佛罗里达州迈阿密-戴德县的注射器服务计划参与者通过公共交通工具获得甲治疗
Marina Plesons1, Eileen Malecki2, Katrina Ciraldo3
1Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St, Miami, FL 33136, United States of America; University of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL 33136, United States of America.
Journal of substance use and addiction treatment
|July 9, 2025
概括
迈阿密-戴德县大多数寻求阿片类药物使用障碍 (OUD) 通过甲治疗的人面临很长的公共交通时间,造成长时间的公共交通时间.
科学领域:
- 公共卫生 公共卫生
- 运输科学 运输科学
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重大的公共卫生危机.
- 甲治疗是OUD的一个关键干预措施.
- 地理障碍,特别是阿片类药物治疗计划 (OTP),阻碍了获得护理的机会.
研究的目的:
- 评估迈阿密-戴德县的注射器服务计划 (SSP) 参与者在公共交通中获得甲治疗的可达性.
- 根据公共交通时间确定"甲治疗沙漠"的范围.
主要方法:
- 使用r5r R包为多式联运公共交通路线.
- 综合通用运输料规范 (GTFS) 数据与OpenStreetMap街道网络数据.
- 从邮政编码中心 (n=73) 与SSP参与者 (n=1549) 到最近的OTP (n=4) 在24个出发窗口中计算过境时间.
主要成果:
- 到最近的OTP的平均单向公共交通时间为79分钟.
- 超过95%的SSP参与者居住在过境时间超过甲治疗30分钟门的地区.
- 95%的邮政编码与SSP参与者被归类为甲治疗沙漠.
结论:
- 对于迈阿密-戴德县的SSP参与者来说,公共交通工具对美沙治疗的访问受到严重限制.
- 与公共交通路线相距的显著地理隔离构成了公平对待OUD的重大障碍.
- 解决过境障碍对于改善获得拯救生命的甲治疗至关重要.
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