Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies
| Autor: | Khalil Raghavji, Patrick McLane, Iskotoahka William Wadsworth, Chris Sarin, Brian R. Holroyd, Eddy Lang, Hakique Virani, Jake Hayward, Myles Bruised Head, Lindsay Crowshoe, Stacey Whitman, Bonnie Larson, Leslee Mackey, Ashley McInnes, Jessica Hann, Steven Persaud, Rita Henderson, Ashley Jane Leonard |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population Stigma (botany) Review 01 natural sciences Alberta Disasters 03 medical and health sciences Social support Opioid epidemic 0302 clinical medicine Nursing Pandemic Nominal group technique Medicine Humans 030212 general & internal medicine 0101 mathematics education Pandemics education.field_of_study Harm reduction business.industry SARS-CoV-2 Public health 010102 general mathematics Public Health Environmental and Occupational Health Stakeholder COVID-19 Medication assisted treatment Opioid-Related Disorders Health services Coronavirus Opioid agonist treatment Disaster planning Emergency Public Health Public aspects of medicine RA1-1270 Emergencies business Research Article |
| Zdroj: | BMC Public Health BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) |
| ISSN: | 1471-2458 |
| Popis: | Background During public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability. This study aims to answer three research questions. How do public health emergencies impact PWOUD? How can health systems respond to novel public health emergencies to serve PWOUD? How can the results of this scoping review be contextualized to the province of Alberta to inform local stakeholder responses to the pandemic? Methods We conducted a scoping review using the 6-stage Arksey and O’Malley framework to analyse early-pandemic and pre-pandemic disaster literature. The results of the scoping review were contextualized to the local pandemic response, through a Nominal Group Technique (NGT) process with frontline providers and stakeholders in Alberta, Canada. Results Sixty one scientific journal articles and 72 grey literature resources were included after full-text screening. Forty sources pertained to early COVID-19 responses, and 21 focused on OUD treatment during other disasters. PWOUD may be more impacted than the general population by common COVID-19 stressors including loss of income, isolation, lack of rewarding activities, housing instability, as well as fear and anxiety. They may also face unique challenges including threats to drug supplies, stigma, difficulty accessing clean substance use supplies, and closure of substance use treatment centres. All of these impacts put PWOUD at risk of negative outcomes including fatal overdose. Two NGT groups were held. One group (n = 7) represented voices from urban services, and the other (n = 4) Indigenous contexts. Stakeholders suggested that simultaneous attention to multiple crises, with adequate resources to allow attention to both social and health systems issues, can prepare a system to serve PWOUD during disasters. Conclusion This scoping review and NGT study uncovers how disasters impact PWOUD and offers suggestions for better serving PWOUD. |
| Databáze: | OpenAIRE |
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