Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment.
Implementing Treatment of Opioid-Use Disorder in Rural Settings: a Focus on HIV and Hepatitis C Prevention and Treatment.
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DOI：
10.1007/s11904-018-0402-3
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发表时间：
2018-08
影响因子：
4.6
通讯作者：
Fiellin DA
中科院分区：
文献类型：
--
作者：
Havens JR;Walsh SL;Korthuis PT;Fiellin DA
描述美国农村地区阿片类药物使用障碍的流行病学，因为它涉及艾滋病毒和丙型肝炎的传播和治疗资源。海洛因和芬太尼类似物在农村阿片类药物市场的可用性超过了处方阿片类药物，增加了艾滋病毒和丙型肝炎（HCV）以及过量服用的风险。只有18%的农村居民生活在城镇，住院服务的质量和效用有限。提供美沙酮的阿片类药物治疗项目不在农村地区，只有3%的初级保健提供者有能力开出丁丙诺啡。已经建立了国家模式和资源，但在农村地区缺乏执行，导致艾滋病毒和丙型肝炎病毒持续传播和用药过量。解决阿片类药物在美国农村地区的不利影响需要共同努力，根据国家标准实施有效的治疗。
To describe the epidemiology opioid use disorder in the rural United States as it pertains to HIV and hepatitis C transmission and treatment resources. Heroin and fentanyl analouges have surpassed prescription opioids in their availability in rural opioid markets adding to HIV and hepatitis C (HCV) and overdose risks. Only 18% of rural individuals live in towns with inpatient services which are of limited quality and utiity. Opioid treatment programs that provide methadone are not located in rural areas and only 3% of the primary care providers have the ability to prescribe buprenorphine. National models and resources have been established but lack implementation in rural areas leading to ongoing HIV and HCV transmission and overdose. Addressing the adverse impact of opioids in the rural U.S. will require a concerted effort to implement effective treatments according to national standards.
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