Universidade Nova de Lisboa Faculdade de Ciencias Sociais e Humanas, Lisbon, Portugal.
GAT - Grupo de Ativistas em Tratamentos, Lisbon, Portugal.
Harm Reduct J. 2019 Aug 9;16(1):49. doi: 10.1186/s12954-019-0319-1.
Ahead of opening Portugal's first mobile drug consumption room (MDCR) in Lisbon, information from People Who Use Drugs (PWUD) and local community members was necessary to determine current needs and shape the intervention. A participatory and peer-led process was ensured at all stages of data gathering and planning of the intervention.
Prospective clients were surveyed to determine their willingness to use the service and preferences for use and to gain sociodemographic information. Persons over the age of 18 who reported injection drug use (PWID) were recruited using convenience sampling in the main open drug use scenes in Lisbon. In-person interviews were conducted by trained peer workers between November and December of 2017. The results (n = 72) of the questionnaires were analyzed, providing descriptive statistics.
There is a high level of willingness to use the MDCR, primarily for reasons of hygiene, privacy, and security. Most participants expressed a desire to use the MDCR daily. Potential clients are socially marginalized, and many suffer from unstable housing. Most are daily users and engage in unsafe injecting practices, such as public injecting and material sharing. High levels of hepatitis C, HIV, and hepatitis B were observed among the target population with low levels of healthcare access and utilization. Preferences were gauged regarding the scheduling of the MDCR's hours and amount of time willing to travel to reach the MDCR and will be taken into account for implementation. The combination of high levels of willingness to utilize the service and high levels of need among the target population support the implementation of Lisbon's first MDCR.
Continual participation of PWUD and other community members will be necessary to maximize the public health and social impacts of this intervention, relative to this baseline. The plan to continue the participatory and peer-led development of the MDCR includes integrating peer workers, clients, and local community members within the operation, management, and evaluation of the service. This research adds to a growing literature about drug consumption rooms (DCRs) in Europe, which is especially limited concerning MDCRs.
在葡萄牙里斯本开设首个移动吸毒室 (MDCR) 之前，需要了解吸毒者和当地社区成员的信息，以确定当前的需求并为干预措施提供依据。在数据收集和干预措施规划的各个阶段，都确保了参与式和同行主导的过程。
通过问卷调查确定潜在客户使用该服务的意愿、使用偏好，并获取社会人口学信息。研究人员于 2017 年 11 月至 12 月在里斯本主要的公开吸毒场所，使用便利抽样法招募年龄在 18 岁以上、报告使用注射毒品的人员。由经过培训的同行工作人员对参与者进行面对面访谈。对问卷结果（n=72）进行分析，提供描述性统计数据。
客户对 MDCR 的使用意愿较高，主要是出于卫生、隐私和安全方面的考虑。大多数参与者表示希望每天使用 MDCR。潜在客户处于社会边缘地位，许多人住房不稳定。大多数参与者是每日使用者，且存在不安全的注射行为，如在公共场所注射和共用注射用具。目标人群中丙型肝炎、艾滋病和乙型肝炎的感染率较高，而他们获得医疗保健的机会和利用率较低。研究人员还评估了 MDCR 开放时间安排和愿意旅行时间长短等偏好，这些因素将在实施时予以考虑。高意愿使用服务和目标人群的高需求水平支持了在里斯本开设首个 MDCR。
为了使该干预措施在公共卫生和社会方面产生最大影响，需要持续让吸毒者和其他社区成员参与进来。继续开展 MDCR 的参与式和同行主导的开发计划包括将同伴工作人员、客户和当地社区成员纳入服务的运营、管理和评估中。这项研究增加了有关欧洲吸毒室 (DCR) 的文献，尤其是关于 MDCR 的文献。
