'Stories of starting': Understanding the complex contexts of opioid misuse initiation
| Autor: | Judy C. Chang, Raisa Roberto, Simone P Taubenberger, Noelle Spencer, Lauren Sealy Krishnamurti, Karen Hacker |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pain 030508 substance abuse Medicine (miscellaneous) 03 medical and health sciences 0302 clinical medicine Adaptation Psychological medicine Humans 030212 general & internal medicine Social determinants of health Social Factors Psychiatry Prescription Drug Misuse Motivation Narration Illicit Drugs Opioid use disorder Opioid-Related Disorders medicine.disease Analgesics Opioid Psychiatry and Mental health Opioid Criminal Behavior Family Relations 0305 other medical science Psychology medicine.drug Qualitative research |
| Zdroj: | Substance Abuse. 42:865-872 |
| ISSN: | 1547-0164 0889-7077 |
| Popis: | Background The impacts of opioid use disorder and opioid-involved overdose are known, but less is known about the contexts in which people first misuse opioids, and the motivations for continued misuse. Methods In-depth interviews with 26 individuals in Allegheny County, Pennsylvania with current or past histories of opioid misuse were conducted. Narratives were analyzed to understand the circumstances and influences contributing to initial and continued misuse of opioids. Results Participants described social and familial contexts that normalized or accepted opioid misuse—this often included their own use of other illicit substances prior to initiating opioids. Participants also described initial use of opioids as related to efforts to cope with physical pain. They also described recognizing and then seeking psychological/emotional benefits from opioids. All three of these themes often overlapped and intersected in these stories of starting opioid misuse. Conclusions Opioid misuse stemmed from complex interacting influences involving coping with physical and psychological pain, perception that opioids are needed to feel “normal”, and acceptance or normalization of opioid use. This suggests a multi-pronged approach to both prevention and treatment are needed. |
| Databáze: | OpenAIRE |
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