Autor: |
Hien DN; 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., Bauer AG; 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., Franklin L; 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., Lalwani T; 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., Pean K; 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. |
Abstrakt: |
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. |