A free mailed naloxone program in Philadelphia amidst the COVID-19 pandemic.
A free mailed naloxone program in Philadelphia amidst the COVID-19 pandemic.
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DOI：
10.1016/j.drugpo.2021.103199
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Aronowitz SV
中科院分区：
文献类型：
--
作者：
French R;Favaro J;Aronowitz SV
随着过量用药危机的持续，获得纳洛酮至关重要。我们描述了从免费邮寄计划请求和接受药物治疗的个人获得纳洛酮的障碍，并探索了有和没有个人接触过量药物的个人如何了解该计划的关系。从2020年3月1日至2021年1月31日收集的基于网络的表格数据的二次分析。对获取障碍、个人接近服药过量(广义定义为个人服药过量或目睹/担心他人服药过量)以及了解该计划的方法进行了分类和描述。在422名受访者中，最常报告的获取纳洛酮的障碍是：COVID隔离(25.1%)、缺乏获取知识(13.2%)和费用(11.2%)。与那些没有服用过量药物的人(38.2%)相比，有个人接近的人(61.8%)更多地通过积极的在线搜索(21.4%比8.8%；p值=0.001)听说过这个项目，而更少通过口口相传(19.8%比40.9%；p值=0.001)。长期存在的纳洛酮获取障碍因新冠肺炎疫情而变得更加复杂，邮寄程序变得尤为突出。有没有接触过药物使用和吸毒过量的人了解这个节目的方式不同，可以知道这些节目如何有效地接触到他们的目标受众。
Access to naloxone is essential as the overdose crisis persists. We described barriers to accessing naloxone among individuals who requested and received the medication from a free mailed program and explored the relationship between how individuals with and without personal proximity to overdose learned about the program. Secondary analysis of data from a web-based form collected 1st March 2020 to 31st January 2021. Access barriers, personal proximity to overdose (broadly defined as personally overdosing or witnessing/worrying about others overdosing), and method of learning about the program were categorized and described. Among 422 respondents, the most frequently reported barriers to accessing naloxone were: COVID quarantine (25.1%), lack of knowledge about access (13.2%), and cost (11.2%). Compared to those without personal proximity to overdose (38.2%), individuals with personal proximity (61.8%) heard about the program more often through an active online search (21.4% vs. 8.8%; p-value = 0.001) and less often through word of mouth (19.8% vs. 40.9%; p-value = <0.001). Longstanding barriers to naloxone access are compounded by the COVID-19 pandemic, making mailing programs especially salient. Differences in ways that individuals with and without personal proximity to substance use and overdose learned about this program can inform how such programs can effectively reach their target audience.
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