确保在特拉华州居民中获得阿片类药物治疗计划服务,这些人容易受到洪水影响
Jennifer A Horney1, Sarah Elizabeth Scales2, Urkarsh Gangwal3
1Professor, Epidemiology Program, University of Delaware.
Delaware journal of public health
|August 25, 2023
概括
德拉华州的洪水威胁到获得基本阿片类药物使用障碍 (OUD) 治疗的机会. 许多药物辅助治疗方案面临中断,可能导致患者复发和过量服用. 危险规划对于护理的连续性至关重要.
科学领域:
- 环境健康 环境健康
- 公共卫生准备情况 公共卫生准备情况
- 成 药物 药物 药物 药物
背景情况:
- 德拉华州面临风暴和海平面上升造成的洪水风险日益增加,影响关键基础设施.
- 阿片类药物使用障碍 (OUD) 是特拉华州的一个重大公共卫生危机,过量死亡率很高.
- 获得一致的药物辅助治疗 (MAT) 对OUD管理和复发预防至关重要.
研究的目的:
- 量化洪水事件对特拉华州OUD的MAT访问的潜在破坏.
- 评估阿片类药物治疗计划 (OTP) 对各种洪水情景的脆弱性.
主要方法:
- 综合空间洪水风险地图,包含基础设施,运输网络和OTP位置的数据.
- 利用基于网络理论的复杂模拟模型来评估直接和间接的洪水对服务可访问性的影响.
主要成果:
- 在100年的洪水情景中,18个特拉华州OTP中的4个预计将被洪水淹没,其中7个严重破坏.
- 预计干扰将增加,到2035年影响9个OTP,到2050年影响10个OTP.
- 洪水引起的隔离可能会将OTP服务的可达性降低到15平方英里以下.
结论:
- 持续获得MAT对于OUD治疗顺应性和患者结果至关重要.
- 洪水期间OTP的中断可能导致复发,过量服用和死亡.
- 强有力的危险规划是必要的,以确保OUD处理服务在灾后的连续性.
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