解决切实可行的解决方案,以解决社会障碍,型肝炎在注射毒品的人开始治疗:一个定性研究
Phyo Aung1,2, Margaret Hellard3,4,5, Paul Dietze3,4,6
1Disease Elimination Program, Burnet Institute, 85 Commercial Road, Melbourne, VIC, 3004, Australia. phyo.aung@burnet.edu.au.
Harm reduction journal
|December 20, 2024
概括
稳定的住房,心理准备和支持性的关系激励注射毒品的人寻求C型肝炎病毒 (HCV) 治疗. 可访问的医疗保健和激励措施也改善了对HCV感染的治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 行为科学 行为科学
背景情况:
- 型肝炎病毒 (HCV) 感染不成比例地影响注射毒品的人.
- 确定寻求HCV治疗的动机对这一群体至关重要.
- 了解障碍物和促进者可以提高治疗的吸引力.
研究的目的:
- 确定注射药物使用者 (PWID) 寻求HCV治疗的动机.
- 发现使HCV治疗更吸引PWID的机会.
主要方法:
- 与15名HCVRNA阳性个体进行了半结构面试,这些个体有注射药物使用史.
- 参与者接受了未经治疗的HCV或延迟治疗超过6个月.
- 数据分析采用了主题和框架方法,以能力,机会和动机 (COM-B) 模型为指导.
主要成果:
- 能力:安全的住房,心理准备,克服药物依赖 (由阿片类药物抗体疗法 (OAT) 支持) 是关键的激励因素.
- 机会:可访问的医疗保健 (例如,移动外展) 和财政激励措施提高了治疗的普及率.
- 动机:支持性关系在鼓励治疗参与方面发挥着重要作用.
结论:
- 在酒精/毒品和初级保健服务中以人为中心的方法对于PWID至关重要.
- 认识到行为变化的渐进性质可以培养同情心和支持性关系.
- 将HCV治疗与移动外展相结合,并提供实际支持 (住房,财务激励),可以改善对HCV护理的持续参与.
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