更新关于注射器覆盖率和美国针和注射器计划中的服务采用情况,2019-2020年
Hansel E Tookes1, Tyler S Bartholomew2, Sabrina E Soto Sugar1
1Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
The International journal on drug policy
|December 10, 2023
概括
针和注射器计划 (NSP) 通过分发更多注射器,增加了注射器覆盖范围,用于注射毒品的人 (PWID). 政府的资金和不那么严格的政策推动了该计划的成功,突出了减少危害的持续投资的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 减少伤害 减少伤害
背景情况:
- 在美国,注射药物使用和注射器共享正在增加.
- 针和注射器计划 (NSP) 提供了必要的无菌注射设备.
- 这项研究评估了全国注射器覆盖率和影响NSP服务普及的因素.
研究的目的:
- 估计美国国家注射器供应商提供的全国注射器覆盖率.
- 检查程序属性如何影响服务采用 (每个参与者联系人分发的注射器).
- 确定与增加NSP服务采用率相关的因素.
主要方法:
- 2019-2020年对美国260家NSP进行的横截面调查.
- 全国覆盖率以分配的注射器除以注射毒品的人口估计数 (PWID) 计算.
- 双变量和多变量物流回归分析了组织特征对服务采用的影响.
主要成果:
- 国家注射器覆盖率从每PWID的29.5注射器增加到35.8注射器 (2019-2020年).
- 58%的NSP在2020年报告增加了服务采用率.
- 政府的资金和不那么严格的分销政策与更高的服务采用率有关.
结论:
- 政府对减少危害的投资和基于需求的注射器分发提高了服务的采用率.
- 扩大和维持这些干预措施可以减少与注射药物使用相关的危害.
- 多样化的分发方式,包括外展和以邮件为基础的分发,吸引了更多的参与者.
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