Safety in solitude? Competing risks and drivers of solitary drug use among women who inject drugs and implications for overdose detection.
Background and aims: Solitary drug use (SDU) can amplify risks of fatal overdose. We examined competing risks and drivers of SDU, as well as harm reduction strategies implemented during SDU episodes, among women who inject drugs (WWID). Design: A cross‐sectional qualitative study, including telephon...
| Publicado en: | Addiction Vol. 118; no. 5; pp. 847 - 855 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162841684&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162841684 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: May2023 vid: 118 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162841684 160772483 162841684 162841684 10.1111/add.16103 162841684 ppf: 847 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Safety in solitude? Competing risks and drivers of solitary drug use among women who inject drugs and implications for overdose detection. aug: au: Rosen, Joseph G. Glick, Jennifer L. Zhang, Leanne Cooper, Lyra Olatunde, Praise F. Pelaez, Danielle Rouhani, Saba Sue, Kimberly L. Park, Ju Nyeong affil: Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore MD,, USA sug: subj: Patient Safety Evaluation Overdose Diagnosis Overdose Prevention and Control Substance Use Disorders Harm Reduction Women's Health Risk Assessment Human Male Female Adult United States Cross Sectional Studies Qualitative Studies Thematic Analysis Telephone Interviews Naloxone Therapeutic Use Substance Abuse, Intravenous Persons Who Use Intravenous Drugs Psychosocial Factors Violence Descriptive Statistics Funding Source Adult: 19-44 years Male Female ab: Background and aims: Solitary drug use (SDU) can amplify risks of fatal overdose. We examined competing risks and drivers of SDU, as well as harm reduction strategies implemented during SDU episodes, among women who inject drugs (WWID). Design: A cross‐sectional qualitative study, including telephone and face‐to‐face in‐depth interviews. Setting: Baltimore City, MD, USA. Participants: Twenty‐seven WWID (mean age = 39 years, 67% white, 74% injected drugs daily) recruited via outreach and street intercept (April–September 2021). Measurements Interviews explored the physical (i.e. indoor/private, outdoor/public) and social (i.e. alone, accompanied) risk environments in which drug use occurred. Guided by the principles of emergent design, we used thematic analysis to interrogate textual data, illuminating women's preferences/motivations for SDU and strategies for minimizing overdose risks when using alone. Findings Many participants reported experiences with SDU, despite expressed preferences for accompanied drug use. SDU motivations clustered around three primary drivers: (1) avoiding opioid withdrawal, (2) preferences for privacy when using drugs and (3) safety concerns, including threats of violence. Participants nevertheless acknowledged the dangers of SDU and, at times, took steps to mitigate overdose risk, including naloxone possession, communicating to peers when using alone ('spotting') and using drugs in public spaces. Conclusions: WWID appear to engage frequently in SDU due to constraints of the physical and social environments in which they use drugs. They express a preference for accompanied drug use in most cases and report implementing strategies to mitigate their overdose risk, especially when using drugs alone. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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