Baseline differences in characteristics and risk behaviors among people who inject drugs by syringe exchange program modality: an analysis of the Miami IDEA syringe exchange
Baseline differences in characteristics and risk behaviors among people who inject drugs by syringe exchange program modality: an analysis of the Miami IDEA syringe exchange
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DOI：
10.1186/s12954-019-0280-z
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发表时间：
2019-01-23
影响因子：
4.4
通讯作者：
Tookes, Hansel E.
中科院分区：
文献类型：
--
作者：
Iyengar, Siddharth;Kravietz, Adam;Tookes, Hansel E.
背景2016年3月，佛罗里达通过了《传染病消除法》（IDEA），使佛罗里达的第一个注射器交换计划合法化，该计划于2016年12月在迈阿密上城的一个固定地点开放。从那时起，该交流在2017年4月扩大到包括一个移动的面包车单位，在整个迈阿密戴德县的不同地点提供相同的服务。MethodsTrained采访者进行了面对面的采访，从所有首次参与者在IDEA交流，无论是在固定网站和移动的货车单位。52.1%为非西班牙裔白色人，85.9%完成高中学业，59.8%失业，42.1%无家可归，54.2%报告年收入低于15，000美元，平均年龄为38岁。在固定的网站和移动的货车单位的参与者报告的社会经济地位，注射药物相关的行为，和预先存在的丙型肝炎病毒（HCV）感染status.ConclusionsTaken在一起，这些结果表明，移动的单位是捕获一个子集的PWID在迈阿密的固定网站是不是，反之亦然。随着阿片类药物危机扩展到所有人口统计学中，应该记住针对PWID各种人群的这种多模式努力，特别是在佛罗里达和其他后期采用的州公布未来的注射器交换时。
BackgroundIn March of 2016, Florida passed the Infection Disease Elimination Act (IDEA), legalizing the formation of the first syringe exchange program in Florida, which opened in December of 2016 at a fixed site in Overtown, Miami. Since that time, the exchange expanded in April of 2017 to include a mobile van unit that provides the same services at different locations throughout Miami-Dade County.MethodsTrained interviewers conducted face-to-face interviews from all first-time participants at the IDEA Exchange, both at the fixed site and the mobile van unit.ResultsAmong 718 first-time enrollees, 74.8% were male, 52.1% were non-Hispanic White, 85.9% completed high school, 59.8% were unemployed, 42.1% were homeless, 54.2% reported an annual income of less than $15,000, and the mean age was 38years. Participants at the fixed site and mobile van unit reported differences in socioeconomic status, injection drug-related behaviors, and pre-existing hepatitis C virus (HCV) infection status.ConclusionsTaken together, these results suggest that the mobile unit is capturing a subset of PWID in Miami that the fixed site is not, and vice-versa. As the opioid crisis extends into all demographics, such multimodal efforts to target various populations of PWID should be kept in mind, especially when unveiling future syringe exchanges in Florida and other late-adopting states.