Impact of a medically supervised safer injection facility on community drug use patterns: a before and after study
Impact of a medically supervised safer injection facility on community drug use patterns: a before and after study
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DOI：
10.1136/bmj.332.7535.220
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发表时间：
2006-01-28
影响因子：
--
通讯作者：
Wood, E
中科院分区：
文献类型：
--
作者：
Kerr, T;Stoltz, JA;Wood, E
问题 非法使用注射毒品与高艾滋病毒感染率和致命过量用药以及社区对公共场所吸毒的担忧有关。监督注射设施已被提议作为一个潜在的解决方案，但有人担心它们可能会鼓励吸毒。设计A前后研究参与者和设置从加拿大温哥华社区招募的871名注射吸毒者。改善的关键措施前使用者中注射吸毒的复发率和当前使用者中停止吸毒的比率。变革策略当地卫生当局建立了温哥华监督注射设施，为注射吸毒者提供无菌注射设备，并在发生注射吸毒者时进行干预。变化的影响 对设施开放前后的时期进行分析表明，注射吸毒的复发率没有显着增加（17% vs 20%），停止注射吸毒的后期也没有显着下降（17% vs 15%）。 经验教训 最近报告的受监督注射设施对毒品、使用者高风险行为和公共秩序的好处似乎并没有被负面社区所抵消影响。
Problem Illicit use of injected drugs is linked with high rates of HIV infection and fatal overdose, as well as community concerns about public drug use. Supervised injecting facilities have been proposed as a potential solution, but fears have been raised that they might encourage drug use.Design A before and after studyParticipants and setting 871 injecting drug users recruited from the community in Vancouver, Canada.Key measures for improvement Rates of relapse into injected drug use among former users and of stopping drug use among current users.Strategies for change Local health authorities established die Vancouver supervised injecting facility to provide injecting drug users with sterile injecting equipment, intervention in the event of overdose, primary health care, and referral to external health and social services.Effects of change Analysis of periods before and after the facility's opening showed no substantial increase in the rate of relapse into injected drug use (17% v 20%) and no substantial decrease in the Late of stopping injected drug use (17% v 15%).Lessons learnt Recently reported benefits of supervised injecting facilities on drug, users' high risk behaviours and on public order do not seem to have been offset by negative community impacts.