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10.1016/j.jsat.2021.108387

http://scihub22266oqcxt.onion/10.1016/j.jsat.2021.108387
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suck abstract from ncbi


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pmid34080555      J+Subst+Abuse+Treat 2021 ; 129 (ä): 108387
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  • Differential impacts of COVID-19 across racial-ethnic identities in persons with opioid use disorder #MMPMID34080555
  • Mistler CB; Sullivan MC; Copenhaver MM; Meyer JP; Roth AM; Shenoi SV; Edelman EJ; Wickersham JA; Shrestha R
  • J Subst Abuse Treat 2021[Oct]; 129 (ä): 108387 PMID34080555show ga
  • OBJECTIVE: The COVID-19 pandemic has exacerbated health disparities, particularly among at-risk people with opioid use disorder (OUD). We sought to characterize the direct and indirect impacts of COVID-19 on this group to understand how the pandemic has affected this group, this group's public health response to COVID-19, and whether there were differences by race/ethnicity. METHODS: This study recruited its sample from a drug treatment setting in the northeast region of the United States. We surveyed 110 individuals on methadone as treatment for OUD and assessed COVID-19-related impacts on their health behaviors and other indices of social, physical, and mental well-being, including sexual health behaviors, substance use, mental health status, health care access, income, and employment. RESULTS: Our findings highlight overall increases in depression, anxiety, loneliness, and frustration among the sample of people with OUD; the study also observed decreases in financial stability. Significant differences between groups indicated a greater financial burden among racial-ethnic minorities; this subgroup also reported greater direct adverse effects of COVID-19, including being more concerned about contracting COVID-19, not being able to get a COVID-19 test, and knowing someone who had died from COVID-19. A greater proportion of Whites indicated increases in alcohol consumption and non-prescription drug use than did racial-ethnic minorities. CONCLUSIONS: Treatment providers must be vigilant in managing direct and indirect outcomes of COVID-19 among people with OUD. Findings highlight the need to develop culturally competent, differentiated interventions in partnership with community-based organizations to meet the unique challenges that the COVID-19 pandemic presents for people in treatment for OUD.
  • |*COVID-19[MESH]
  • |*Opioid-Related Disorders/epidemiology[MESH]
  • |Ethnicity[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]


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