在西弗吉尼亚州农村地区注射毒品的人中，安全药物使用空间的可接受性。
Acceptability of safe drug consumption spaces among people who inject drugs in rural West Virginia.
机构信息
DC Center for AIDS Research, Department of Psychology, George Washington University, 2125 G St. NW, Washington, DC, 20052, USA.
Department of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
出版信息
Harm Reduct J. 2019 Aug 31;16(1):51. doi: 10.1186/s12954-019-0320-8.
AIM
Safe consumption spaces (SCS) are indoor environments in which people can use drugs with trained personnel on site to provide overdose reversal and risk reduction services. SCS have been shown to reduce fatal overdoses, decrease public syringe disposal, and reduce public drug consumption. Existing SCS research in the USA has explored acceptability for the hypothetical use of SCS, but primarily among urban populations of people who inject drugs (PWID). Given the disproportionate impact of the opioid crisis in rural communities, this research examines hypothetical SCS acceptability among a rural sample of PWID in West Virginia.
METHODS
Data were drawn from a 2018 cross-sectional survey of PWID (n = 373) who reported injection drug use in the previous 6 months and residence in Cabell County, West Virginia. Participants were asked about their hypothetical use of a SCS with responses dichotomized into two groups, likely and unlikely SCS users. Chi-square and t tests were conducted to identify differences between likely and unlikely SCS users across demographic, substance use, and health measures.
RESULTS
Survey participants were 59.5% male, 83.4% non-Hispanic White, and 79.1% reported likely hypothetical SCS use. Hypothetical SCS users were significantly (p < .05) more likely to have recently (past 6 months) injected cocaine (38.3% vs. 25.7%), speedball (41.0% vs. 24.3%), and to report preferring drugs containing fentanyl (32.5% vs. 20.3%). Additionally, likely SCS users were significantly more likely to have recently experienced an overdose (46.8% vs. 32.4%), witnessed an overdose (78.3% vs. 60.8%), and received naloxone (51.2% vs. 37.8%). Likely SCS users were less likely to have borrowed a syringe from a friend (34.6% vs. 48.7%).
CONCLUSIONS
Rural PWID engaging in high-risk behaviors perceive SCS as an acceptable harm reduction strategy. SCS may be a viable option to reduce overdose fatalities in rural communities.
目的
安全吸食空间（SCS）是指在室内环境中，人们可以在现场接受经过培训的人员的帮助来使用毒品，并提供过量逆转和降低风险的服务。SCS 已被证明可以减少致命的过量用药，减少公共注射器的处置，并减少公共药物的使用。美国现有的 SCS 研究探索了在假设情况下使用 SCS 的可接受性，但主要是在城市注射毒品者（PWID）人群中。鉴于阿片类药物危机在农村社区的不成比例影响，这项研究调查了西弗吉尼亚州农村地区 PWID 对假设 SCS 的可接受性。
方法
数据来自 2018 年对在过去 6 个月内报告使用注射毒品且居住在西弗吉尼亚州卡贝尔县的 373 名 PWID 的横断面调查。参与者被问及他们对 SCS 的假设使用情况，回答分为两组，可能使用 SCS 和不太可能使用 SCS。使用卡方检验和 t 检验来确定在人口统计学、药物使用和健康措施方面，可能使用 SCS 和不太可能使用 SCS 的参与者之间的差异。
结果
调查参与者中 59.5%为男性，83.4%为非西班牙裔白人，79.1%报告可能假设使用 SCS。假设使用 SCS 的参与者更有可能在最近（过去 6 个月）使用可卡因（38.3% vs. 25.7%）、“快球”（41.0% vs. 24.3%），并报告更喜欢含有芬太尼的药物（32.5% vs. 20.3%）。此外，可能使用 SCS 的参与者更有可能在最近经历过过量用药（46.8% vs. 32.4%）、目睹过过量用药（78.3% vs. 60.8%）和接受过纳洛酮（51.2% vs. 37.8%）。可能使用 SCS 的参与者不太可能从朋友那里借过注射器（34.6% vs. 48.7%）。
结论
参与高风险行为的农村 PWID 将 SCS 视为一种可接受的减少伤害策略。SCS 可能是减少农村社区过量用药死亡的可行选择。
Zotero 插件