Addressing Racial and Ethnic Inequities in Opioid Overdose Mortality: Strategies for Equitable Interventions and Structural Change.

IF 5.5 2区 医学 Q1 PSYCHIATRY
Fabiola Arbelo Cruz, Oluwole Jegede
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引用次数: 0

Abstract

Purpose of review: This review synthetizes findings reflecting the increasing racial and ethnic inequities in opioid overdose mortality and emphasizes the necessity for tailored interventions as well as other policy-level and structural strategies to stem this trend.

Recent findings: Factors contributing to inequities in overdose mortality include changes in drug supply, persistent social-structural vulnerabilities stemming from structural racism, and inequities in access to medication for opioid use disorder and harm reduction services. Key strategies to address these inequities include the cultural adaptation of evidence-based interventions within an equity-based framework, integrating social determinants of health into addiction treatment, centering anti-racism praxis in addiction research, diversifying the addiction workforce, and integrating structural competency as a tool to restructure education and inform practice. Structural racism must be recognized as a key driver of inequities in substance use outcomes, and this understanding must be integrated into existing models of substance use disorder prevention, treatment, and research.

解决阿片类药物过量致死中的种族和民族不平等问题:公平干预和结构变革战略》。
综述目的:本综述综合了反映阿片类药物过量致死中种族和民族不平等日益加剧的研究结果,并强调有必要采取有针对性的干预措施以及其他政策层面和结构性战略来遏制这一趋势:导致用药过量死亡率不平等的因素包括药物供应的变化、源于结构性种族主义的持续的社会结构脆弱性,以及在获得阿片类药物使用障碍药物和减低伤害服务方面的不平等。解决这些不平等问题的关键策略包括:在以公平为基础的框架内对循证干预措施进行文化调整,将健康的社会决定因素纳入戒毒治疗,在戒毒研究中以反种族主义实践为中心,使戒毒人员队伍多样化,以及将结构性能力作为调整教育和指导实践的工具。必须认识到结构性种族主义是药物使用结果不平等的主要驱动因素,必须将这一认识纳入现有的药物使用障碍预防、治疗和研究模式。
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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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