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Healthcare Agencies II01:17

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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种族化环境和注射器服务计划的实施:县级因素.

Ricky N Bluthenthal1, Jamie L Humphrey2, Claire N Strack2

  • 1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Drug and alcohol dependence
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概括

种族化的环境会影响注射器服务计划 (SSP) 的存在,但不会影响它们的分销范围. 解决社区因素是预防物质使用危害和改善获得重要危害减轻服务的关键.

关键词:
不相似度指数 不相似度指数差异化指数是指差异化指数.减少伤害的服务.纳洛的分布 纳洛的分布国家研究研究.过量服用的死亡率健康的政治决定因素.种族隔离的住宅隔离.种族化的环境.在注射器上分配注射器.注射器服务计划 注射器服务计划

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科学领域:

  • 公共卫生 公共卫生
  • 健康 公平 卫生 公平
  • 药物使用研究研究 药物使用研究

背景情况:

  • 与物质使用相关的伤害中的种族健康不平等可能源于对注射器服务计划 (SSP) 的不平等访问.
  • 了解种族化环境与SSP访问之间的联系对于解决这些差异至关重要.

研究的目的:

  • 检查县级种族化环境与SSP的存在之间的关联.
  • 通过SSP调查与人均注射器和纳洛分配相关的因素.
  • 探索种族隔离如何影响SSP的实施和服务范围.

主要方法:

  • 利用了2021年美国国家SSP调查数据,包括2020年SSP存在量和分销量 (注射器,纳洛) 按县.
  • 用黑人:非西班牙裔白人和西班牙裔:非西班牙裔白人比较的分离和不相似指数来衡量种族住宅隔离 (RRS).
  • 采用后勤通用估计方程和零膨胀负二项式回归模型来分析与SSP存在和分布的关联.

主要成果:

  • 美国9%的县有SSP,与较高的RRS,城市/郊区环境,较高的阿片类药物过量死亡率和较低的共和党投票份额有关.
  • 人均注射器分布与较低的RRS相关,少数民族人口的比例较小,以及农村县.
  • 人均纳洛分布与西班牙裔和"其他"人口的比例较低以及农村县有关.

结论:

  • 种族化环境与SSP的存在有关,但不是其运营规模.
  • 有效预防艾滋病毒,HCV和过量服用死亡需要解决社区层面的SSP实施和可访问性的决定因素.
  • 公平获得减少伤害服务需要有针对性的战略,考虑到种族化的环境的影响.