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Titre :
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“The Drug Use Unfortunately isn’t all Bad” : Chronic Disease Self-Management Complexity and Strategy Among Marginalized People Who Use Drugs (2022)
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Auteurs :
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Lisa M. Boucher, Membre de l'équipe de recherche ;
Esther S. Shoemaker, Membre de l'équipe de recherche ;
Clare Liddy, Membre de l'équipe de recherche ;
Lynne Leonard, Membre de l'équipe de recherche
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Type de document :
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Article : texte imprimé
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Dans :
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Qualitative health research (vol. 32 n°6, May 2022)
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Article en page(s) :
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pp. 871-886
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Langues:
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Anglais
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Catégories :
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MALADIE CHRONIQUE
USAGE DE DROGUES
USAGE THERAPEUTIQUE
MARGINALITE
AUTOMEDICATION
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Résumé :
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"Self-management programs improve health outcomes and self-management is recommended for chronic conditions. Yet chronic disease self-management supports have rarely been applied to people who use drugs (PWUD). Thus, our objective was to explore self-management experiences among marginalized PWUD. We used community-based participatory methods and conducted qualitative interviews. Participants self-identified as having long-term and past year experience using non-prescribed drugs, one other chronic condition, and socioeconomic marginalization. We analyzed the data using reflexive thematic analysis. Although many participants considered drug use a chronic health issue, self-medicating with non-prescribed drugs was also a key self-management strategy to address other health issues. Participants also described numerous other strategies, including cognitive and behavioral tactics. These findings highlight the need for a safe supply of pharmaceutical-grade drugs to support self-management among marginalized PWUD. Self-management supports should also be tailored to address relevant topics (e.g., harm reduction, withdrawal), include creative activities, and not hinder PWUD’s agency."
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Catalogueur :
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RESOdoc
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En ligne :
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https://journals.sagepub.com/doi/full/10.1177/10497323221083353
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