Substance misuse, specifically novel psychoactive substances (NPSs), can have multiple effects on physical and psychological health and well‐being. This is of particular concern to people with type 1 diabetes (T1DM) as their use may impact on effective glucose management and may result in acute complications and deleterious consequences. This review aims to investigate the physical and psychological effects of NPSs and traditional illicit drug use on glycaemic control and corresponding self‐care for people with T1DM. We performed a literature search of seven electronic databases for articles published between 2011–2017, using MeSH search headings: diabetes, young people, substance misuse, novel psychoactive substances, club drugs, street drugs, rave drugs, legal highs, designer drugs, research chemicals, glycaemic control, ketoacidosis, self‐management, and harm reduction. Literature was scant, despite the available evidence of increased substance use in the UK. There is a paucity of evidence about the effects of NPSs and traditional illicit drug use on glycaemic control, and a lack of educational information which could be used to inform users with T1DM and health care professionals about their risks and preventative self‐care strategies. Patient awareness of potential problems with regard to safety is an essential component of effective risk management, health protection and glycaemic control. Health care professionals also require evidence‐based information regarding these components in order to inform and empower patients who choose to participate in this potential risky behaviour. Copyright © 2018 John Wiley & Sons.
Background: As digital tools are increasingly used to support COVID-19 contact tracing, the equity implications must be considered. As part of a study to understand the public's views of digital contact tracing tools developed for the national 'Test and Protect' programme in Scotland, we aimed to explore the views of groups often excluded from such discussions. This paper reports on their views about the potential for contact tracing to exacerbate inequalities.Methods: A qualitative study was carried out; interviews were conducted with key informants from organizations supporting people in marginalized situations, followed by interviews and focus groups with people recruited from these groups.Participants included, or represented, minority ethnic groups, asylum seekers and refugees and those experiencing multiple disadvantage including severe and enduring poverty.Results: A total of 42 people participated: 13 key informants and 29 members of the public. While public participants were supportive of contact tracing, key informants raised concerns. Both sets of participants spoke about how contact tracing, and its associated digital tools, might increase inequalities. Barriers included finances
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