在公共空间内注射与注射相关的危害:全球系统审查和元分析
Mehrdad Khezri1, Sarah Kimball2, Courtney McKnight3
1Department of Epidemiology, New York University School of Global Public Health, New York, NY, United States; HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
The International journal on drug policy
|April 28, 2025
概括
近一半注射毒品的人 (PWID) 在公共场合注射,面临过量服用,HCV感染和无家可归的更高风险. 增加获得安全注射空间和住房干预措施的机会对于减少危害至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物成科学 药物成科学
背景情况:
- 对注射药物使用者 (PWID) 的减伤工作面临严格审查.
- 了解PWID的风险环境至关重要.
- 缺乏对公共注射及其健康结果的定量审查.
研究的目的:
- 系统地审查有关公共注射的普遍性全球证据.
- 总结PWID中相关的健康和与毒品有关的危害.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO等) 中进行系统搜索. 在2024年3月之前.
- 随机效应元分析以量化公共注射和结果之间的关联.
- 公共注射的定义包括街道,公园和废弃的建筑.
主要成果:
- 包括84项研究,最近公众注射的综合流行率为48.85%.
- 公共注射与非致命的过量服用,HCV感染,共用针头,性工作,监禁和无家可归的可能性显著增加.
- 在那些在公共场合注射的人中,观察到使用监督注射设施的意愿更高.
结论:
- 在PWID中,公共注射是常见的,并且与不良的健康和与药物相关的结果有关.
- 需要采取干预措施,例如安全注射空间,扩大纳洛计划和过量预防中心.
- 住房干预措施可以有效地减少公共注射和相关危害.
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