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Harm Reduction and Adaptations Among PWUD in Rural Oregon During COVID-19.
Seaman, Andrew; Leichtling, Gillian; Stack, Erin; Gray, Mary; Pope, Justine; Larsen, Jessica E; Leahy, Judith M; Gelberg, Lillian; Korthuis, P Todd.
Afiliação
  • Seaman A; Section of Addiction Medicine, Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code - L475, Portland, 97239-3098, OR, USA. seaman@ohsu.edu.
  • Leichtling G; Comagine Health, Portland, OR, USA.
  • Stack E; Comagine Health, Portland, OR, USA.
  • Gray M; Comagine Health, Portland, OR, USA.
  • Pope J; Comagine Health, Portland, OR, USA.
  • Larsen JE; Section of Addiction Medicine, Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code - L475, Portland, 97239-3098, OR, USA.
  • Leahy JM; Oregon Health Authority, Acute and Communicable Disease Prevention, Public Health Division, Oregon Health Authority, Salem, OR, USA.
  • Gelberg L; Oregon Health Authority, Acute and Communicable Disease Prevention, Public Health Division, Oregon Health Authority, Salem, OR, USA.
  • Korthuis PT; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, USA.
AIDS Behav ; 25(5): 1331-1339, 2021 May.
Article em En | MEDLINE | ID: mdl-33471243
Coronavirus Disease 2019 (COVID-19) may influence HIV/HCV transmission risk behaviors in rural communities. We conducted semi-structured qualitative interviews with people who use drugs (PWUD) in five rural Oregon counties and asked about COVID-19 impact on substance use and harm reduction practices and their advice for improving public health responses. Participants (n = 36) reported using only methamphetamine (52.8%), only heroin (16.7%), or both (30.6%); 75% of participants reported recent injection. Three thematic categories emerged: SSP adaptations and accessibility, PWUD harm reduction practices, and policy suggestions. Participants noted the importance of SSPs to COVID-19 prevention and wellbeing, though some experienced increased barriers, leading to increased risky injection practices. Participants suggested need-based rather than one-for-one exchange, increasing syringe delivery services, encouraging secondary exchange by PWUD, and peers as trusted voices for information exchange. Rapid implementation of policy and practice changes are urgently required to improve SSP access, reinforce safer use, and prevent HIV/HCV and COVID-19 transmission.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Abuso de Substâncias por Via Intravenosa / COVID-19 Tipo de estudo: Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Abuso de Substâncias por Via Intravenosa / COVID-19 Tipo de estudo: Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos