在涉及司法人员中,具有物质使用史或有风险的人类免疫缺陷病毒的人的全面需求
Jae H Choi1, Shruti Patil1, Ralph Brooks2
1University of Texas Southwestern Medical School, Dallas, Texas, USA.
概括
具有药物使用史的司法涉及的个人面临着重大的社会经济需求,往往掩盖了医疗要求. 这凸显了在为这个弱势群体提供基本支持服务方面存在的关键差距.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会流行病学 社会流行病学
背景情况:
- 参与司法工作的个人经常经历复杂的社会经济和医疗挑战.
- 了解这些需求对于有效连接到社区护理至关重要,特别是对于那些面临人类免疫缺陷病毒 (HIV) 风险的人或与之生活的人.
研究的目的:
- 描述德克萨斯州 (TX) 和康涅狄格州 (CT) 有毒物质使用史的司法参与个人的社会经济和医疗需求.
- 在一个更大的试验中,将TX和CT参与者之间的报告需求进行比较,重点是将个人与物质使用和艾滋病毒服务联系起来.
主要方法:
- 在356名司法参与者中进行了全面的基础需求评估.
- 报告需求的频率被量化,并使用千平方分析进行了状态之间的比较.
主要成果:
- 参与者报告说,在两个州的社会经济需求 (住房,交通,食物,就业,经济福利) 大于医疗需求,超过60%的人支持关键的社会经济因素.
- 虽然健康需求很大,但需求因州而异,与CT相比,TX的医疗保险和身份识别需求更高.
- 对纳洛的获取在TX中低于CT,总体而言,物质使用治疗,降低危害和艾滋病毒暴露前预防是优先级较低的.
结论:
- 在这个人口中,社会经济需求似乎优先于医疗需求,这表明受可用资源和社会政治背景影响的等级结构.
- 需要的州特定差异可能反映了当地环境和资源可用性的变化.
- 尽管艾滋病毒和过量服用的风险很高,但据报道,对艾滋病毒和物质使用服务的需求很低,这表明风险和对专业护理的感知需求之间存在潜在的脱节.
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