Weiss Linda, Fabri Antonella, McCoy Kate, Coffin Phillip, Netherland Julie, Finkelstein Ruth
Office of Special Populations, New York Academy of Medicine, 1216 Fifth Avenue, New York, NY 10029, USA.
J Urban Health. 2002 Sep;79(3):392-403. doi: 10.1093/jurban/79.3.392.
In this article, we present preliminary findings from a qualitative study focused on the impact of the World Trade Center attacks on New York City residents who are current or former users of heroin, crack, and other forms of cocaine. In it, we present data describing their responses to and feelings about the attacks, changes in drug use after the attacks, and factors affecting changes in use. Our analysis is based on 57 open-ended interviews conducted between October 2001 and February 2002. The majority of study participants reported that the attacks had a significant emotional impact on them, causing anxiety, sadness, and anger. Several described practical impacts as well, including significant reductions in income. On September 11th and the weeks and months that followed, several participants who had been actively using did increase their use of heroin, crack, and/or other forms of cocaine. Reductions in use were, however, as common over time as were increases. There was some relapse among former users, but this was limited to those who had stopped using drugs within the 6 months immediately preceding the attacks. A diverse set of factors interacted to control use. For some participants, these factors were internal, relating to their individual motivations and drug use experiences. Other participants were essentially forced to limit use by marked reductions in income. For others, access to health and social service professionals, as well as drug treatment, proved to be key.
在本文中，我们展示了一项定性研究的初步结果，该研究聚焦于世界贸易中心袭击事件对纽约市目前或曾经使用海洛因、快克可卡因及其他形式可卡因的居民的影响。在此，我们呈现了描述他们对袭击事件的反应和感受、袭击事件后吸毒情况的变化以及影响吸毒变化因素的数据。我们的分析基于2001年10月至2002年2月期间进行的57次开放式访谈。大多数研究参与者报告称，袭击事件对他们产生了重大的情感影响，引发了焦虑、悲伤和愤怒。一些人还描述了实际影响，包括收入大幅减少。在9月11日以及随后的几周和几个月里，一些此前一直在积极吸毒的参与者确实增加了海洛因、快克可卡因和/或其他形式可卡因的使用量。然而，随着时间的推移，吸毒量减少的情况与增加的情况一样常见。一些曾经吸毒的人出现了复吸，但仅限于那些在袭击事件发生前6个月内停止吸毒的人。一系列不同的因素相互作用以控制吸毒情况。对一些参与者来说，这些因素是内在的，与他们个人的动机和吸毒经历有关。其他参与者则基本上因收入大幅减少而被迫限制吸毒。对另一些人来说，获得健康和社会服务专业人员的帮助以及戒毒治疗被证明是关键。
