密苏里州纳洛分布2017-2023年:评估和应用纳洛和度模型的影响
Kyle Vance1, Brandon Park2, Rithvik Kondai1
1Addiction Science Team, University of Missouri-St. Louis, Missouri Institute of Mental Health, St. Louis, MO, USA.
密苏里州超过了纳洛和度目标,分发了40多万套药品,并有助于减少阿片类药物过量死亡. 这突显了过量教育和纳洛分发 (OEND) 倡议的成功.
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:
- 过量服用的死亡人数在全国范围内急剧增加,促使各州实施过量服用教育和纳洛分发 (OEND) 计划.
- 提出了一个模型,通过各种接入点估计纳洛对"纳洛和度"的纳洛需求.
- 国家阿片类药物响应补助要求纳洛和计划,但密苏里州的结果仍未评估.
研究的目的:
- 评估密苏里州OEND倡议的成果与纳洛和度模型的关系.
- 评估密苏里州不同接入点的纳洛分布模式.
- 为了确定纳洛的分布是否与阿片类药物过量死亡率的变化相关.
主要方法:
- 用描述性统计和视觉检查来分析密苏里州2017-2023年纳洛分布数据.
- 纳洛产量与观察到的阿片类药物过量死亡和模型估计的和需求进行了比较.
- 分发是按机构类型分类的,包括社区,药房和提供商设置.
主要成果:
- 密苏里州在2017年至2023年间分发了超过40万个纳洛套件,超过了2021年的年度和值.
- 街头外展/减少伤害服务获得了纳洛的最大份额 (38.9%),其次是治疗提供者 (13.6%).
- 密苏里州的阿片类药物过量死亡率在2022年放缓,并在2023年明显下降.
结论:
- 密苏里州的纳洛分发超出了和目标,并利用了多种社区接入点,同时减少了过量死亡率.
- 该研究强调需要更新的和模型,包括地理,人口和程序的具体情况.
- 鉴于药物供应的不断变化和过量服用的持续风险,加强和全面的战略至关重要.
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