韧性在药物滥用者经历与新冠疫情应对相关的歧视和虚假信息之间关系中的调节作用。

The moderating role of resilience in the relationship between experiences of COVID-19 response-related discrimination and disinformation among people who inject drugs.

机构信息

Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University - Downtown Campus, Phoenix, AZ, USA.

Division of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, CA, USA.

出版信息

Drug Alcohol Depend. 2023 May 1;246:109831. doi: 10.1016/j.drugalcdep.2023.109831. Epub 2023 Mar 3.

DOI:10.1016/j.drugalcdep.2023.109831

PMID:36924661

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9981478/

Abstract

BACKGROUND

Due to the persistence of COVID-19, it remains important to measure and examine potential barriers to COVID-19 prevention and treatment to avert additional loss of life, particularly among stigmatized populations, such as people who inject drugs (PWID), who are at high risk for contracting and spreading SARS-CoV-2. We assessed the psychometrics of a novel COVID-19 response-related discrimination scale among PWID, and characterized associations between COVID-19 response-related discrimination, resilience to adversity, and endorsement of COVID-19 disinformation.

METHODS

We assessed internal reliability, structural validity and construct validity of a 4-item COVID-19 response-related discrimination scale among PWID living in San Diego County, completing interviewer-administered surveys between October 2020 and September 2021. Using negative binomial regression, we assessed the relationship between COVID-19 response-related discrimination and disinformation and the potential moderating role of resilience.

RESULTS

Of 381 PWID, mean age was 42.6 years and the majority were male (75.6 %) and Hispanic (61.9 %). The COVID-19 response-related discrimination scale had modest reliability (α = 0.66, ω = 0.66) as a single construct with acceptable construct validity (all p ≤ 0.05). Among 216 PWID who completed supplemental surveys, a significant association between COVID-19 response-related discrimination and COVID-19 disinformation was observed, which was moderated by resilience (p = 0.044). Specifically, among PWID with high levels of resilience, endorsement of COVID-19 disinformation significantly increased as exposure to COVID-19 response-related discrimination increased (p = 0.011).

CONCLUSIONS

These findings suggest that intervening on COVID-19 response-related discrimination may offset the negative outcomes associated with COVID-19 disinformation.

摘要

背景

由于 COVID-19 的持续存在，衡量和研究预防和治疗 COVID-19 的潜在障碍仍然很重要，以避免更多的生命损失，尤其是在污名化人群中，如注射毒品者（PWID），他们感染和传播 SARS-CoV-2 的风险很高。我们评估了一种新的 COVID-19 应对相关歧视量表在 PWID 中的心理测量学特征，并描述了 COVID-19 应对相关歧视、逆境适应能力和 COVID-19 虚假信息认可之间的关联。

方法

我们评估了生活在圣地亚哥县的 PWID 对 4 项 COVID-19 应对相关歧视量表的内部信度、结构效度和构念效度，于 2020 年 10 月至 2021 年 9 月间完成了访谈者管理的调查。我们使用负二项回归，评估了 COVID-19 应对相关歧视与虚假信息之间的关系，以及韧性的潜在调节作用。

结果

在 381 名 PWID 中，平均年龄为 42.6 岁，大多数为男性（75.6%）和西班牙裔（61.9%）。COVID-19 应对相关歧视量表作为一个单一结构具有适度的可靠性（α=0.66，ω=0.66），具有可接受的构念效度（所有 p 值均≤0.05）。在完成补充调查的 216 名 PWID 中，观察到 COVID-19 应对相关歧视与 COVID-19 虚假信息之间存在显著关联，而韧性起调节作用（p=0.044）。具体而言，在韧性水平较高的 PWID 中，随着 COVID-19 应对相关歧视的增加，对 COVID-19 虚假信息的认可显著增加（p=0.011）。