稳定性或多功能性:芬太尼在服用途径上的转变
Jeff Ondocsin1, Sarah G Mars2, Nicole Holm2
1Family & Community Medicine Department of Medicine, University of California, San Francisco, San Francisco, USA. jeffrey.ondocsin@ucsf.edu.
Harm reduction journal
|December 27, 2025
概括
管理途径的转变,特别是芬太尼的吸烟超过注射的增加,越来越常见. 动机包括安全性,方便性和药物可用性,尽管有些人为了特定的效果或组合而返回注射.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 药物使用研究研究 药物使用研究
背景情况:
- 在药物使用中,服用途径 (ROA) 的转变,特别是从注射阿片类药物到非注射方法的转变,在历史上很少见,但在美国越来越多.
- 这些转变受到社交网络和药物市场动态的影响.
- 最近的国家和地方数据显示ROA过渡的增加.
研究的目的:
- 在使用阿片类药物的人群中调查ROA过渡的模式.
- 了解这些转型背后的个人和市场动机.
- 探索与不同ROA相关的感知效应和健康益处.
主要方法:
- 2022年在旧金山使用32个半结构面试进行的定性研究.
- 采用快速评估民族学和观察来三角化发现.
- 专注于阿片类药物使用者及其物质使用管理模式和动机.
主要成果:
- 由于海洛因的可用性下降,芬太尼吸烟量增加,许多人从注射过渡到注射.
- 转型的动机包括对静脉接入,过量风险和市场可用性的担忧.
- 多模式使用 (吸烟和注射) 提供了灵活性;吸烟是为了方便和社会原因而首选的,而注射是为了快速效果和多种物质的使用而选择的.
结论:
- 芬太尼烟草的广泛采用使ROA过渡变得充满活力,其对健康的影响不确定.
- 在这些变化中,减少伤害组织在支持个人的健康和经验方面发挥着至关重要的作用.
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