Early disruptions to syringe services programs during the Russian invasion of Ukraine.
Early disruptions to syringe services programs during the Russian invasion of Ukraine.
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DOI：
10.3389/fpubh.2023.1229057
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发表时间：
2023
影响因子：
5.2
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Nikitin, Benjamin M.;Bromberg, Daniel J.;Pykalo, Iryna;Ivasiy, Roman;Islam, Zahedul;Altice, Frederick L.
在乌克兰，广泛流行的艾滋病毒主要集中在注射吸毒者中，因此获得无菌注射用具（如无菌针头和注射器）是预防艾滋病毒/艾滋病的一个重要方法；然而，俄罗斯的入侵已经威胁到注射器服务计划（ssp）的运作，造成艾滋病毒在PWID中爆发的风险。我们对ssp的外展工作人员进行了10次半结构化访谈。访谈有目的地抽样，以涵盖乌克兰的三个原型地区：临时俄罗斯控制，前线和目的地。然后将访谈的定性结果与标准化的全国减少危害数据库进行比较。我们发现，俄罗斯入侵引发了ssp的供应和需求挑战。所有地区的需求都增加了，原因是客户从关闭ssp的药店转移过来，非法药物使用增加，客户对非政府组织支持的更开放，以及客户迁移到目的地地区。由于宵禁、路障和互联网中断等与战斗有关的障碍，所有地区（偏远目的地地区除外）的供应都有所减少；SIP的交付和资金减少；还有员工流失。获得减少伤害服务的独特客户数量的时间序列图显示，在战争开始时，提供的服务最初有所减少，但大多数地区在几个月内恢复，除了俄罗斯控制的地区，这些地区向客户提供的服务与前几年相比继续减少。为了确保SIP和其他艾滋病毒预防服务的持续扩大，应该利用SyrEx数据库作为简化的减少危害定位器，可以向工作人员和客户告知开放站点的位置和其他相关信息。
The widespread HIV epidemic in Ukraine is concentrated among people who inject drugs (PWID), making access to sterile injection paraphernalia (SIP) like sterile needles and syringes a critical method of HIV/AIDS prevention; however, the Russian invasion has threatened to disrupt the operations of syringe services programs (SSPs), creating a risk of HIV outbreaks among PWID. We conducted 10 semi-structured interviews with outreach workers from SSPs. Interviews were purposively sampled to cover three prototypic regions of Ukraine: temporarily Russian-controlled, frontline, and destination. Qualitative results from interviews were then compared against a standardized, nationwide harm reduction database. We found that the Russian invasion triggered both supply and demand challenges for SSPs. Demand increased for all regions due to client transitions from pharmacies that closed to SSPs, increases in illicit drug use, greater client openness to NGO support, and displacement of clients to destination regions. Supply decreased for all areas (except for remote destination regions) due to battle-related barriers like curfews, roadblocks, and Internet disruptions; diminished deliveries of SIP and funding; and staff displacement. Time series plots of the number of unique clients accessing harm reduction services showed that an initial decrease in service provision occurred at the start of the war but that most regions recovered within several months except for Russian-controlled regions, which continued to provide services to fewer clients relative to previous years. To ensure continued scale-up of SIP and other HIV prevention services, the SyrEx database should be leveraged to serve as a streamlined harm reduction locator that can inform workers and clients of open site locations and other pertinent information.
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影响因子：
50
作者：
Altice, Frederick L.;Bromberg, Daniel J.;Dvoriak, Sergii;Meteliuk, Anna;Pykalo, Iryna;Islam, Zahedul;Azbel, Lyu;Madden, Lynn M.
通讯作者：
Madden, Lynn M.
影响因子：
20.9
作者：
Bromberg, Daniel J.;Madden, Lynn M.;Meteliuk, Anna;Ivasiy, Roman;Leon, Samy J. Galvez de;Klyucharyov, Konstantin;Altice, Frederick L.
通讯作者：
Altice, Frederick L.
DOI：
10.1016/s0140-6736(10)60829-x
发表时间：
2010-07-31
期刊：
Lancet (London, England)
影响因子：
--
作者：
Altice FL;Kamarulzaman A;Soriano VV;Schechter M;Friedland GH
通讯作者：
Friedland GH
DOI：
10.3390/geriatrics7060138
发表时间：
2022-12-06
期刊：
Geriatrics (Basel, Switzerland)
影响因子：
--
作者：
通讯作者：
--
影响因子：
168.9
作者：
Degenhardt, Louisa;Grebely, Jason;Larney, Sarah
通讯作者：
Larney, Sarah