在美国注射器服务计划中整合更安全的吸烟设备:项目工作人员的定性见解
William H Eger1, Shelby L Huffaker2, Elana Forman3
1School of Social Work, San Diego State University, San Diego, CA, USA; School of Medicine, University of California San Diego, La Jolla, CA, USA.
注射器服务计划 (SSP) 正在分发更安全的吸烟设备,以吸引客户并减少吸毒造成的伤害. 灵活的资金和有利的环境对于扩大这种减少危害的干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 减少伤害 减少伤害
- 实施科学 实施科学
背景情况:
- 人口层面的转变,从注射到吸烟不受管制的药物,需要适应减少危害的策略.
- 注射器服务计划 (SSP) 正在越来越多地纳入更安全的吸烟设备分销.
研究的目的:
- 探索美国SSP分发更安全的吸烟设备的经验.
- 确定实施和维持这项干预的挑战和促进者.
主要方法:
- 与来自27个不同地理位置的SSP的41名代表进行了定性访谈.
- 以"实施研究综合框架"为指导的专题分析.
主要成果:
- 更安全的吸烟设备的采用是由芬太尼伪造和COVID-19大流行驱动的.
- 项目报告说,改善了客户参与度,扩大了覆盖范围,并减少了与药物使用相关的危害.
- 障碍包括对证据,耻辱感,资金限制和成本的担忧;战略涉及试点和多样化的伙伴关系.
结论:
- 分发更安全的吸烟设备是减少危害的关键进化,参与服务不足的社区.
- 灵活的资金和有利的实施环境对于这种服务的可持续性和更广泛的采用至关重要.
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