Harm Reduction and Adaptations Among PWUD in Rural Oregon During COVID-19.
Harm Reduction and Adaptations Among PWUD in Rural Oregon During COVID-19.
复制标题
DOI：
10.1007/s10461-020-03141-4
复制
发表时间：
2021-05
影响因子：
4.4
通讯作者：
Korthuis PT
中科院分区：
文献类型：
--
作者：
Seaman A;Leichtling G;Stack E;Gray M;Pope J;Larsen JE;Leahy JM;Gelberg L;Korthuis PT
2019冠状病毒病（COVID-19）可能会影响农村社区的HIV/HCV传播风险行为。我们对俄勒冈州五个农村县的吸毒者（PWUD）进行了半结构化定性访谈，询问了COVID-19对物质使用和减少危害做法的影响，以及他们对改善公共卫生应对措施的建议。参与者（n = 36）报告仅使用甲基苯丙胺（52.8%），仅使用海洛因（16.7%）或两者兼而有之（30.6%）; 75%的参与者报告最近注射。出现了三个主题类别：SSP的适应性和可访问性，PWUD减少危害的做法和政策建议。与会者注意到SSP对COVID-19预防和健康的重要性，尽管一些SSP遇到了更多的障碍，导致风险注射做法增加。与会者建议以需求为基础，而不是一对一的交流，增加注射器提供服务，鼓励PWUD进行二次交流，并将同行作为信息交流的可信声音。迫切需要迅速实施政策和实践变革，以改善SSP的获得，加强更安全的使用，并预防HIV/HCV和COVID-19传播。
Coronavirus Disease 2019 (COVID-19) may influence HIV/HCV transmission risk behaviors in rural communities. We conducted semi-structured qualitative interviews with people who use drugs (PWUD) in five rural Oregon counties and asked about COVID-19 impact on substance use and harm reduction practices and their advice for improving public health responses. Participants (n = 36) reported using only methamphetamine (52.8%), only heroin (16.7%), or both (30.6%); 75% of participants reported recent injection. Three thematic categories emerged: SSP adaptations and accessibility, PWUD harm reduction practices, and policy suggestions. Participants noted the importance of SSPs to COVID-19 prevention and wellbeing, though some experienced increased barriers, leading to increased risky injection practices. Participants suggested need-based rather than one-for-one exchange, increasing syringe delivery services, encouraging secondary exchange by PWUD, and peers as trusted voices for information exchange. Rapid implementation of policy and practice changes are urgently required to improve SSP access, reinforce safer use, and prevent HIV/HCV and COVID-19 transmission.
登录
查看更多内容
影响因子：
4.5
作者：
Fernandes RM;Cary M;Duarte G;Jesus G;Alarcão J;Torre C;Costa S;Costa J;Carneiro AV
通讯作者：
Carneiro AV
影响因子：
3.7
作者：
Grant, Kathleen M.;Kelley, Stephanie Sinclair;Romberger, Debra J.
通讯作者：
Romberger, Debra J.
DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
影响因子：
--
作者：
Richardson, Safiya;Hirsch, Jamie S.;,
通讯作者：
,
影响因子：
33.9
作者：
Des Jarlais, Don C.;Nugent, Ann;Holtzman, Deborah
通讯作者：
Holtzman, Deborah
影响因子：
4.2
作者：
Slaunwhite, Amanda Kathleen;Gan, Wen Qi;Desai, Roshni
通讯作者：
Desai, Roshni