"The Drug Use Unfortunately isn't all Bad": Chronic Disease Self-Management Complexity and Strategy Among Marginalized People Who Use Drugs.
| Autor: | Boucher, Lisa M., Shoemaker, Esther S., Liddy, Clare E., Leonard, Lynne, MacPherson, Paul A., Presseau, Justin, Martin, Alana, Pineau, Dave, Lalonde, Christine, Diliso, Nic, Lafleche, Terry, Fitzgerald, Michael, Kendall, Claire E. |
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| Předmět: |
CHRONIC disease diagnosis
RESEARCH COMPUTER software DISEASE progression STRATEGIC planning RESEARCH evaluation PAIN COMMUNICABLE diseases PSYCHOLOGY of drug abusers RESEARCH methodology evaluation INTERVIEWING PATIENT-centered care MENTAL health QUALITATIVE research CONCEPTUAL structures PARADIGMS (Social sciences) SOCIOECONOMIC factors SEVERITY of illness index SELF medication SYSTEM analysis INTERPROFESSIONAL relations THEMATIC analysis HEALTH self-care DISEASE management MEDICAL coding COMORBIDITY |
| Zdroj: | Qualitative Health Research; May2022, Vol. 32 Issue 6, p871-886, 16p |
| Abstrakt: | Self-management programs improve health outcomes and self-management is recommended for chronic conditions. Yet chronic disease self-management supports have rarely been applied to people who use drugs (PWUD). Thus, our objective was to explore self-management experiences among marginalized PWUD. We used community-based participatory methods and conducted qualitative interviews. Participants self-identified as having long-term and past year experience using non-prescribed drugs, one other chronic condition, and socioeconomic marginalization. We analyzed the data using reflexive thematic analysis. Although many participants considered drug use a chronic health issue, self-medicating with non-prescribed drugs was also a key self-management strategy to address other health issues. Participants also described numerous other strategies, including cognitive and behavioral tactics. These findings highlight the need for a safe supply of pharmaceutical-grade drugs to support self-management among marginalized PWUD. Self-management supports should also be tailored to address relevant topics (e.g., harm reduction, withdrawal), include creative activities, and not hinder PWUD's agency. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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