Egan Kathleen L, McCoy Thomas P, Yassa Renata, Daniel Jonna, Wagoner Kimberly G, Pankratz Melinda M, Moore Justin B, Ross Jennifer Cornacchione, Ballard Parissa J, Rhodes Scott D
Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Department of Social Science and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Drug Alcohol Depend Rep. 2024 Jul 30;12:100265. doi: 10.1016/j.dadr.2024.100265. eCollection 2024 Sep.
From 2019-2021, overdose deaths among youth and young adults ages 10-19 years of age residing in the United States increased by 109 %. We sought to examine the extent to which youth and young adults who have experience with substance use are aware of the harm reduction policies and interventions, including the statewide Good Samaritan Law (GSL), naloxone, and fentanyl test strips, and have access to naloxone and fentanyl test strips.
From December 2022 to February 2023, we conducted a cross-sectional telephone survey of individuals ages 12-25 years who resided in North Carolina (NC) (N=15,000). We assessed awareness of and access to harm reduction policies and interventions among participants who reported ever using heroin/fentanyl, diverted prescription medication, cocaine, methamphetamine, and hallucinogens (=539). Logistic regression models were used to identify factors associated with awareness of and access to these policies and interventions.
We found that 81.5 % of the sample of youth and young adults who reported ever use of substances were aware of NC's GSL, 80.0 % were aware of naloxone, 43.0 % perceived they had access to naloxone, 74.4 % were aware of fentanyl test strips, and 21.9 % perceived they had access to fentanyl test strips. There were individual and community-level characteristics associated with awareness of and perceived access to these harm reduction policies and interventions.
Efforts are needed to improve access to harm reduction interventions among youth and young adults as they are experiencing an increased risk of dying from opioid-involved overdoses.
2019年至2021年期间，居住在美国的10至19岁青少年和青年成年人中的过量用药死亡人数增加了109%。我们试图研究有物质使用经历的青少年和青年成年人对减少伤害政策和干预措施（包括全州范围的《好撒玛利亚人法》（GSL）、纳洛酮和芬太尼检测试纸）的知晓程度，以及获取纳洛酮和芬太尼检测试纸的情况。
2022年12月至2023年2月，我们对居住在北卡罗来纳州（NC）的12至25岁个体进行了横断面电话调查（N = 15000）。我们评估了报告曾使用过海洛因/芬太尼、非医疗用途处方药、可卡因、甲基苯丙胺和致幻剂的参与者（n = 539）对减少伤害政策和干预措施的知晓程度及获取情况。使用逻辑回归模型来确定与这些政策和干预措施的知晓程度及获取情况相关的因素。
我们发现，报告曾使用过物质的青少年和青年成年人样本中，81.5%知晓北卡罗来纳州的《好撒玛利亚人法》，80.0%知晓纳洛酮，43.0%认为自己可以获取纳洛酮，74.4%知晓芬太尼检测试纸，21.9%认为自己可以获取芬太尼检测试纸。存在与这些减少伤害政策和干预措施的知晓程度及获取情况相关的个体和社区层面特征。
由于青少年和青年成年人死于阿片类药物过量的风险增加，需要努力改善他们获取减少伤害干预措施的机会。
