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纽约市的 OEF/OIF 退伍军人样本中的阿片类药物和其他物质滥用、过量用药风险以及预防的可能性。

Opioid and other substance misuse, overdose risk, and the potential for prevention among a sample of OEF/OIF veterans in New York City.

机构信息

National Development and Research Institutes, ISPR, New York, New York 10010, USA.

出版信息

Subst Use Misuse. 2013 Jul;48(10):894-907. doi: 10.3109/10826084.2013.796991.

DOI:10.3109/10826084.2013.796991
PMID:23869461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3789237/
Abstract

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.

摘要

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。

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本文引用的文献

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A Needs Assessment of New York State Veterans: Final Report to the New York State Health Foundation.纽约州退伍军人需求评估:提交给纽约州健康基金会的最终报告
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Prescription opioid initiation, correlates, and consequences among a sample of OEF/OIF military personnel.处方阿片类药物的起始使用、相关因素及其对 OEF/OIF 军事人员样本的影响。
Subst Use Misuse. 2013 Jul;48(10):811-20. doi: 10.3109/10826084.2013.796988.
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JAMA. 2012 Mar 7;307(9):940-7. doi: 10.1001/jama.2012.234.
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Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan.现役士兵从伊拉克和阿富汗重新部署后的创伤经历和心理健康方面的性别差异。
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Initiation into prescription opioid misuse amongst young injection drug users.年轻注射吸毒者开始滥用处方阿片类药物。
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Definitions related to the use of pharmaceutical opioids: extramedical use, diversion, non-adherence and aberrant medication-related behaviours.与药物类阿片使用相关的定义:医疗用途以外的使用、转移、不遵医嘱和异常药物相关行为。
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Socio-cultural factors that foster use and abuse of alcohol among a sample of enlisted personnel at four Navy and Marine Corps installations.在四个海军和海军陆战队基地的一批应征人员样本中,促使酒精使用和滥用的社会文化因素。
Mil Med. 2011 Apr;176(4):397-401. doi: 10.7205/milmed-d-10-00240.