University of Kentucky, Department of Educational, School, and Counseling Psychology, 251 Scott St, Lexington, KY 40508, United States of America.
Univeristy of Cincinnati, Department of Psychology, 66 Corry Blvd, Cincinnati, OH 45219, United States of America.
J Subst Use Addict Treat. 2024 Sep;164:209436. doi: 10.1016/j.josat.2024.209436. Epub 2024 Jun 8.
Opioid-related overdose mortality disproportionally affects Black adults in Kentucky, particularly overdoses associated with prescription opioid misuse (POM). Black adults also face other consequences of POM, such as disparate health and legal outcomes. While several factors effect POM, such as generational factors and gender, these risk factors are understudied among Black adults with a history of POM. Current literature primarily focuses on White individuals who use opioids.
The present study qualitatively examined reasons for POM, prescription opioids misused, how prescription opioids are obtained, and initiation of POM among Black adults using thematic analysis. Participants included a sample (n = 39) of Black adults from a southern state, stratified by gender and age across four cohorts: born (1) 1995-2001, (2) 1980-1994, (3) 1970-1979, and (4) 1955-1969.
Results revealed similarities and differences in these themes across age cohorts and gender.
Implications for findings include the importance of culturally responsive interventions that utilize dual diagnosis treatment and idiographic approaches due to heterogeneous experiences with POM among Black adults.
阿片类药物相关过量死亡率不成比例地影响肯塔基州的黑人成年人，尤其是与处方类阿片药物滥用（POM）相关的过量。黑人成年人还面临着 POM 的其他后果，例如不同的健康和法律结果。虽然有几个因素会影响 POM，例如代际因素和性别，但这些风险因素在有 POM 病史的黑人成年人中研究不足。目前的文献主要集中在使用阿片类药物的白人个体上。
本研究采用主题分析方法，定性研究了黑人成年人 POM 的原因、滥用的处方类阿片药物、获得处方类阿片药物的方式以及 POM 的开始，参与者包括来自一个南部州的黑人成年人样本（n=39），按性别和年龄分为四个队列：出生于（1）1995-2001 年、（2）1980-1994 年、（3）1970-1979 年和（4）1955-1969 年。
结果揭示了这些主题在年龄队列和性别之间的相似之处和差异。
研究结果的意义包括需要采用文化响应式干预措施，利用双重诊断治疗和个体化方法，因为黑人成年人在 POM 方面的经历存在异质性。
