减少注射风险行为与注射器服务计划中的同位C型肝炎治疗:可访问的护理模式
Claire So Jeong Lee1, Pedro Mateu-Gelabert2, Yesenia Aponte Melendez2
1University of Toronto, Department of Medicine, Toronto, Canada.
PloS one
|August 29, 2024
概括
可访问的型肝炎护理显著减少了注射毒品使用频率在注射毒品的人. 这种可访问的护理模式对于消除C型肝炎的努力至关重要.
科学领域:
- 肝病学和传染病的研究
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 在北美,C型肝炎病毒 (HCV) 主要通过注射药物使用传播.
- 为注射毒品的人 (PWID) 提供可访问的护理对于HCV消除策略至关重要.
研究的目的:
- 为了比较注射药物使用频率和高风险行为中的变化.
- 评估可访问的HCV护理和通常的HCV护理模型之间的结果.
主要方法:
- 随机对照试验比较可访问的,低门护理与标准推式护理.
- 参与者是HCVRNA阳性PWID,被录取并随访12个月.
- 结果包括注射频率,高风险行为和阿片类药物使用障碍治疗.
主要成果:
- 可访问的护理导致了注射日和事件的统计学上显著减少.
- 在共享注射设备或接受阿片类药物使用障碍治疗方面没有观察到显著差异.
- 165名参与者被录取;82人在可访问的护理中,83人在通常的护理中.
结论:
- 可访问的护理模式显著降低了PWID中注射药物使用频率.
- 这种方法支持消除型肝炎的公共卫生目标.
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