“I Can Combine Those Things to be a Superhero” a Qualitative Study of the Motivations for High-Risk Polysubstance Use

IF 1.2 4区社会学 Q4 SUBSTANCE ABUSE

Journal of Drug Issues Pub Date : 2024-08-23 DOI:10.1177/00220426241277763

Amanda M. Bunting, Adetayo Fawole, Brittany Griffin, Joshua D. Lee, Carrie B. Oser, Jennifer McNeely

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Abstract

The current study aimed to understand motivations of high-risk polysubstance use. Semi-structured interviews were conducted in New York City with 20 individuals with frequent recent polysubstance use. Two analysts coded the interviews (κ = 93.97). Five themes related to motivation for polysubstance use were found: (1) balance, prolong, or enhance effects, (2) self-medicate physical ailments, (3) cope with emotional distress, (4) drug-induced cravings, and (5) responding to social contexts. Individuals reported simultaneous or sequential co-use to balance, prolong or enhance a ‘high’ (theme 1). Participants engaged in polysubstance use to alleviate withdrawal symptoms, to induce sleep and self-medicate physical pain (theme 2) and to provide relief from emotional distress (theme 3). Other themes included drug-induced cravings (theme 4) and responding to social contexts (theme 5) including both social situations and economic availability. Motivations for polysubstance use may provide important insight into harm reduction and treatment settings solutions.

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"我可以把这些东西结合起来成为超级英雄"--对高风险使用多种物质动机的定性研究

本研究旨在了解高风险多种药物使用的动机。研究人员在纽约市对近期频繁使用多种药物的 20 人进行了半结构式访谈。两名分析师对访谈进行了编码（κ = 93.97）。研究发现了五个与多种药物使用动机相关的主题：（1）平衡、延长或增强效果，（2）自我治疗身体疾病，（3）应对情绪困扰，（4）药物诱发的渴望，以及（5）应对社会环境。据报告，参与者同时或连续使用多种药物，以平衡、延长或增强 "兴奋感"（主题 1）。参与者使用多种物质来缓解戒断症状、诱导睡眠和自我治疗身体疼痛（主题 2）以及缓解情绪困扰（主题 3）。其他主题包括由药物引起的渴望（主题 4）和对社会环境的反应（主题 5），包括社会环境和经济条件。使用多种物质的动机可为减少危害和治疗环境解决方案提供重要启示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Drug Issues SUBSTANCE ABUSE-

CiteScore

3.00

自引率

11.80%

发文量

期刊介绍： The Journal of Drug Issues (JDI) was incorporated as a nonprofit entity in the State of Florida in 1971. In 1996, JDI was transferred to the Florida State University College of Criminology and Criminal Justice, and the Richard L. Rachin Endowment was established to support its continued publication. Since its inception, JDI has been dedicated to providing a professional and scholarly forum centered on the national and international problems associated with drugs, especially illicit drugs. It is a refereed publication with international contributors and subscribers. As a leader in its field, JDI is an instrument widely used by research scholars, public policy analysts, and those involved in the day-to-day struggle against the problem of drug abuse.