在俄罗斯入侵乌克兰期间,注射器服务计划的早期中断
Benjamin M Nikitin1, Daniel J Bromberg1, Iryna Pykalo2
1Yale School of Medicine, New Haven, CT, United States.
Frontiers in public health
|December 11, 2023
概括
俄罗斯入侵乌克兰扰乱了注射器服务计划 (SSP),增加了对无菌注射器具 (SIP) 的需求,同时减少了供应. 这威胁到注射毒品 (PWID) 的人的艾滋病毒预防.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学科学 社会医学科学
背景情况:
- 乌克兰面临着严重的艾滋病毒流行,主要是注射毒品的人群 (PWID).
- 获得无菌注射器具 (SIP) 对于预防艾滋病毒/艾滋病在PWID中至关重要.
- 俄罗斯的入侵对注射器服务计划 (SSP) 的运作构成重大威胁,可能导致艾滋病毒爆发.
研究的目的:
- 评估俄罗斯侵略对乌克兰注射器服务计划 (SSP) 的影响.
- 了解SSP在提供无菌注射器具 (SIP) 和减少危害服务方面面临的挑战.
- 确定在冲突期间为注射毒品的人 (PWID) 确保艾滋病毒预防服务的连续性战略.
主要方法:
- 在乌克兰三个不同的地区 (俄罗斯控制的,前线,目的地) 进行了10次半结构化采访,与SSP的外联工作人员进行了采访.
- 有目的的抽样确保了不同受冲突影响地区的代表性.
- 质量面试数据与标准化,全国性的减少危害数据库进行了比较.
主要成果:
- 侵略造成了SSP服务的需求增加和供应减少.
- 导致需求增加的因素包括客户从关闭的药房过渡和增加药物使用.
- 供应链中断,宵禁和人员流离失所导致SIP的可用性减少,俄罗斯控制的地区显示持续的服务赤字.
结论:
- SyrEx数据库可以用作降低危害的定位器来指导服务提供.
- 简化在开放的SSP网站上获取信息至关重要,以维持艾滋病毒预防工作.
- 利用技术可以帮助减轻冲突对PWID必不可少的减少伤害服务的影响.
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