Concurrent Alcohol and Opioid Use Among Harm Reduction Clients
Concurrent Alcohol and Opioid Use Among Harm Reduction Clients
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DOI：
10.1016/j.addbeh.2019.06.016
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发表时间：
2020-01-01
影响因子：
4.4
通讯作者：
Feinberg, Judith
中科院分区：
文献类型：
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作者：
Winstanley, Erin L.;Stover, Amanda N.;Feinberg, Judith
背景资料：减少伤害服务很少涉及使用阿片类药物的客户中的酒精使用，尽管对病毒感染客户的过量或医疗后果风险进行了评估。本研究的目的是评估并发酒精和阿片类药物的使用之间的注射器服务和过量预防计划的参与者主要是在南部俄亥俄州和北方肯塔基州。方法：这是一个横断面研究，使用自我报告的数据（n = 1,142）汇集在区域过量预防计划和移动的注射器服务计划。结果变量是并发使用分类为没有并发酒精，处方阿片类药物或海洛因使用;酒精和海洛因或处方阿片类药物使用;和酒精，处方阿片类药物和海洛因使用在过去的three-month.Results：样本主要是白色（95%），56%是男性，平均年龄为33岁。47%的客户没有同时使用酒精和阿片类药物; 20.1%报告同时使用酒精和海洛因或处方阿片类药物; 33.4%报告在过去3个月内同时使用酒精，海洛因和处方阿片类药物。终身自杀意念和非阿片类药物的使用与并发酒精和阿片类药物使用的多变量model.Conclusion：减少伤害的客户与并发酒精和阿片类药物的使用可能需要加强过量预防服务。注射器服务和过量预防计划的参与者可能会受益于教育或对酒精消费的短暂干预。
Background: Harm reduction services infrequently address alcohol use among clients using opioids, despite the evaluated risk of overdose or medical consequences for clients with viral infections. The purpose of this study is to assess concurrent alcohol and opioid use among syringe services and overdose prevention program participants predominately in southern Ohio and northern Kentucky.Methods: This is a cross-sectional study using self-report data (n = 1,142) pooled across regional overdose prevention programs and a mobile syringe services program. The outcome variable was concurrent use categorized as no concurrent alcohol, prescription opioid or heroin use; alcohol and heroin or prescription opioid use; and alcohol, prescription opioid and heroin use in the past three months.Results: The sample was predominantly white (95%), 56% were male and the mean age was 33 years old. Forty-seven percent of the clients had no concurrent use of alcohol and opioids; 20.1% reported concurrent use of alcohol and either heroin or prescription opioids; and 33.4% reported concurrent use of alcohol, heroin and prescription opioids in the past 3 months. Lifetime suicidal ideation and non-opioid drug use were associated with concurrent alcohol and opioid use in the multivariable model.Conclusion: Harm reduction clients with concurrent alcohol and opioid use may warrant enhanced overdose prevention services. Syringe services and overdose prevention program participants may benefit from education or a brief intervention on alcohol consumption.