在高风险过量服用者中减少伤害和治疗
Sachini Bandara1, Lauren Byrne2, Vanessa Berman3
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA network open
|August 12, 2024
概括
合成阿片类药物过量死亡人数正在上升,特别是在少数群体中. 这项研究发现,兴奋剂使用者对减轻危害和治疗服务的使用率很低,这突显了需要提高对这些救命干预措施的认识和获取的必要性.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社会学 社会学 社会学
背景情况:
- 涉及合成阿片类药物和兴奋剂的过量死亡人数正在增加,特别是在少数群体中.
- 对于使用毒品的人群中不同人群的伤害减轻和治疗服务的获取仍然不太清楚.
研究的目的:
- 描述减少伤害和治疗服务的获取和障碍.
- 在一个种族和种族多样化的吸毒者群体中检查这些服务.
主要方法:
- 在过去30天内对1240名使用可卡因,甲基胺或阿片类药物的成年人进行了横截面电话调查.
- 参与者来自威斯康星州,密歇根州和新泽西州的社会服务,减少伤害和治疗组织.
- 收集的数据包括药物使用模式,过量服用史,社会风险因素,减少伤害服务的使用以及获取障碍.
主要成果:
- 在多重物质使用者中,66.6%使用多种类型的药物,28.1%在前一年中过量服用.
- 前一年过量服用的人更有可能拥有纳洛,芬太尼试验条,并使用减少危害的服务.
- 与仅使用阿片类药物和多重物质的用户相比,仅使用兴奋剂的用户显示纳洛和芬太尼试验条的占有率明显较低.
结论:
- 调查结果表明,主要使用兴奋剂的个人对减少伤害和治疗服务的利用率较低.
- 在兴奋剂使用者中观察到对纳洛和芬太尼尔测试条等降低危害工具的获取差异.
- 建议加强关于降低危害和治疗服务的重要性的沟通,以改善吸收,特别是考虑到不断变化的药物供应.
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