Department of Population Health Sciences, Duke University School of Medicine, Durham, NC 27701, USA.
Int J Environ Res Public Health. 2024 Sep 3;21(9):1169. doi: 10.3390/ijerph21091169.
People who use drugs (PWUD) disproportionately experience health-related and social vulnerabilities, which may affect service needs and access during and after natural disasters. We conducted qualitative interviews with = 18 PWUD recruited via a syringe services program in Houston, Texas. We assessed their health and social service needs, as well as related service access experiences, during and after natural disasters using a combined inductive-deductive approach. Participants described a range of service-related needs related to illicit drug use, poverty, neighborhood disadvantage, acute and chronic health problems, and housing insecurity. They endorsed decreased access to medical and substance-related services and difficulty accessing disaster relief aid. Interviews highlighted the importance of mutual aid for sharing harm reduction supplies and meeting practical needs. Results suggest that some PWUD experience disproportionate vulnerability after natural disasters related to multiple marginalized identities that intersect with illicit drug use.
吸毒者（PWUD）不成比例地经历与健康相关和社会脆弱性，这可能会影响他们在自然灾害期间和之后的服务需求和获取。我们通过德克萨斯州休斯顿的一个注射器服务项目招募了 18 名吸毒者进行了定性访谈。我们使用归纳演绎相结合的方法评估了他们在自然灾害期间和之后的健康和社会服务需求，以及相关的服务获取经验。参与者描述了一系列与非法药物使用、贫困、社区劣势、急性和慢性健康问题以及住房不安全相关的服务相关需求。他们表示，获得医疗和药物相关服务的机会减少，并且难以获得灾难救援援助。访谈强调了互助对于分享减少伤害用品和满足实际需求的重要性。结果表明，一些吸毒者在自然灾害后经历了不成比例的脆弱性，这与多种边缘化身份有关，这些身份与非法药物使用相互交织。
