PDF(Pubmed)
Abstract：
BACKGROUND: Smoking unregulated drugs has increased substantially in British Columbia. Intersecting with the ongoing overdose crisis, drug smoking-related overdose fatalities have correspondingly surged. However, little is known about the experiences of overdose among people who smoke drugs accessing the toxic drug supply. This study explores perceptions and experiences of overdose among people who smoke drugs.
METHODS: We conducted interviews with 31 people who smoke drugs. Interviews covered a range of topics including overdose experience. Thematic analysis was used to identify themes related to participant perceptions and experiences of smoking-related overdose.
RESULTS: Some participants perceived smoking drugs to pose lower overdose risk relative to injecting drugs. Participants reported smoking-related overdose experiences, including from underestimating the potency of drugs, the cross-contamination of stimulants with opioids, and responding to smoking-related overdose events.
CONCLUSIONS: Findings highlight the impact the unpredictable, unregulated, and toxic drug supply is having on people who smoke drugs, both among people who use opioids, and among those who primarily use stimulants. Efforts to address smoking-related overdose could benefit from expanding supervised smoking sites, working with people who use drugs to disseminate accurate knowledge around smoking-related overdose risk, and offering a smokable alternative to the unpredictable drug supply.
METHODS: We conducted interviews with 31 people who smoke drugs. Interviews covered a range of topics including overdose experience. Thematic analysis was used to identify themes related to participant perceptions and experiences of smoking-related overdose.
RESULTS: Some participants perceived smoking drugs to pose lower overdose risk relative to injecting drugs. Participants reported smoking-related overdose experiences, including from underestimating the potency of drugs, the cross-contamination of stimulants with opioids, and responding to smoking-related overdose events.
CONCLUSIONS: Findings highlight the impact the unpredictable, unregulated, and toxic drug supply is having on people who smoke drugs, both among people who use opioids, and among those who primarily use stimulants. Efforts to address smoking-related overdose could benefit from expanding supervised smoking sites, working with people who use drugs to disseminate accurate knowledge around smoking-related overdose risk, and offering a smokable alternative to the unpredictable drug supply.
摘要：
背景：在不列颠哥伦比亚省，吸烟不受管制的药物大大增加。与持续的用药过量危机交织在一起，与吸毒有关的过量死亡人数也相应激增。然而,对接触有毒药物供应的吸食药物的人服用过量的经历知之甚少。这项研究探讨了吸食毒品的人对过量的看法和经验。
方法：我们对31名吸毒者进行了访谈。面试涵盖了一系列主题，包括过量的经验。主题分析用于确定与参与者对吸烟相关过量的看法和经验相关的主题。
结果：一些参与者认为与注射药物相比，吸烟药物的过量风险较低。参与者报告了与吸烟有关的过量经历，包括低估药物的效力，兴奋剂与阿片类药物的交叉污染，和应对吸烟相关的过量事件。
结论：调查结果强调了不可预测的影响，不受管制,有毒药物供应对吸烟的人有影响，在使用阿片类药物的人群中，以及主要使用兴奋剂的人。解决与吸烟有关的过量问题的努力可以受益于扩大监督吸烟场所，与使用药物的人一起传播与吸烟相关的过量风险的准确知识，并为不可预测的药物供应提供可吸烟的替代品。
方法：我们对31名吸毒者进行了访谈。面试涵盖了一系列主题，包括过量的经验。主题分析用于确定与参与者对吸烟相关过量的看法和经验相关的主题。
结果：一些参与者认为与注射药物相比，吸烟药物的过量风险较低。参与者报告了与吸烟有关的过量经历，包括低估药物的效力，兴奋剂与阿片类药物的交叉污染，和应对吸烟相关的过量事件。
结论：调查结果强调了不可预测的影响，不受管制,有毒药物供应对吸烟的人有影响，在使用阿片类药物的人群中，以及主要使用兴奋剂的人。解决与吸烟有关的过量问题的努力可以受益于扩大监督吸烟场所，与使用药物的人一起传播与吸烟相关的过量风险的准确知识，并为不可预测的药物供应提供可吸烟的替代品。
