Challenges and recommendations for overdose prevention and harm reduction in an era of fentanyl and xylazine: Perspectives of women with opioid use disorder and professionals.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-12-01 Epub Date: 2024-08-22 DOI:10.1037/adb0001021
Eric Harrison, Kristina Brant, Sienna Strong-Jones, Emma Skogseth, Carl Latkin, Abenaa Jones
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引用次数: 0

Abstract

Objective: The current qualitative study examines the perspectives of women with opioid use disorder (OUD) and professionals that serve them on barriers to engaging in overdose prevention and harm reduction practices and recommendations for improving engagement.

Method: Semistructured interviews (N = 42) were conducted with women with a history of OUD (n = 20), substance use disorder treatment professionals (n = 12), and criminal legal professionals (n = 10). The interviews were inductively coded to identify themes and subthemes regarding experiences with overdose and harm reduction practices.

Results: Themes included heightened vulnerability to overdose, harm reduction challenges faced by women with OUD, and recommendations for overdose prevention and harm reduction practices. Heightened vulnerability to overdose included concerns about toxic supply and concerns about women's drug use behaviors. Challenges to women's harm reduction engagement included lack of knowledge and education about harm reduction tools and strategies and continued stigma toward harm reduction practices. Finally, recommendations for improving harm reduction engagement included increasing accessibility of harm reduction tools, expanding harm reduction education, and shifting away from "abstinence-only" paradigms.

Conclusions: Finding ways to teach women with OUD about harm reduction, more effectively distribute harm reduction tools to them, and reduce stigma among providers and professionals is essential to reduce overdose risk for women with OUD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

芬太尼和恶嗪时代预防用药过量和减少伤害的挑战与建议:患有阿片类药物使用障碍的妇女和专业人士的观点。
目标:本定性研究探讨了患有阿片类药物使用障碍(OUD)的女性以及为她们提供服务的专业人员对参与预防用药过量和减少伤害实践的障碍的看法,以及改善参与的建议:对有 OUD 病史的妇女(20 人)、药物使用障碍治疗专业人员(12 人)和刑事法律专业人员(10 人)进行了半结构式访谈(42 人)。对访谈进行了归纳编码,以确定有关用药过量和减低伤害实践经验的主题和次主题:访谈主题包括对用药过量的高度易感性、患有 OUD 的女性在减少伤害方面面临的挑战,以及对预防用药过量和减少伤害做法的建议。对吸毒过量的高度脆弱性包括对有毒物质供应的担忧和对女性吸毒行为的担忧。妇女参与减低伤害活动所面临的挑战包括缺乏有关减低伤害工具和策略的知识和教育,以及对减低伤害活动的持续偏见。最后,关于提高减低伤害参与度的建议包括增加减低伤害工具的可获得性、扩大减低伤害教育以及摒弃 "仅禁欲 "模式:结论:找到向患有OUD的妇女传授减低伤害知识的方法,更有效地向她们分发减低伤害工具,以及减少提供者和专业人员对减低伤害的污名化,对于降低患有OUD的妇女用药过量的风险至关重要。 (PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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