National Development and Research Institutes, ISPR, New York, New York 10010, USA.
Subst Use Misuse. 2013 Jul;48(10):894-907. doi: 10.3109/10826084.2013.796991.
This paper describes veterans' overdose risks and specific vulnerabilities through an analysis of qualitative data collected from a sample of recently separated, formerly enlisted OEF/OIF veterans in the New York City area. We illustrate how challenges to the civilian readjustment process such as homelessness, unemployment, and posttraumatic stress disorder can render veterans at increased risk for negative health consequences and then present veterans' perspectives as they outline several innovative solutions to these obstacles. We conclude by discussing several overdose prevention efforts currently underway and how they might be adapted to meet the opioid and substance misuse challenges veterans face.
本文通过对纽约地区最近退伍的、曾参加过伊拉克和阿富汗战争的现役军人的定性数据进行分析,描述了退伍军人的过量用药风险和特定的脆弱性。我们举例说明了平民重新适应过程中面临的挑战,如无家可归、失业和创伤后应激障碍,这些挑战可能会使退伍军人面临更多的健康风险,然后展示退伍军人的观点,他们概述了应对这些障碍的几种创新解决方案。最后,我们讨论了目前正在进行的几项预防过量用药的努力,以及如何调整这些努力以应对退伍军人面临的阿片类药物和物质滥用挑战。