在注射毒品的人中,使用监督消费服务的频率和急性护理的使用率
Ayden I Scheim1, Zachary Bouck2, Zoë R Greenwald2
1Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA; Centre on Drug Policy Evaluation, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Drug and alcohol dependence
|November 15, 2024
概括
监督消费服务 (SCS) 对注射吸毒者急性护理使用的影响很小. 然而,较高的SCS使用与与阿片类药物相关的过量服用急诊次数的增加有关.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 监督消费服务 (SCS) 可能会减少注射毒品的人的急性护理使用率.
- 之前的研究依赖于自我报告的数据和简化暴露措施.
- 需要客观数据和细微的暴露水平来评估SCS的影响.
研究的目的:
- 为了前性地评估不同程度的SCS使用和急性护理利用之间的联系.
- 分析急诊室的访问,住院和特定的感染/过量服用相关事件.
- 利用链接的卫生行政和自我报告数据进行可靠的分析.
主要方法:
- 在加拿大多伦多进行的前性队列研究 (2018-2020年),共有467名参与者.
- 分类SCS使用频率 (所有/大多数,一些,少数,没有) 基于自我报告的注射比例.
- 使用逆概率加权负二项式回归来估计对结果的影响.
主要成果:
- SCS使用频率与整体ED访问,住院治疗或注射相关感染没有显著的关联.
- 在"一些"的SCS使用组中,与"少数"组相比,观察到与阿片类药物相关的过量服用的ED访问或住院住院率更高 (RR=2.30).
结论:
- 监督消费服务对客观测量的急性护理利用率的影响有限.
- 虽然SCS主要旨在预防过量死亡,但加强对急性医疗保健需求的资源配置可以改善护理连续性.
- 在SCS中整合急性医疗保健支持可能会使注射毒品的边缘化人口受益.
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