美国地方公共卫生在新冠疫情期间基于人群的物质使用预防和应对中作用的中断。
Disruptions to U.S. local public health's role in population-based substance use prevention and response during COVID-19.
机构信息
National Association of County and City Health Officials, Washington, DC, USA.
Mathematica Policy Research, Washington, DC, USA.
出版信息
Subst Abuse Treat Prev Policy. 2022 Nov 7;17(1):73. doi: 10.1186/s13011-022-00499-7.
BACKGROUND
COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services-including substance use prevention-was not reduced.
METHODS
We examined six quantitative data sources, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.
RESULTS
Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision. During the pandemic, 65% of LHDs reduced their level of substance use-related service provision, but the proportion of LHDs providing some level of services remained steady from prior to COVID-19.
CONCLUSION
We discuss policy recommendations to mitigate the risk of service disruptions during future public health emergencies, including direct and flexible funding for LHDs and federal directives declaring substance use prevention services as essential.
背景
COVID-19 极大地限制了地方卫生部门（LHD）的规模和范围，将资源重新用于应对疫情。然而，包括药物使用预防在内的基本公共卫生服务的需求并未减少。
方法
我们研究了六个定量数据源，这些数据是在 2016 年至 2021 年期间收集的，旨在探讨 COVID-19 大流行对 LHD 药物使用相关服务的影响。
结果
在大流行之前，提供某种程度药物使用预防服务的 LHD 比例一直在增加，而且许多 LHD 都在扩大其服务提供范围。在大流行期间，65%的 LHD 减少了药物使用相关服务的提供水平，但在 COVID-19 之前，提供某种程度服务的 LHD 比例保持稳定。
结论
我们讨论了减轻未来公共卫生紧急情况下服务中断风险的政策建议，包括直接和灵活的 LHD 资金以及将药物使用预防服务宣布为基本服务的联邦指令。
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