对使用阿片类药物的AYA进行伤害减少干预:范围审查
Elizabeth Noyes1, Elizabeth Hausman2, Ellis J Yeo3
1Department of Otolaryngology-Head and Neck Surgery, Mass Eye and Ear, Boston, MA, United States.
Drug and alcohol dependence
|May 8, 2025
概括
青少年和年轻人 (AYA) 需要量身定制的减伤计划. 专注于隐私,方便和社区参与的以年轻为中心的方法对AYA物质使用有效.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 药物使用研究研究 药物使用研究
背景情况:
- 青少年和年轻人 (AYA) 面临着使用物质的重大风险.
- 目前的减少危害计划没有充分满足AYA的需求.
- 缺乏专门为AYA设计的减害干预措施的研究.
研究的目的:
- 为青少年和年轻人确定和综合现有的降低伤害干预措施.
- 了解AYA对减少危害策略的参与和偏好.
- 为制定更有效的,以年轻人为中心的减少伤害计划提供信息.
主要方法:
- 对多个电子文献数据库 (MEDLINE,Embase,PsycINFO,Web of Science) 的范围审查.
- 包括专注于针对AYA的减害干预措施的研究.
- 主题分析和叙述综合了58项研究的发现.
主要成果:
- AYA表现出明显的物质使用模式,并与成年人不同地参与降低危害.
- AYA对减少危害敏感,并非正式地参与其中.
- 对AYA的有效干预措施包括纳洛训练,芬太尼试剂条和安全注射设施.
- AYA更喜欢方便的私人课程,培养与提供者和社区的长期关系.
- 虚拟编程,远程医疗和配送服务对AYA来说是有前途的.
结论:
- 以年轻人为中心的减少伤害计划对AYA至关重要.
- 程序应该优先考虑隐私,安全和方便.
- 需要针对AYA药物使用模式量身定制的多种服务.
- 移动和虚拟服务交付选项很重要.
- 建立和利用社区和网络可以提高计划的有效性.
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