药物滥用治疗设施提供的与艾滋病毒相关服务的趋势
Jordyn E Lee1, Kyle Murchison1, Lillian Hassanein1
1Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|May 2, 2024
概括
药物滥用设施显示更多的艾滋病毒检测,但对注射毒品的人 (PWID) 的咨询较少. 政府设施提供更好的艾滋病毒服务,突出了综合护理和减少伤害的必要性.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 药物滥用 治疗 药物滥用 治疗
背景情况:
- 注射毒品的人 (PWID) 面临艾滋病毒传播的高风险.
- 药物滥用治疗设施是干预的关键点.
- 在PWID中共享针头对艾滋病毒的传播有显著的贡献.
研究的目的:
- 调查美国药物滥用治疗设施中艾滋病毒相关服务的可用性和趋势.
- 评估这些设施内的减少危害策略的实施情况.
- 根据设施所有权,识别服务提供方面的差异.
主要方法:
- 从2013年到2020年进行的全国物质滥用治疗服务调查 (N-SSATS) 的数据分析.
- 检查艾滋病毒检测,咨询,早期干预和药物供应方面的趋势.
- 政府和私人机构之间提供艾滋病毒服务的比较.
主要成果:
- 增加艾滋病毒检测的可用性和针对艾滋病毒感染者的专门计划.
- 早期干预和咨询服务的下降趋势,在2020年略有反弹.
- 与私人设施相比,政府拥有的设施提供了优质的艾滋病毒服务.
结论:
- 迫切需要在药物滥用设施中进行常规的选择性艾滋病毒检测,以确定新病例.
- 早期干预服务对处于风险的PWID人群的重要性.
- 建议采用"寻找,测试,治疗,保留"模式,以提供全面的艾滋病毒治疗和减少传播.
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