得克萨斯州休斯敦吸毒者在自然灾害期间和灾后获得医疗和社会服务的经历

3区综合性期刊 Q1 Medicine

International Journal of Environmental Research and Public Health Pub Date : 2024-09-03 DOI:10.3390/ijerph21091169

Catherine E. Paquette, Tasia Danns, Margaret Bordeaux, Zaire Cullins, Lauren Brinkley-Rubinstein

{"title":"得克萨斯州休斯敦吸毒者在自然灾害期间和灾后获得医疗和社会服务的经历","authors":"Catherine E. Paquette, Tasia Danns, Margaret Bordeaux, Zaire Cullins, Lauren Brinkley-Rubinstein","doi":"10.3390/ijerph21091169","DOIUrl":null,"url":null,"abstract":"People who use drugs (PWUD) disproportionately experience health-related and social vulnerabilities, which may affect service needs and access during and after natural disasters. We conducted qualitative interviews with N = 18 PWUD recruited via a syringe services program in Houston, Texas. We assessed their health and social service needs, as well as related service access experiences, during and after natural disasters using a combined inductive–deductive approach. Participants described a range of service-related needs related to illicit drug use, poverty, neighborhood disadvantage, acute and chronic health problems, and housing insecurity. They endorsed decreased access to medical and substance-related services and difficulty accessing disaster relief aid. Interviews highlighted the importance of mutual aid for sharing harm reduction supplies and meeting practical needs. Results suggest that some PWUD experience disproportionate vulnerability after natural disasters related to multiple marginalized identities that intersect with illicit drug use.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"11 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Experiences Accessing Health and Social Services during and after Natural Disasters among People Who Use Drugs in Houston, Texas\",\"authors\":\"Catherine E. Paquette, Tasia Danns, Margaret Bordeaux, Zaire Cullins, Lauren Brinkley-Rubinstein\",\"doi\":\"10.3390/ijerph21091169\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"People who use drugs (PWUD) disproportionately experience health-related and social vulnerabilities, which may affect service needs and access during and after natural disasters. We conducted qualitative interviews with N = 18 PWUD recruited via a syringe services program in Houston, Texas. We assessed their health and social service needs, as well as related service access experiences, during and after natural disasters using a combined inductive–deductive approach. Participants described a range of service-related needs related to illicit drug use, poverty, neighborhood disadvantage, acute and chronic health problems, and housing insecurity. They endorsed decreased access to medical and substance-related services and difficulty accessing disaster relief aid. Interviews highlighted the importance of mutual aid for sharing harm reduction supplies and meeting practical needs. Results suggest that some PWUD experience disproportionate vulnerability after natural disasters related to multiple marginalized identities that intersect with illicit drug use.\",\"PeriodicalId\":14044,\"journal\":{\"name\":\"International Journal of Environmental Research and Public Health\",\"volume\":\"11 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Environmental Research and Public Health\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://doi.org/10.3390/ijerph21091169\",\"RegionNum\":3,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Environmental Research and Public Health","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.3390/ijerph21091169","RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

吸毒者（PWUD）在健康和社会方面的脆弱性不成比例，这可能会影响他们在自然灾害期间和灾后的服务需求和获取。我们对德克萨斯州休斯顿市通过注射器服务项目招募的 18 名吸毒者进行了定性访谈。我们采用归纳-演绎相结合的方法，评估了他们在自然灾害期间和灾后的健康和社会服务需求，以及相关的服务获取经验。参与者描述了一系列与非法使用毒品、贫困、邻里关系不利、急性和慢性健康问题以及住房不安全相关的服务需求。他们认可获得医疗和药物相关服务的机会减少，以及难以获得救灾援助。访谈强调了互助对于分享减低伤害用品和满足实际需求的重要性。访谈结果表明，一些残疾人在自然灾害发生后，由于多重边缘化身份与非法药物使用的交织，经历了不成比例的脆弱性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Experiences Accessing Health and Social Services during and after Natural Disasters among People Who Use Drugs in Houston, Texas

People who use drugs (PWUD) disproportionately experience health-related and social vulnerabilities, which may affect service needs and access during and after natural disasters. We conducted qualitative interviews with N = 18 PWUD recruited via a syringe services program in Houston, Texas. We assessed their health and social service needs, as well as related service access experiences, during and after natural disasters using a combined inductive–deductive approach. Participants described a range of service-related needs related to illicit drug use, poverty, neighborhood disadvantage, acute and chronic health problems, and housing insecurity. They endorsed decreased access to medical and substance-related services and difficulty accessing disaster relief aid. Interviews highlighted the importance of mutual aid for sharing harm reduction supplies and meeting practical needs. Results suggest that some PWUD experience disproportionate vulnerability after natural disasters related to multiple marginalized identities that intersect with illicit drug use.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

7.30

自引率

0.00%

发文量

14422

审稿时长

1 months

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.