Service de médecine addictologique, Hôpital René Muret, APHP, Sevran, France.
Département de Psychiatrie et de Médecine Addictologique, Hôpital Fernand Widal, APHP, Paris, France.
Harm Reduct J. 2018 Oct 25;15(1):53. doi: 10.1186/s12954-018-0260-8.
On the brink of the opening of the first French drug consumption room in Paris, the general opinion of the local involved health care professionals and drug users was not known. The objective of this study was to determine their expectations and to search for influencing factors.
We carried out a quantitative cross-sectional study. A multiple choice questionnaire was proposed to the surrounding willing general practitioners (GPs) and pharmacists, to the emergency doctors of Lariboisière hospital, and to the professionals of the harm reduction facilities and their drug users (PWUD). For each question, there was a choice between seven answers, from "- 3" (very negative impact) to "+ 3" (very positive impact). The influence of the characteristics of each group on its mean answers was explored by Mann-Whitney, Kruskal-Wallis, and Spearman's tests.
The median expectations among the groups of responding GPs (N = 62), other health care professionals (N = 82), and PWUD (N = 57) were mainly positive. They thought that the drug consumption room (DCR) would improve the health of PWUD, reduce their at-risk behaviors, would not increase drug use or drug dealing in the neighborhood, and would reduce nuisance in the public space. Only the group of GPs expressed that the DCR could decrease the quietness of the neighborhood, and only the group of PWUD had higher expectations that the DCR would decrease the number of arrests and the number of violent behavior. GPs' expectations were significantly better in terms of health improvement of PWUD and reducing their precariousness if they had a previous experience in addiction medicine (Mann-Whitney, p = 0.004 and p = 0.019), with a longer practice (Spearman's rho, p = 0.021 and p = 0.009), and if they were currently prescribing opioid substitution treatments (Mann-Whitney, p = 0.030 and p = 0.002). Among non-GPs, those who were working in addiction medicine centers had significantly better expectations than pharmacists, and the professionals of the local emergency department had intermediate expectations.
Health care professionals and drug users had a positive opinion of the to-be-created Parisian drug consumption room. Experience in addiction medicine influenced positively health professionals' expectations.
在巴黎首家法国毒品吸食室即将开业之际，当地相关医护人员和吸毒者的普遍意见尚不得而知。本研究旨在确定他们的期望，并寻找影响因素。
我们进行了一项定量的横断面研究。向周边愿意参与的全科医生（GP）和药剂师、拉利博里泽医院的急诊医生以及减少伤害设施的专业人员及其吸毒者（PWUD）提供了一份多项选择的问卷。对于每个问题，有七个答案可供选择，从“-3”（负面影响非常大）到“+3”（正面影响非常大）。通过曼-惠特尼、克鲁斯卡尔-沃利斯和斯皮尔曼检验，探讨了每个群体的特征对其平均答案的影响。
参与调查的全科医生（N=62）、其他医护人员（N=82）和 PWUD（N=57）群体的中位数期望主要是积极的。他们认为，毒品吸食室（DCR）将改善吸毒者的健康状况，减少他们的高危行为，不会增加邻里的吸毒或贩毒行为，也不会减少公共空间的滋扰。只有全科医生群体表示，DCR 可能会降低邻里的安静程度，只有 PWUD 群体期望 DCR 会减少逮捕人数和暴力行为的发生。如果 GP 有药物成瘾治疗方面的经验（曼-惠特尼检验，p=0.004 和 p=0.019），或者执业时间更长（斯皮尔曼等级相关检验，p=0.021 和 p=0.009），并且目前在开具阿片类药物替代治疗药物，那么他们对改善吸毒者健康和减少其不稳定状况的期望明显更高。对于非 GP 群体，那些在药物成瘾治疗中心工作的人比药剂师的期望要好，而当地急诊部门的专业人员则处于中间水平。
医护人员和吸毒者对即将在巴黎开设的毒品吸食室持积极看法。药物成瘾治疗方面的经验对健康专业人员的期望产生了积极影响。
