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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >“They’re not doing enough.”: women’s experiences with opioids and naloxone in Toronto
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“They’re not doing enough.”: women’s experiences with opioids and naloxone in Toronto

机译：“他们做得不够。”：女性在多伦多的阿片类药物和纳洛酮的经历

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Amid increasing opioid overdose deaths in Canada since 2010 and a changing naloxone access landscape, there is a need for up-to-date research on Canadian women’s experiences with opioids. Studies on Canadian take-home naloxone programs are promising, but research beyond these programs is limited. Our study is the first to focus on women’s experiences and perspectives on the opioid crisis in Ontario, Canada’s most populous province, since the opioid crisis began in 2010. Our objective was to address research knowledge gaps involving Canadian women with criminal justice involvement who use opioids, and identify flaws in current policies, responses, and practices. While the opioid overdose crisis persists, this lack of research inhibits our ability to determine whether overdose prevention efforts, especially involving naloxone, are meeting their needs. We conducted semi-structured, qualitative interviews from January to April 2018 with 10 women with experience of opioid use. They were recruited through the study’s community partner in Toronto. Participants provided demographic information, experiences with opioids and naloxone, and their perceptions of the Canadian government’s responses to the opioid crisis. Interviews were transcribed verbatim and inductive thematic analysis was conducted to determine major themes within the data. Thematic analysis identified seven major concerns despite significant differences in participant life and opioid use experiences. Participants who had used illicit opioids since naloxone became available over-the-counter in 2016 were much more knowledgeable about naloxone than participants who had only used opioids prior?to 2016. The portability, dosage form, and effects of naloxone are important considerations for women who use opioids. Social alienation, violence, and isolation affect the wellbeing of women who use opioids. The Canadian government’s response to the opioid crisis was perceived as inadequate. Participants demonstrated differing needs and views on ideal harm reduction approaches, despite facing similar structural issues surrounding stigma, addiction management, and housing. Participants experienced with naloxone use found it to be useful in preventing fatal overdose, however many of their needs with regards to physical, mental, and social health, housing, harm reduction, and access to opioid treatment remained unmet.
机译：在从2010年增加加拿大的阿片类药物过量死亡和变化的纳洛酮访问景观时，需要对加拿大女性对阿片类药物的经验进行最新研究。加拿大纳洛尼纳诺酮计划的研究很有希望，但超越这些计划的研究是有限的。我们的研究是第一个专注于加拿大大多数人口省Ontario的阿片类药物危机的经验和观点，自从阿片类药危机始于2010年。我们的目标是解决涉及加拿大妇女刑事司法妇女参与的研究知识差距参与使用阿片类药物，并确定当前政策，答复和实践中的缺陷。虽然阿片类药物过量危机仍然存在，但这种缺乏研究抑制了我们确定过量的预防努力，特别是纳尔诺酮的能力，均满足他们的需求。我们从2018年1月到4月进行了半结构化的定性访谈，其中10名妇女具有阿片类药物的经验。他们是通过在多伦多的研究的社区合作伙伴招聘。参与者提供了人口统计信息，具有阿片类药物和纳洛酮的经验，以及他们对加拿大政府对阿片类药物危机的反应的看法。通过逐字转录的访谈，并进行归纳专题分析，以确定数据中的主要主题。尽管参与者生命和阿片类药物的经验显着差异，但专题分析确定了七个主要问题。自纳洛酮以来，纳罗西酮在2016年成为柜台上市以来的参与者比仅在目前仅使用阿片类药物的参与者更加了解纳洛酮，而不是2016年。纳洛酮的可移植性，剂型和效果是女性的重要考虑因素谁使用阿片类药物。社会异化，暴力和孤立影响了使用阿片类药物的妇女的福祉。加拿大政府对阿片类药物危机的回应被认为是不合适的。参与者表现出不同的需求和对理想伤害减少方法的看法，尽管面临着周围耻辱，成瘾管理和住房的类似结构问题。与纳洛酮使用的参与者发现它在预防致命过量方面有用，然而他们对身体，心理和社会健康，住房，减少的许多需求以及对阿片类药物治疗仍然未满足。

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