id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-256091-mrc9p1vw	Jenkins, Wiley D.	COVID‐19 During the Opioid Epidemic – Exacerbation of Stigma and Vulnerabilities	2020-04-11		.txt	text/plain	1408	81	49	2 The inequalities described above are particularly pronounced for rural persons who use drugs (PWUD), who face multiple barriers to seeking and obtaining health care, including both stigma (which negatively impacts their ability to self-function and seek care) and drug-use-associated illness and injury. PWUD may be at increased risk for contracting and spreading COVID-19 since drug procurement and use practices usually require social contact. PWUD may avoid seeking medical care if COVID-19 symptoms present due to stigma associated with drug use and lack of trust in health care providers. Even before the pandemic, rural PWUD were less likely to seek medical care (eg, urgent care, paramedics) and actively avoid others (eg, police) who are now especially prominent in the COVID-19 response. [19] [20] Thus, PWUD may encounter negative police interactions, ticketing, and arrests due to shelter-in-place enforcement measures, particularly if they venture out to procure drugs, harm reduction supplies, or access substance use-related services, or if they are homeless.	./cache/cord-256091-mrc9p1vw.txt	./txt/cord-256091-mrc9p1vw.txt