肯塔基州治愈社区研究中提供的过量教育和纳洛分配的公平性

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Douglas R Oyler¹, Hannah K Knudsen², Carrie B Oser³

¹Department of Pharmacy Practice and Science, College of Pharmacy, University of Kentucky, Lexington, KY, USA.

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概括

过量剂量教育和纳洛分发 (OEND) 达到了不同的人群,但公平的获取仍然是一个问题. 需要进一步努力,以确保OEND服务达到所有有风险的个人,特别是成治疗设施.

科学领域:

公共卫生公共卫生
流行病学流行病学
药物使用障碍药物使用障碍

背景情况:

过量服用阿片类药物对各种人口群体的影响不成比例.
目前的过量教育和纳洛分配 (OEND) 策略并不总是得到公平的交付.
治愈社区研究 (HCS) 旨在解决这些差异.

研究的目的:

在HEALing社区研究 (HCS) 中评估过量教育和纳洛分配 (OEND) 交付的公平性.
为了比较OEND接受者与阿片类药物过量死亡者的人口统计数据.
分析不同类型的设施 (刑事司法,行为健康,医疗保健) 的OEND交付情况.

主要方法:

一个集群随机试验 (HCS) 实施了基于证据的实践,包括OEND.
人口统计数据和过量服用史从肯塔基州八个县的26,273名OEND接受者 (2020年1月 - 2022年6月) 中收集.
接受者的特征与阿片类药物过量死亡者的数据进行了比较,并根据设施类型进行分析.

主要成果:

与过量服用死亡者相比,OEND接受者更年轻,男性的可能性更低.
种族/种族人口统计数据在OEND接受者和死者之间是相似的.
在各种设施类型中观察到OEND接受者人口统计学方面的显著差异,与监狱相比,在成治疗设施中的男性和黑人人较少.

结论:

虽然OEND接收者的人口统计数据与已故人的人口统计数据大致一致,但针对性策略对于确保公平获取至关重要.
在不同类型的设施中,OEND采用的差异表明了潜在的偏见和护理障碍.
持续评估是必要的,以优化公平的OEND交付和减少过量死亡.

关键词:

卫生公平性健康公平性纳洛克森 (Naloxone) 是一种可怕的药物.过量服用过量服用过量

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