Rutgers Center of Alcohol & Substance Use Studies (Hien, Bauer) and Graduate School of Applied and Professional Psychology (Hien, Franklin, Lalwani, Pean), Rutgers University, Piscataway, New Jersey. Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.
Psychiatr Serv. 2022 Mar 1;73(3):353-356. doi: 10.1176/appi.ps.202100070. Epub 2021 Aug 4.
Individually, the COVID-19 pandemic and opioid epidemic have each been responsible for hundreds of thousands of deaths. Systemic racism, including public perceptions about people who use opioids, inadequate substance abuse prevention and treatment efforts, heightened risks for COVID-19 exposure, and inadequate access to testing and health care, has contributed to the ongoing disparities underlying these health crises. Thus, the authors propose an integrative framework for conceptualizing the COVID-19, opioid use, and racism (COR) syndemic, with traumatic stress as a critical underpinning of this model. Action is needed to address trauma and the COR syndemic. Implications for research, practice, and policy are discussed.
单独来看，新冠疫情和阿片类药物泛滥分别导致了数十万人死亡。系统性种族主义，包括公众对阿片类药物使用者的看法、预防和治疗药物滥用的措施不足、感染新冠病毒的风险增加以及检测和医疗保健的机会不足，这些因素都加剧了这两大健康危机背后的持续不平等现象。因此，作者提出了一个综合框架来理解新冠疫情、阿片类药物使用和种族主义（COR）综合征，将创伤性应激作为该模型的关键基础。需要采取行动来解决创伤和 COR 综合征问题。讨论了该模型对研究、实践和政策的影响。
