农村个人的阿片类药物使用障碍药物获取障碍
Anna M Morenz1, Robin M Nance2, L Sarah Mixson2
1Department of Medicine, University of Arizona, Tucson, AZ, USA.
The International journal on drug policy
|April 19, 2025
概括
农村地区对阿片类药物使用障碍 (MOUD) 药物的获取障碍因治疗类型而异. 运输方面的挑战影响了甲的获取,而注射性布普伦诺啡的获取受到成本和供应商可用性的限制.
科学领域:
- 成 药物 药物 药物 药物
- 农村卫生 农村卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有阿片类药物使用障碍 (OUD) 的农村个人面临着获得阿片类药物使用障碍 (MOUD) 药物的重大障碍.
- 常见的障碍包括定位处方临床医生和运输困难.
- 这项研究调查了农村环境中MOUD访问的自我报告障碍.
研究的目的:
- 描述农村地区MOUD访问的自我报告的障碍.
- 检查所需类型的MOUD与遇到或感知到的障碍之间的关联.
主要方法:
- 一项跨部门研究调查了2018-2020年农村阿片类药物倡议的2906名参与者.
- 参与者有阿片类药物使用史,并寻求MOUD治疗.
- 多变量后勤回归分析了MOUD类型和障碍之间的关联,控制人口和地点变量.
主要成果:
- 超过28% (826/2906) 的参与者无法访问MOUD.
- 对于那些寻求甲的患者来说,运输问题更为普遍,而非语言下布伦诺芬 (aOR 1.87).
- 长时间的等待时间影响了注射性纳尔特雷克松寻求者,而不是语言下布诺啡 (aOR 1.68).
- 缺乏提供者/计划和负担能力是寻求注射布雷诺啡因的更大的障碍 (aOR分别为7.84和1.89).
结论:
- 根据农村OUD患者的特定药物类型,MOUD接入障碍有所不同.
- 甲的获取更频繁地受到运输的阻碍,而注射性布普伦诺啡的获取面临着成本和提供商可用性的挑战.
- 调查结果表明,需要扩大甲接入点,并提高对较新的MOUD选项的负担能力和处方人员参与度.
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