下一篇: 一个基于互联网的新型邮寄注射器服务计划的描述,理由和评估
Benjamin T Hayes1, Jamie Favaro2, Czarina N Behrends3
1Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
Journal of substance use
|April 5, 2024
概括
基于互联网的减少危害服务有效地接触了注射毒品的人 (PWID),分发了160多万针头. 这种通过邮件交付的模型显示了扩大获取必要的减少危害供应的可能性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 个人注射器服务计划 (SSP) 和药房是许多注射毒品的人 (PWID) 不能访问的.
- 基于互联网的,通过邮件交付的减少危害服务提供了一种潜在的解决方案,以克服访问障碍.
- 针交换技术 (NEXT) 减少伤害作为美国第一个正式的邮件交付SSP被引入.
研究的目的:
- 描述下一个减少伤害计划的增长和参与者特征.
- 评估基于互联网的,通过邮件递送的减少伤害模型的有效性.
主要方法:
- 对2018年2月至2021年8月期间的项目数据进行了描述性统计分析.
- 用STATA统计软件分析了参与者数据和注射器分配数量.
主要成果:
- 在42个月的时间里,1669个独特的参与者参加了NEXT.
- 该计划分发了1,648,162个注射器,分发和新订单的月度增长稳定,特别是在COVID-19后.
- 很大一部分参与者 (61%) 订购了多次,31%订购了五次或更多次.
结论:
- 在线平台和邮件交付模式成功达到高风险的PWID.
- 政策变化和增加资金是必要的,以在全国范围内扩大邮件递送的减少伤害服务.
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