美国注射器服务计划中更安全的吸烟用品的实施决定因素
William H Eger1,2, Angel K Gomez3, Kirstin Kielhold4,5
1School of Social Work, San Diego State University, San Diego, CA, USA.
Implementation science communications
|March 26, 2025
概括
在美国注射器服务计划 (SSP) 中实施更安全的吸烟供应尚未得到充分研究. 组织支持和参与者需求促进了这一点,而资金和区域政策可能会阻碍这一点,需要灵活的方法来实现更广泛的采用.
科学领域:
- 公共卫生 公共卫生
- 药物使用预防 药物使用预防
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国越来越多的人吸食未经监管的药物,这就需要采取降低危害的策略.
- 更安全的吸烟用品可以减轻健康风险,并改善与注射器服务计划 (SSP) 的参与.
- 在SSP中实施更安全的吸烟用品仍然是一个研究不足的领域.
研究的目的:
- 评估目前在美国SSP实施更安全的吸烟供应的情况.
- 通过使用EPIS框架,在SSP内确定实施更安全的吸烟供应的促进者和障碍.
- 了解与SSP采用更安全的吸烟用品相关的因素.
主要方法:
- 对2023年11月至2024年1月的美国SSP代表进行调查.
- 使用探索,准备,实施和维持 (EPIS) 框架对更安全的吸烟供应实施的评估.
- 描述性统计和Poisson回归分析实施决定因素和相关因素.
主要成果:
- 大多数被调查的SSP (67%) 已经提供了更安全的吸烟用品,参与者要求是主要的驱动因素 (84%).
- 组织优先级和领导支持显著促进了实施.
- 区域位置 (东北/西部),作为CBO,基金会资金,并提供其他更安全的使用供应与实施相关;联邦资金和社区/领导层反对与较低的实施相关.
结论:
- 组织优先级和领导支持等内部背景因素是实施更安全的吸烟供应的关键促进因素.
- 包括资金流和区域政策在内的外部背景因素可能会对实施构成障碍.
- 灵活的政策,资金和证据传播对于扩大美国SSP的更安全的吸烟供应服务至关重要.
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