在纽约州北部的注射吸毒者中，监督注射设施的可接受性。

Acceptability of supervised injection facilities among persons who inject drugs in upstate New York.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, 1 University Place, Rensselaer, NY, 12144, USA.

Department of Health Policy, Management, and Behavior, School of Public Health, University at Albany, 1 University Place, Rensselaer, NY, 12144, USA.

出版信息

Harm Reduct J. 2022 Jul 30;19(1):87. doi: 10.1186/s12954-022-00665-x.

DOI:10.1186/s12954-022-00665-x

PMID:35907854

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9338679/

Abstract

BACKGROUND

Supervised injection facilities (SIFs) provide spaces where persons who inject drugs (PWID) can inject under medical supervision and access harm reduction services. Though SIFs are not currently sanctioned in most of the US, such facilities are being considered for approval in several Upstate New York communities. No data exist from PWID in Upstate New York, and little from outside major US urban centers, on willingness to use SIFs and associated factors.

METHODS

This analysis included 285 PWID (mean age = 38.7; 57.7% male; 72.3% non-Hispanic white) recruited for a study on hepatitis C prevalence among PWID in Upstate New York, where participants were recruited from syringe exchange programs (n = 80) and able to refer other PWID from their injection networks (n = 223). Participants completed an electronic questionnaire that included a brief description of SIFs and assessed willingness to use SIFs. We compared sociodemographic characteristics, drug use/harm reduction history, healthcare experience, and stigma between participants who were willing vs. unwilling to use such programs.

RESULTS

Overall, 67.4% were willing to use SIFs, 18.3% unwilling, and 14.4% unsure. Among those reporting being willing or unwilling, we found higher willingness among those who were currently homeless (91.8% vs. 74.6%; p = 0.004), who had interacted with police in the past 12 months (85.7% vs. 74.5%; p = 0.04), and who were refused service within a healthcare setting (100% vs. 77.1%; p = 0.03).

CONCLUSION

Our results support SIF acceptability in several Upstate New York PWID communities, particularly among those reporting feelings of marginalization. A large proportion reported being unsure about usage of SIFs, suggesting room for educating PWID on the potential benefits of this service. Our results support SIF acceptability in Upstate New York and may inform programming for underserved PWID, should SIFs become available.

摘要

背景

监督注射设施（SIFs）为注射毒品者（PWID）提供了在医疗监督下注射和获得减少伤害服务的场所。尽管 SIFs 目前在美国大多数地区尚未获得批准，但在纽约州北部的几个社区正在考虑批准此类设施。在纽约州北部的 PWID 中，没有关于他们对 SIFs 的使用意愿和相关因素的数据，在美国主要城市中心以外地区也很少有此类数据。

方法

这项分析包括 285 名 PWID（平均年龄=38.7；57.7%为男性；72.3%为非西班牙裔白人），他们参加了一项关于纽约州北部 PWID 丙型肝炎患病率的研究。研究人员从注射器交换计划（n=80）招募参与者，并能够从他们的注射网络中招募其他 PWID（n=223）。参与者完成了一份电子问卷，其中包括对 SIFs 的简要描述，并评估了使用 SIFs 的意愿。我们比较了愿意与不愿意使用此类计划的参与者在社会人口统计学特征、药物使用/减少伤害史、医疗保健经验和耻辱感方面的差异。

结果

总体而言，67.4%的人愿意使用 SIFs，18.3%的人不愿意，14.4%的人不确定。在报告愿意或不愿意的参与者中，我们发现目前无家可归的人（91.8%比 74.6%；p=0.004）、过去 12 个月与警察互动过的人（85.7%比 74.5%；p=0.04）和在医疗保健环境中被拒绝服务的人（100%比 77.1%；p=0.03）更愿意使用 SIFs。

结论

我们的研究结果支持纽约州北部几个 PWID 社区对 SIFs 的可接受性，特别是在那些报告感到边缘化的人群中。很大一部分人表示不确定是否使用 SIFs，这表明有必要向 PWID 宣传这种服务的潜在好处。我们的研究结果支持纽约州北部对 SIFs 的可接受性，如果 SIFs 可用，可能会为服务不足的 PWID 提供方案。