Identifying behaviours for survival and wellness among people who use methamphetamine with opioids in British Columbia: a qualitative study : научное изданиестатья из журнала
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Библиографическое описание: Identifying behaviours for survival and wellness among people who use methamphetamine with opioids in British Columbia: a qualitative study : научное издание / J. J. Corser [et al.]. - Текст : непосредственный // Harm Reduction Journal. - 2022. - Т.19, №1. - P. 1-12. - The authors respectfully acknowledge that they live and work on the unceded traditional territory of the Coast Salish Peoples, including the traditional territories of xʷməθkwəy̓ əm (Musqueam), Sḵwxw̱ u7mesh (Squamish), and Səli̓ lwətaɬ (Tsleil-Waututh) Nations and that the interviews were conducted across what is now known as British Columbia on the unceded traditional territories of over 200 diverse First Nations communities and the Métis Nation BC. We would like to thank peer research assistants (PRAs) harm reduction sites; drug user advocacy networks including, the Vancouver Area Network of Drug Users (VANDU) and the Society for Narcotic and Opioid Wellness (SNOW) for their contributions in collecting study data for CUT Meth OD project. The authors are also grateful to the members of Professionals for Ethical Engagement of Peers (PEEP) who revised the manuscript and provided their feedback. This project was funded by Canadian Institutes of Health Research (CIHR) (Funding Reference #170288) Concurrent Use and Transition to Methamphetamine among persons at risk of OverDose (CUT Meth OD) grant. - ISSN 1477-7517. - ISSN 1477-7517, DOI 10.1186/s12954-022-00630-8.
Аннотация: British Columbia (BC) has been in a state of public health emergency since 2016, due to the unprecedented numbers of fatal and non-fatal drug toxicity (i.e. overdose) events. Methamphetamine detection in illicit drug toxicity deaths increased from 14% in 2012 to 43% in 2020 suggesting a concerning trend of concurrent methamphetamine and opioid use in BC, consistent with rising patterns identified across North America. People who use methamphetamine concurrently with opioids face an elevated risk of harm. This study aimed to identify behaviours for survival and wellness practiced by people who concurrently use methamphetamine and opioids. One-on-one semi-structured interviews were conducted by peer research assistants in person and by telephone. Thematic analysis was carried out to identify patterns in behaviours participants described as important to their safety in the context of concurrent use of methamphetamine and opioids. Participants (n = 22) were distributed across the province with at least four participants from each of the five geographic health regions: 64% self-identified as men, and 50% self-identified as Indigenous. Daily methamphetamine use was reported by 72.7% of participants, and 67.3% reported using alone either often or always. Participants made several considerations and adaptations in order to balance the perceived benefits and risks of their use of methamphetamine with opioids. Two overarching themes were identified to describe how participants adapted their use for survival and wellness. The first was personal safety behaviours which included self-regulation and self-care behaviours. The second was interpersonal safety behaviours which included using alongside peers, and engaging with peer-led services (e.g. community outreach organizations) and public health-led services (e.g. overdose prevention sites) to reduce the risk of harm. Participants identified many gaps in available services to meet their diverse needs. This manuscript identified diversity in participants’ methamphetamine and opioid use (i.e. frequency, route of administration), and a range of behaviours that were performed to improve wellness and survival while using methamphetamine and opioids. Harm reduction and treatment responses must be robust and adaptable to respond to the diversity of patterns of substance use among people who use methamphetamine and opioids concurrently, so as to not perpetuate harm and leave people behind.
Год издания: 2022
Авторы: Corser Jenny , Palis Heather , Fleury Mathew , Lamb Jess , Lock Kurt , McDougall Jenny , Mehta Amiti , Newman Cheri , Spence Heather , Buxton Jane A.
Издательство: BioMed Central
Источник: Harm Reduction Journal
Выпуск: Т.19, №1
Номера страниц: 1-12
Держатель оригинала документа: BC Centre for Disease Control, First Nations Health Authority, KANDU – Kelowna Area Network of Drug Users, PEEP- BC Centre for Disease Control, SFU, UBC
Количество экземпляров:
Твёрдая копия издания отсутствует в фонде библиотеки
Ключевые слова: Opioid use, Methamphetamine use, Polysubstance use, harm reduction, qualitative study
Классификационные коды: ГРНТИ 76
ISSN: 1477-7517
Идентификаторы: шифр 51823956
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