美国监狱中的阿片类药物使用障碍药物的普遍可用性的障碍
Elizabeth Flanagan Balawajder1, Lori Ducharme2, Bruce G Taylor1
1Public Health Department, NORC at the University of Chicago, Chicago, Illinois.
JAMA network open
|April 16, 2025
概括
许多美国监狱可以提供治疗阿片类药物使用障碍 (MOUD) 的药物,但在提供这三种类型的药物方面仍然存在挑战. 需要政策和后勤解决方案,以改善被监禁人员获得基本成治疗的机会.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 犯罪学 犯罪学
背景情况:
- 阿片类药物使用障碍 (OUD) 影响了数以百万计的美国监狱囚犯.
- 治疗阿片类药物使用障碍 (MOUD) 的药物对于解决这一群体中阿片类药物危机至关重要.
研究的目的:
- 为了检查美国监狱中MOUD的可用性.
- 为了确定与MOUD可用性相关的因素.
- 确定在监狱中实施MOUD所需的额外支持.
主要方法:
- 对265个拥有MOUD可用性的美国监狱进行了横截面调查 (2023年2月至7月).
- 关于城市化,医疗补助扩张,过量服用率和社会脆弱性的县级数据与调查答复有关.
- 二元物流回归分析了与MOUD可用性相关的特征.
主要成果:
- 在265所调查的监狱中,有812所监狱 (65.3%) 提供布普伦诺芬,646所监狱 (52.0%) 提供纳尔德和560所监狱 (45.0%) 提供美沙;343所监狱 (27.6%) 提供这三个药物.
- MOUD的可用性与城市化,医疗补助扩张,县内阿片类药物过量率和社会脆弱性有关.
- 常见的实施挑战包括监狱政策,程序和药物可用性.
结论:
- 尽管MOUD可用,但美国监狱在提供这三种药物类型方面面临着挑战.
- 政策,监管,财务,人员和教育干预是必要的.
- 确保监禁OUD的囚犯获得MOUD,这对公共卫生至关重要.
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