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Updated: Jan 23, 2026

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与加利福尼亚州旧金山注射器服务计划使用相关的社会人口,行为和地理空间因素
Esther O Chung1, Bradley Ray1, Jamie L Humphrey1
1RTI International, 3040 East Cornwallis Road, Research Triangle Park, NC 27709-2194, United States.
Drug and alcohol dependence
|January 21, 2026
概括
靠近注射器服务计划 (SSP) 的地理位置影响了他们的使用,特别是对于黑人和那些只吸毒的人来说. 改善供应的获取和分配对于公平的减少危害至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 减少伤害 减少伤害
背景情况:
- 注射器服务计划 (SSP) 对于预防使用毒品的人群中传染病和过量服用至关重要.
- 努力扩大对SSP的普遍访问,需要了解影响其利用的因素.
- 地理接近是访问SSP的一个关键因素,但尚未得到充分研究.
研究的目的:
- 为了调查与注射器服务计划 (SSP) 在吸毒者中使用的相关因素.
- 专门研究地理位置 (步行时间) 与SSP在程序利用中的作用.
- 评估近距离和SSP使用之间的关系是否受到种族-种族的改变.
主要方法:
- 采用加利福尼亚州旧金山713名吸毒者的数据进行的横截面研究.
- 靠近SSP的距离,根据从参与者报告的睡眠地点走路的时间计算.
- 用于分析与SSP使用和相互作用效应相关的因素的多变量负二项式回归模型.
主要成果:
- 近80%的参与者报告说在过去三个月中使用了SSP.
- 与SSP使用负面相关的因素包括年龄较大,某些种族-种族,吸烟作为主要使用方式,以及更长的步行时间到SSP.
- 超过20分钟的步行时间的参与者使用SSP显著降低 (aRR=0.54). 与非黑人参与者 (aRR=0.72) 相比,黑人参与者 (aRR=0.38) 的近距离使用相关性更强.
结论:
- 距离注射器服务计划 (SSP) 的地理距离构成了进入的重大障碍,不成比例地影响了黑人.
- 单独吸毒的人和生活在SSP更远的地方的人表现出较低的项目参与度.
- 建议包括在服务不足的地区扩大SSP地点,并将更安全的吸烟用品整合到分销中.
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