Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, VA Eastern Colorado Health Care System, Aurora, Colorado, USA.
Rueckert-Hartman College for Health Professions, Regis University, Denver, Colorado, USA.
Subst Use Misuse. 2021;56(8):1224-1231. doi: 10.1080/10826084.2021.1914109. Epub 2021 Apr 19.
The US remains in the midst of an opioid overdose epidemic. Given that rural populations have higher rates of opioid-related morbidity and mortality, it is important to understand the factors that perpetuate opioid use and facilitate recovery in rural communities. : To explore experiences of individuals living with opioid use disorder (OUD) and to analyze these experiences within a broader sociocultural context. : Using a descriptive, qualitative design, we interviewed twenty purposefully sampled participants. We used thematic content analysis to identify themes and patterns. : As participants became dependent, the chase for opioids was to avoid the pain of withdrawal. Waking up sick became an everyday experience, leading to a lifestyle of hustling. The pursuit of opioids resulted in physical, social, emotional, and legal consequences that fed a cycle of stigmatization. In recovery, participants learned to embrace a new way of thinking, allowing them to make new choices. The strong influence of family and community in their lives was a key factor in their resiliency and opioid use experiences. : Individuals with OUD are impacted by intersecting social, physical, economic and policy factors that reinforce the expansion of the opioid epidemic rurally. This study provided a voice to rural individuals with opioid use disorder, a group often underrepresented in the literature, providing an understanding of their struggles and the unique sociocultural dynamics that exist in rural northern New Mexico. The complex sociocultural relationships to family and community represent important adaptive factors that could support individual healing and community transformation.
美国仍处于阿片类药物过量流行之中。鉴于农村人口的阿片类药物相关发病率和死亡率较高，因此了解在农村社区中导致阿片类药物使用和促进康复的因素非常重要。：探讨患有阿片类药物使用障碍（OUD）的个体的经历，并在更广泛的社会文化背景下分析这些经历。：使用描述性、定性设计，我们采访了二十名有目的抽样的参与者。我们使用主题内容分析来识别主题和模式。：随着参与者变得依赖，对阿片类药物的追求是为了避免戒断的痛苦。每天醒来都感到不适，导致了一种忙碌的生活方式。对阿片类药物的追求导致了身体、社会、情感和法律后果，从而形成了一个污名化的循环。在康复过程中，参与者学会了接受一种新的思维方式，使他们能够做出新的选择。家庭和社区在他们生活中的强大影响是他们韧性和阿片类药物使用经历的关键因素。：患有 OUD 的个体受到相互交织的社会、身体、经济和政策因素的影响，这些因素加剧了农村地区阿片类药物流行的扩张。这项研究为农村地区患有阿片类药物使用障碍的个体提供了一个声音，他们在文献中经常被代表性不足，这使我们了解了他们的挣扎和新墨西哥州北部农村地区存在的独特社会文化动态。与家庭和社区的复杂社会文化关系代表了重要的适应因素，可以支持个体的康复和社区的转型。
