Syringe Service Program Utilization, Barriers, and Preferences for Design in Rural Appalachia: Differences between Men and Women Who Inject Drugs.
Syringe Service Program Utilization, Barriers, and Preferences for Design in Rural Appalachia: Differences between Men and Women Who Inject Drugs.
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DOI：
10.1080/10826084.2020.1800741
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发表时间：
2020
影响因子：
2
通讯作者：
Young AM
中科院分区：
文献类型：
--
作者：
Lancaster KE;Cooper HLF;Browning CR;Malvestutto CD;Bridges JFP;Young AM
美国农村地区的注射毒品者（PWID）获得注射器服务计划（SSP）的机会有限。农村SSP最近激增，但随之而来的研究是缺乏对PWID的利用，障碍和SSP设计的偏好，以及这些偏好如何因性别而异。访问者管理的调查引起的信息利用，障碍和偏好SSP设计从234个PWID招募使用响应驱动的抽样在阿巴拉契亚，肯塔基州。使用Mantel-Haenszel卡方检验探讨了报告的利用SSP和偏好的障碍之间的性别差异。总体而言，49%的PWID曾经使用过SSP。不使用SSP的最常见原因是缺乏认识（23%），害怕被看到或披露药物使用（19%）和缺乏需求（19%）。最受欢迎的SSP设计位于卫生部门（74%）和下午时间（66%）。男性比女性更喜欢卫生部门的SSP（80%对65%，p = 0.01），而更多的女性比男性更喜欢卫生部门的工作人员（62%对46%，p = 0.02）。女性不太可能喜欢晚上工作（55% vs. 70%，p = 0.02）。更少的女性希望SSP护士（78%对90%，p = 0.01），社会工作者（11%对24%，p = 0.01）或吸毒者（20%对34%，p = 0.02）担任SSP工作人员。尽管最近扩大了规模，但阿巴拉契亚的SSP仍然没有得到充分利用。妇女参与发展方案对SSP的设计和人员配备有一系列选择，尽管性别差异很大。应考虑开展实施研究，以确定在农村环境中扩大有针对性的SSP规模的最佳战略。
People who inject drugs (PWID) in rural areas of the United States have had limited access to syringe service programs (SSP). Rural SSP have recently surged, but accompanying research is lacking about PWID utilization, barriers, and preferences for SSP design and how those preferences vary by gender. Interviewer-administered surveys elicited information about utilization, barriers, and preferences for SSP design from 234 PWID recruited using respondent-driven sampling in Appalachian, Kentucky. Gender differences among reported barriers to utilizing SSP and preferences for program design were explored using Mantel-Haenszel chi-square tests. Overall, 49% of PWID had ever utilized an SSP. The most common reasons for not utilizing an SSP were lack of awareness (23%), fear of being seen or disclosing drug use (19%), and lack of need (19%). The most preferred SSP design was located within a health department (74%) and operating during afternoon hours (66%). Men were more likely than women to prefer SSP in health departments (80% vs. 65%, p = 0.01), while more women than men preferred staffing by health department personnel (62% vs. 46%, p = 0.02). Women were less likely to favor evening hours (55% vs. 70%, p = 0.02). Fewer women wanted SSP nurses (78% vs. 90%, p = 0.01), social workers (11% vs. 24%, p = 0.01), or people who use drugs (20% vs 34%, p = 0.02) to staff SSP. Despite recent scale-up, SSP in Appalachia remain under-utilized. PWID were open to a range of options for SSP design and staffing, though there were variations by gender. Implementation research that identifies best strategies for tailored SSP scale-up in rural settings should be considered.
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DOI：
10.1007/s11524-007-9215-1
发表时间：
2007-09-01
影响因子：
6.6
作者：
Davey-Rothwell, Melissa A.;Latkin, Carl A.
通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
33.9
作者：
Des Jarlais, Don C.;Nugent, Ann;Holtzman, Deborah
通讯作者：
Holtzman, Deborah