Jemberie Wossenseged Birhane, Stewart Williams Jennifer, Eriksson Malin, Grönlund Ann-Sofie, Ng Nawi, Blom Nilsson Marcus, Padyab Mojgan, Priest Kelsey Caroline, Sandlund Mikael, Snellman Fredrik, McCarty Dennis, Lundgren Lena M
Department of Social Work, Umeå University, Umeå, Sweden.
Centre for Demography and Ageing Research (CEDAR), Umeå University, Umeå, Sweden.
Front Psychiatry. 2020 Jul 21;11:714. doi: 10.3389/fpsyt.2020.00714. eCollection 2020.
COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and well-being. This article presents an interdisciplinary and international perspective on how COVID-19 and the related systemic shock impact on individuals with SUDs directly and indirectly. We highlight a need to understand SUDs as biopsychosocial disorders and use evidence-based policies to destigmatize SUDs. We recommend a suite of multi-sectorial actions and strategies to strengthen, modernize and complement addiction care systems which will become resilient and responsive to future systemic shocks similar to the COVID-19 pandemic.
新冠疫情冲击了卫生和经济系统，使数百万人失去工作且缺乏安全保障。由于物质使用障碍（SUD）与新冠疫情相互碰撞，这场大流行对患有物质使用障碍的人群影响尤为严重。SUD的合并症和风险环境可能是新冠疫情的危险因素。反过来，这场大流行又减少了患有SUD的人康复和维持健康所需的资源。本文从跨学科和国际视角阐述了新冠疫情及相关系统性冲击如何直接和间接地影响患有SUD的个体。我们强调需要将SUD理解为生物心理社会障碍，并采用循证政策消除对SUD的污名化。我们建议采取一系列多部门行动和策略，以加强、现代化并补充成瘾护理系统，使其能够对未来类似于新冠疫情的系统性冲击具备韧性并做出响应。
