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A Qualitative Exploration of the Functional, Social, and Emotional Impacts of the Covid-19 Pandemic on People Who Use Drugs

Bibliographic Data

ID15499328
AuthorsErin L Kelly (0000-0003-2168-5611, Thomas Jefferson University, corresponding author), Megan K Reed (0000-0002-4367-7076, Thomas Jefferson University), Kathryn M Schoenauer (Community Initiatives), Kelsey Smith (0000-0002-8737-5483, Thomas Jefferson University), Kristina Scalia-Jackson (Pathways to Housing), Sequoia Kay Hill (Pathways to Housing), Erica Li (0000-0001-7765-692X, Thomas Jefferson University), Lara Carson Weinstein (0000-0003-1862-3516, Thomas Jefferson University), Lara Weinstein (Thomas Jefferson University)
Year2022
Volume19
Issue15
Pages9751-9751
Publication date2022-08-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19159751
PMID35955107
OpenAlexW4294125992
LanguageEN
Citations received7
References cited37

Since 2020, people who use drugs (PWUD) experienced heightened risks related to drug supply disruptions, contamination, overdose, social isolation, and increased stress. This study explored how the lives of PWUD changed in Philadelphia over a one-year period. Using semi-structured interviews with 20 participants in a Housing First, low-barrier medication for opioid use (MOUD) program in Philadelphia, the effects of the first year of the COVID-19 pandemic on the daily lives, resources, functioning, substance use, and treatment of PWUD were explored. Interviews were analyzed using a combination of directed and conventional content analysis. Six overarching themes emerged during data analysis: (1) response to the pandemic; (2) access to MOUD and support services; (3) substance use; (4) impacts on mental health, physical health, and daily functioning; (5) social network impacts; and (6) fulfillment of basic needs. Participants reported disruptions in every domain of life, challenges meeting their basic needs, and elevated risk for adverse events. MOUD service providers offset some risks and provided material supports, treatment, social interaction, and emotional support. These results highlight how there were significant disruptions to the lives of PWUD during the first year of the COVID-19 pandemic and identified critical areas for future intervention and policies

Coronavirus disease 2019 (COVID-19 · Disease · Infectious disease (medical specialty · Intervention (counseling · Mental health · Pandemic · Psychiatry · Qualitative research · Social isolation · Sociology · COVID-19 and Mental Health · HIV, Drug Use, Sexual Risk · Medicine · Opioid Use Disorder Treatment · Psychology · Gerontology

  • Trends in deaths following drug use in England before, during, and after the Covid-19 lockdowns

    Open Access•Athanasios Sekeris, Thikra Algahtani et al.•Frontiers in Public Health•2023

  • A community conversation process to establish resident and service provider perspectives on needs related to use and treatment of opioids and substances

    Open Access•Jennifer Shepheard, Thomas Mundy et al.•Frontiers in Public Health•2026

  • Methadone Program Directors’ Perceptions of Barriers and Supports to Engage People with Opioid Use Disorders in Methadone Services

    Erin L Kelly, Tracy Camacho-Esteves et al.•Substance Use & Misuse•2026

  • A Qualitative Study on the Impact of Covid-19 on Overdose Risk from the Perspective of Survivors and Witnesses of Drug Overdose

    Hridika Shah, Sara Whaley et al.•Substance Use & Misuse•2026

  • ‘ They just kind of disappeared’

    Abigail K Winiker, Eshan U Patel et al.•Drugs Education Prevention and…•2026

  • The Drug Market’s Impact on the Overdose Risk Environment for Women Who Use Drugs During the Covid-19 Pandemic

    Open Access•Emily M Martin, Iyabo Awogboro et al.•Journal of Urban Health•2026

  • A cohort-based assessment of drug use trends during the Covid-19 pandemic

    Open Access•Núbia Heidrich, Maurício Schüler Nin et al.•Frontiers in Psychiatry•2025

  • Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the Covid-19 Pandemic — United States, August 2020–February 2021

    Open Access•Anjel Vahratian, Stephen J Blumberg et al.•MMWR. Surveillance Summaries•2021

  • Collision of the Covid-19 and Addiction Epidemics

    Nora D Volkow•Annals of Internal Medicine•2020

  • Covid-19 Related Medical Mistrust, Health Impacts, and Potential Vaccine Hesitancy Among Black Americans Living With HIV

    Laura M Bogart, Bisola O Ojikutu et al.•JAIDS Journal of Acquired Immune…•2021

  • Covid-19

    Open Access•Joyce Tsai, Jack Tsai et al.•The Lancet Public Health•2020

  • Covid-19 risk and outcomes in patients with substance use disorders

    Open Access•Quan Qiu Wang, David C Kaelber et al.•Molecular Psychiatry•2021

  • Opioid Use Disorder and Covid-19

    Jonathan Schimmel, Alex F Manini•Substance Use & Misuse•2020

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  • Monthly Trends in Access to Care and Mental Health Services by Household Income Level During the Covid-19 Pandemic, United States, April

    Open Access•Hyunjung Lee, Gopal K Singh•Health Equity•2021

  • Isolation, Solitude and Social Distancing for People Who Use Drugs

    Open Access•Laura Roe, J Proudfoot et al.•Frontiers in Psychiatry•2021

  • Changes in substance supply and use characteristics among people who use drugs (PWUD) during the Covid-19 global pandemic

    Open Access•Farihah Ali, Cayley Russell et al.•International Journal of Drug…•2021

  • Living Under Coronavirus and Injecting Drugs in Bristol (Lucid-B)

    Open Access•Joanna M Kesten, Adam Holland et al.•International Journal of Drug…•2021

  • A qualitative study exploring the impact of the Covid-19 pandemic on People Who Inject Drugs (PWID) and drug service provision in the UK

    Open Access•Tom May, Jo Dawes et al.•International Journal of Drug…•2022

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    Open Access•Ardis B Collins, Sarah Edwards et al.•International Journal of Drug…•2022

  • Retention of Patients With Multiple Vulnerabilities in a Federally Qualified Health Center Buprenorphine Program

    Lara Carson Weinstein, Qais Iqbal et al.•American Journal of Public Health•2020

  • Three Approaches to Qualitative Content Analysis

    Open Access•Hsiu-Fang Hsieh, Sarah E Shannon•Qualitative Health Research•2005

Unique citing works7
Citations per year2,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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