通过社区知情的公共卫生自动售货机,扩大农村社区对减少危害的准入
Lori Ann Eldridge1, Christian Dotson2, Lauren Harrell2
1Department of Health and Human Performance, East Carolina University, 300 Curry Court, Mail Stop 529, Greenville, NC, 27858, USA. eldridgel21@ecu.edu.
Harm reduction journal
|January 11, 2026
概括
公共卫生自动售货机 (PHVM) 提供了一个有前途的解决方案,以增加在农村地区获得像纳洛这样的减少危害的供应. 社区的贡献对于定制PHVM以满足当地需求,减少耻辱和改善健康平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 基于社区的研究.
背景情况:
- 农村社区因地理隔离和污名化而面临着减少伤害服务的重大障碍.
- 公共卫生自动售货机 (PHVM) 提供一种低障碍,匿名的方法来分发纳洛和健康用品.
- 有限的研究存在于有效地整合PHVM到农村环境.
研究的目的:
- 探索社区对北卡罗来纳州农村地区纳洛获取障碍和促进者的观点.
- 收集社区对公共卫生自动售货机 (PHVM) 首选设计和实施的意见.
- 为在农村环境中部署PHVM制定以社区为中心的战略提供信息.
主要方法:
- 采用了基于社区的参与式研究 (CBPR) 方法.
- 质量需求评估涉及60个半结构化采访,与六个农村北卡罗来纳州县的物质使用生活经验的个人进行.
- 采访重点是纳洛的获取,耻辱感,首选的PHVM特征和所需的供应;数据使用主题编码进行分析.
主要成果:
- 参与者确定了社区层面的挑战和影响纳洛可访问性的资产,包括来源,重要性和障碍.
- 社区成员表示,他们更喜欢24小时7天7天的访问,私人PHVM地点,并扩大了减少危害的供应.
- 调查结果强调需要社区知情策略来加强公平获得纳洛和相关服务的必要性.
结论:
- 人们认为PHVM是一种可接受的,受社区支持的战略,用于改善农村地区减少危害的准入.
- 社区对PHVM实施的准备是由社会和背景因素所塑造的,强调需要量身定制的战略.
- 参与具有实践经验的个人对于文化一致的实施至关重要;针对农村的特定工具包可以减少过量死亡和促进健康公平.
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