期(10-14 岁)。长期滥用药物会导致健康状况不佳、家庭经济负担加重和家庭暴力。失业导致的自尊心缺失、社会交往减少以及多次戒酒失败是受扶养人的共同特征。在 COVID 19 大流行期间为遏制病毒而采取的措施对健康、经济和社会生活造成了意想不到的不利影响。综合方法将发挥关键作用,而不是反应性和一时性的干预。
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