التفاصيل البيبلوغرافية
| العنوان: |
Strategies used to reduce harms associated with fentanyl exposure among rural people who use drugs: multi-site qualitative findings from the rural opioid initiative |
| المؤلفون: |
Suzan M. Walters, Robin Baker, David Frank, Monica Fadanelli, Abby E. Rudolph, William Zule, Rob J. Fredericksen, Rebecca Bolinski, Adams L. Sibley, Vivian F. Go, Lawrence J. Ouellet, Mai T. Pho, David W. Seal, Judith Feinberg, Gordon Smith, April M. Young, Thomas J. Stopka |
| المصدر: |
Harm Reduction Journal, Vol 21, Iss 1, Pp 1-16 (2024) |
| بيانات النشر: |
BMC, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Public aspects of medicine |
| مصطلحات موضوعية: |
Public aspects of medicine, RA1-1270 |
| الوصف: |
Abstract Aim Illicitly manufactured fentanyl and its analogs are the primary drivers of opioid overdose deaths in the United States (U.S.). People who use drugs may be exposed to fentanyl or its analogs intentionally or unintentionally. This study sought to identify strategies used by rural people who use drugs to reduce harms associated with unintentional fentanyl exposure. Methods This analysis focused on 349 semi-structured qualitative interviews across 10 states and 58 rural counties in the U.S conducted between 2018 and 2020. Interview guides were collaboratively standardized across sites and included questions about drug use history (including drugs currently used, frequency of use, mode of administration) and questions specific to fentanyl. Deductive coding was used to code all data, then inductive coding of overdose and fentanyl codes was conducted by an interdisciplinary writing team. Results Participants described being concerned that fentanyl had saturated the drug market, in both stimulant and opioid supplies. Participants utilized strategies including: (1) avoiding drugs that were perceived to contain fentanyl, (2) buying drugs from trusted sources, (3) using fentanyl test strips, 4) using small doses and non-injection routes, (5) using with other people, (6) tasting, smelling, and looking at drugs before use, and (7) carrying and using naloxone. Most people who used drugs used a combination of these strategies as there was an overwhelming fear of fatal overdose. Conclusion People who use drugs living in rural areas of the U.S. are aware that fentanyl is in their drug supply and use several strategies to prevent associated harms, including fatal overdose. Increasing access to harm reduction tools (e.g., fentanyl test strips, naloxone) and services (e.g., community drug checking, syringe services programs, overdose prevention centers) should be prioritized to address the polysubstance-involved overdose crisis. These efforts should target persons who use opioids and other drugs that may contain fentanyl. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1477-7517 |
| Relation: |
https://doaj.org/toc/1477-7517 |
| DOI: |
10.1186/s12954-024-01062-2 |
| URL الوصول: |
https://doaj.org/article/eb792975233a4bc88d1ecd8d11e65d44 |
| رقم الانضمام: |
edsdoj.b792975233a4bc88d1ecd8d11e65d44 |
| قاعدة البيانات: |
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