在不断变化的药物使用模式中,纳洛的分布:基于需求的注射器服务计划的见解
William H Eger1, Dafna Paltin2, Jacob D Ross3
1School of Social Work, San Diego State University, San Diego, CA, USA; School of Medicine, University of California San Diego, La Jolla, CA, USA.
Drug and alcohol dependence
|February 20, 2025
概括
与其他减少危害的供应相比,纳洛不太可能单独通过管道分发. 需要有针对性的策略来增加吸食阿片类药物和兴奋剂的人中的纳洛吸收,以减少过量死亡.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 减少伤害 减少伤害
背景情况:
- 全国范围内过量服用死亡人数的增加凸显了需要解决物质使用的问题,包括吸烟阿片类药物和兴奋剂.
- 注射器服务计划 (SSP) 在提供减伤服务方面至关重要.
- 了解服务提供模式是优化过量预防的关键.
研究的目的:
- 评估南加利福尼亚州基于需求的SSP中的纳洛分布.
- 评估分发的危害减轻用品类型与纳洛含量之间的关联.
- 检查供应和过量反应率之间的关系.
主要方法:
- 分析2024年1月至6月的服务交付数据.
- 检查了管道,注射器和纳洛的分布.
- 使用修改Poisson和负二项式回归来分析遭遇和过量反应.
主要成果:
- 在1260次遭遇中,50%只涉及管道,33%涉及管道/注射器,11%仅涉及注射器,7%没有.
- 几乎一半 (44%) 的所有遭遇包括纳洛.
- 与仅用注射器,联合注射器或两者都没有供应相比,仅用管道供应的遭遇不太可能包括纳洛.
结论:
- 分发烟斗的遭遇不太可能包括纳洛.
- 需要采取具体的策略,以增强纳洛的吸收在人口转移到吸烟不受管制的物质.
- 这项研究强调了需要量身定制的降低危害的方法,以打击日益增加的过量死亡.
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