以社区为基础,以受访者为导向的抽样作为法国一个大型城市地区毒品使用监测策略
Hélène Donnadieu1,2, Catherine Quillet3, Morgana D'Ottavi3
1Department of Addiction Medicine, Montpellier University Hospital, 80 Rue Augustin Fliche, 34090, Montpellier, France. h-donnadieu@chu-montpellier.fr.
Harm reduction journal
|June 29, 2023
概括
在蒙彼利埃对注射毒品 (PWID) 的人进行的一项研究发现,海洛因,crack和甲基胺使用率很高. 这凸显了当前减少危害策略中的差距,因为许多参与者尽管有可用的资源,但仍共享针头.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物成科学 药物成科学
背景情况:
- 了解吸毒者吸毒行为 (PWUD) 对有效的降低危害和治疗策略至关重要.
- 法国现有的数据可能是有偏见的,依赖于参加成中心的个人,因此低于代表更广泛的PWUD人口.
- 这项研究旨在描述法国蒙彼利埃市活跃PWUD的药物使用模式.
研究的目的:
- 在使用毒品 (PWUD) 的活跃人口中描述药物使用行为.
- 评估特定药物消费和相关行为的流行程度.
- 评估当前危害降低策略在受研究人群中的有效性.
主要方法:
- 基于社区的受访者驱动抽样调查 (RDSS) 用于招募PWUD的代表性样本.
- 资格标准包括频繁使用精神活性药物 (不包括大麻) 通过尿液检测证实.
- 参与者通过使用标准化问卷进行了采访,并接受了HIV/HCV测试.
主要成果:
- 招募了554名活跃的PWUD,主要是男性 (78.8%),平均年龄为39岁.
- 参与者报告平均使用4.7种不同的药物,其中可卡因 (42.6%),海洛因 (46.8%) 和甲基 (21.5%) 的使用率很高.
- 在注射毒品使用者 (IDU) 中,33%的人报告共享设备,尽管有减少危害的服务.
结论:
- 这项研究揭示了蒙彼利埃的PWUD中海洛因,crack和甲基胺的意外高消费.
- 在成中心的低出席率可能有助于在传统报告中低估这些药物使用模式.
- 注射器之间频繁的设备共享表明当前减少危害计划面临挑战,需要调整战略.
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