一个多元组件的整体护理途径,用于使用毒品的人在泰赛德,苏格兰,苏格兰
Christopher J Byrne1, Andrew Radley1, Emma Fletcher2
1Division of Molecular and Clinical Medicine, University of Dundee, Dundee, Scotland; Directorate of Public Health, Kings Cross Hospital, NHS Tayside, Dundee, Scotland.
The International journal on drug policy
|August 14, 2023
概括
泰赛德的一个新的医疗保健途径成功地吸引了使用毒品的人 (PWUD),确定了高剂量过量和并发病率. 这凸显了对PWUD进行综合性,基于社区的健康评估和降低危害的需要.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社区健康 社区健康
背景情况:
- 使用毒品的人 (PWUD) 面临过量服用和药物相关伤害的重大风险.
- 英国的毒品政策在为有风险的人群提供足够的支持方面存在挑战.
- 苏格兰的泰赛德 (Tayside) 有一个显著的人口经历了与毒品有关的伤害.
研究的目的:
- 为了量化与药物相关的危害,从事新的护理途径的PWUD.
- 评估这个人口的更广泛的健康和福祉.
- 了解药物使用趋势和途径内的行为.
主要方法:
- 一项观察性队列研究适应了现有的社区嵌入式血液传播病毒途径.
- 在三次访问中,提供了多次医疗保健评估.
- 分析重点关注PWUD的初始队列的吸收和结果.
主要成果:
- 150名PWUD参与,其中47%的医疗保健人员已经从医疗保健中脱离一年多了.
- 多种物质使用 (83%),每日注射 (28%) 和设备共享 (36%) 的高流行率.
- 显著的非致命过量 (36%),过量死亡 (4.1每100PY) 和并发病率,包括C型肝炎 (9%),艾滋病病毒 (1%),抑郁症 (65%).
结论:
- 该途径有效地与高风险个人资料和并发症相关的PWUD进行了接触.
- 在社区环境中进行多维健康评估和减少危害对PWUD至关重要.
- 建议服务专员整合这些评估.
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