佛罗里达州迈阿密-戴德县的注射器服务计划参与者通过公共交通工具获得甲治疗
Marina Plesons1, Eileen Malecki1, Katrina Ciraldo1
1University of Miami Miller School of Medicine: University of Miami School of Medicine.
Research square
|September 11, 2024
概括
在迈阿密-戴德县,公共交通工具对阿片类药物使用障碍 (OUD) 患者的治疗方法严重受限. 大多数注射器服务计划 (SSP) 的参与者居住在被归类为甲治疗沙漠的地区,超过30分钟的公共交通门.
科学领域:
- 公共卫生 公共卫生
- 运输 地理 交通 地理
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的公共卫生危机,需要可获得的治疗.
- 甲是一种阿片类受体激动剂,是OUD治疗的基石药物.
- 地理障碍,特别是公共交通对阿片类药物治疗计划 (OTP) 的限制,阻碍了公平的护理,创造了"甲治疗沙漠".
研究的目的:
- 评估佛罗里达州迈阿密-戴德县的注射器服务计划 (SSP) 参与者在公共交通中获得甲治疗的可达性.
- 根据30分钟公共交通门,确定参与者居住在被归类为"甲治疗沙漠"的地区的程度.
主要方法:
- 使用R库r5r进行多式联运公共交通路由分析.
- 综合通用运输料规范 (GTFS) 数据与迈阿密-戴德县的OpenStreetMap街道网络数据.
- 从人口加权邮政编码中心 (n=79) 与SSP参与者 (n=1597) 到最近的OTP (n=4) 计算的单向运输时间跨越多个出发窗口.
主要成果:
- 到最近的OTP的平均单向公共交通时间为80分钟.
- 95% (79个中75个) 的邮政编码与SSP参与者超过了30分钟的门,将它们归类为甲治疗沙漠.
- 过境时间根据每个邮政编码的SSP参与者数量而有很大差异,但不是根据出发时间.
结论:
- 地理隔离和公共交通运输对OTPs的不良接入,为迈阿密-戴德县OUD患者的甲治疗带来了巨大的障碍.
- 调查结果强调,迫切需要改善公共交通基础设施和战略性OTP配置,以确保公平获得OUD治疗.
- 解决过境障碍对于减少OUD护理差异和改善治疗结果至关重要.
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