Division of Overdose Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Association of State and Territorial Health Officials, Arlington, VA, USA.
Public Health Rep. 2024 Jul-Aug;139(1_suppl):99S-105S. doi: 10.1177/00333549241239905. Epub 2024 Mar 22.
State, local, and federal agencies have expanded efforts to address the root causes of overdoses, including health inequity and related social determinants of health. As an Overdose Data to Action (OD2A) technical assistance provider, the Association of State and Territorial Health Officials (ASTHO) conducted the first national needs assessment to understand capacity and technical assistance needs of OD2A jurisdictions in advancing health equity.
ASTHO designed and disseminated the OD2A Recipient Health Equity Needs Assessment (RHENA) to 66 OD2A-funded jurisdictions from February to March 2022. OD2A principal investigators and staff were contacted via email and asked to complete the needs assessment within 6 weeks. One coder manually coded open-ended responses, conducted a thematic analysis on the qualitative data, and performed a simple frequency analysis on the quantitative data.
Fifty-two jurisdictions (78.8%) responded, including 36 states, 12 cities/counties, and 2 territories. Most jurisdictions (n = 46; 88.5%) reported having a formal or informal health equity lead in place. Common barriers included a lack of access to data sources (n = 37; 71.2%), lack of partnerships (n = 20; 38.5%), and lack of funding (n = 14; 26.9%). Respondents reported needing more information sharing among jurisdictions and partner organizations, coaching on best practices, and routine discussions such as peer-to-peer learning sessions.
Findings suggest that gaps remain in programmatic policies and principles to address inequities in overdose prevention. Results are being used to identify additional technical assistance opportunities, jurisdictional capacity, and approaches to advance health equity.
州、地方和联邦机构已经加大力度解决导致过量用药的根本原因，包括健康不平等问题以及与健康相关的社会决定因素。作为“过量用药数据转化行动”（OD2A）的技术援助提供者，州和地区卫生官员协会（ASTHO）进行了首次全国需求评估，以了解在推进健康公平方面，OD2A 辖区的能力和技术援助需求。
ASTHO 设计并于 2022 年 2 月至 3 月向 66 个 OD2A 资助的辖区分发了 OD2A 受援者健康公平需求评估（RHENA）。通过电子邮件联系 OD2A 首席研究员和工作人员，并要求他们在 6 周内完成需求评估。一名编码员手动对开放式回答进行编码，对定性数据进行主题分析，并对定量数据进行简单频率分析。
52 个辖区（78.8%）做出回应，其中包括 36 个州、12 个市/县和 2 个地区。大多数辖区（n=46；88.5%）报告已指定正式或非正式的健康公平负责人。常见障碍包括缺乏数据来源（n=37；71.2%）、缺乏合作伙伴关系（n=20；38.5%）和缺乏资金（n=14；26.9%）。受访者报告称需要在辖区和伙伴组织之间更多地共享信息，需要关于最佳实践的指导，以及定期进行讨论，如同行学习会议。
研究结果表明，在预防过量用药方面，项目政策和原则仍存在差距。结果正在被用于确定更多的技术援助机会、辖区能力以及推进健康公平的方法。
