在俄俄州中部的注射器服务计划参与者的差异性风险:潜伏类分析
Kyle J Moon1, Ian Bryant1, Anne Trinh1
1Center for Health Outcomes and Policy Evaluation Studies (HOPES), The Ohio State University College of Public Health, 381 Cunz Hall, 1841 Neil Avenue, Columbus, OH, 43210, USA.
Harm reduction journal
|July 28, 2023
概括
这项研究确定了使用毒品的人 (PWUD) 访问注射器服务计划 (SSP) 的五个不同的个人资料. 了解这些子组有助于量身定制降低危害的干预措施,以应对特定的风险和改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
- 健康差异 在健康上的差异
背景情况:
- 在吸毒者 (PWUD) 之间存在显著的异质性.
- 在注射器服务计划 (SSP) 中识别不同的客户配置文件对于了解差异性风险因素至关重要.
- 量身定制减少危害的计划需要认识到PWUD群体内的各种需求.
研究的目的:
- 识别注射器服务计划 (SSP) 客户的不同配置文件.
- 评估已识别的PWUD子组之间的差异性风险因素.
- 为制定有针对性的减伤干预措施提供信息.
主要方法:
- 隐性类分析 (LCA) 用于在俄俄州哥伦布 (2019-2021) 的SSP中识别3,418名参与者中的子组.
- 人口和药物使用特征作为隐性类定义的指标.
- 后勤回归比较了潜伏类之间的程序启动和后续的风险因素.
主要成果:
- 确定了五个不同的PWUD潜伏类别,以物质使用模式,人口统计,住房状况和资源可用性为特征.
- 1类 (异性恋男性,阿片类/兴奋剂,住房不稳定) 与2类 (参考) 相比,药物使用治疗史,过量服用,HCV和注射器共享的几率更高.
- 其他类别表现出独特的风险概况,包括4类更高的艾滋病毒感染率和5类持续的HCV和治疗参与.
结论:
- PWUD之间的异质性导致差异性风险因素,这些风险因素在减少伤害服务的参与期间可能会持续存在.
- 隐性类别分析在识别不同的PWUD配置文件方面是有效的.
- 根据已识别的个人资料定制干预措施可以解决风险,改善结果并减轻健康差异.
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