监督消费地点和人口水平过量死亡率:最近证据的系统审查,2016-2024年
Geneviève Gariépy1,2, Rebecca K M Prowse1, Rebecca Plouffe1
1Public Health Agency of Canada, Ottawa, Ontario, Canada.
概括
监督消费场所 (SCSs) 显示出对人口水平过量死亡的不一致影响. 虽然没有显著影响全省死亡率,但一些城市地区看到了好处,尽管调查结果各不相同. 需要进一步的研究.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 北美过量药物危机是一个主要的公共卫生问题.
- 监督消费场所 (SCS) 减少了现场过量死亡,并将个人与卫生服务联系起来.
- SCSs对人口水平过量死亡率的影响需要进一步调查.
研究的目的:
- 检查监督消费地点 (SCS) 与人口水平过量死亡率之间的关联.
- 综合2016年后过量危机期间进行的研究的证据.
主要方法:
- 在Embase,全球健康和MEDLINE数据库的系统文献搜索 (2016年1月至2024年11月).
- 由两个审稿人进行独立选,数据提取和质量评估.
- 包括六项加拿大研究 (四项准实验,两项观察).
主要成果:
- 全省范围的分析通常没有发现SCS存在和过量死亡率之间的显著关联.
- 在较小的城市地区进行的一些分析表明SCS的保护作用,但发现不一致.
- 观察性研究表明,死亡率可能会降低,尽管有方法上的限制.
结论:
- 监督消费场所 (SCSs) 没有显示出一个一致的显著关联与减少人口水平的过量死亡率在大型地理区域.
- 有证据表明,在较小的城市环境中,潜在的局部效益可能存在,但结果不一致.
- 未来的研究应该探索地理范围,实施因素和服务覆盖范围如何影响SCS对过量死亡率的有效性.
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