Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, United States; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, United States.
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, United States.
Drug Alcohol Depend. 2020 Jul 1;212:108042. doi: 10.1016/j.drugalcdep.2020.108042. Epub 2020 May 11.
Overdose Prevention Sites (OPS) operate worldwide as spaces where people can consume previously purchased drugs under supervision, and are linked to reductions in HIV/HCV transmission and fatal overdoses. As the United States weighs their merits and legality, research is needed to estimate acceptability and use among populations at high risk for overdose. We examine willingness to use OPS among street-based female sex workers (FSW) with prevalent drug use and associated morbidities.
We describe self-reported willingness, barriers and conditions around use of a hypothetical OPS among 141 FSW engaged in active drug use in Baltimore City, and describe trends using Pearson's χ2 and Fisher's exact tests.
Most women had history of overdose (55 %) and were likely to use OPS (77 %). Willingness was higher among women who: were sexual minorities (97 %;P=0.002),experienced homelessness (82 %;P=0.019), injected drugs (82 %;P=0.013), shared syringes (82 %;P=0.007), experienced sexual violence (92 %;P=0.045) or reported heroin use (83 %;P=0.039) in the past 3 months. Common anticipated barriers included transportation (45 %) and fear of arrest (41 %).
This study highlights a population of uniquely high-risk women who would benefit from an OPS integrated with other services. Conditions and barriers discussed are informative for planning and implementation.
过量预防场所（OPS）在全球范围内运营，作为人们可以在监督下使用先前购买的药物的场所，并与 HIV/HCV 传播和致命过量的减少有关。随着美国权衡其优点和合法性，需要研究来估计在高风险人群中的可接受性和使用情况。我们研究了有吸毒史和相关疾病的街头女性性工作者（FSW）对 OPS 的使用意愿。
我们描述了 141 名在巴尔的摩市积极吸毒的 FSW 对假设的 OPS 使用的自我报告意愿、障碍和条件，并使用 Pearson's χ2 和 Fisher's exact 检验描述趋势。
大多数女性都有过过量用药史（55%），并且可能会使用 OPS（77%）。以下女性的意愿更高：性少数群体（97%；P=0.002）、无家可归（82%；P=0.019）、注射毒品（82%；P=0.013）、共用注射器（82%；P=0.007）、过去 3 个月经历过性暴力（92%；P=0.045）或报告使用过海洛因（83%；P=0.039）。常见的预期障碍包括交通（45%）和害怕被捕（41%）。
这项研究强调了一个独特的高风险女性群体，他们将受益于与其他服务相结合的 OPS。讨论的条件和障碍为规划和实施提供了信息。
