Trend Analyses of Users of a Syringe Exchange Program in Philadelphia, Pennsylvania: 1999-2014.
Trend Analyses of Users of a Syringe Exchange Program in Philadelphia, Pennsylvania: 1999-2014.
复制标题
宾夕法尼亚州费城注射器交换计划用户趋势分析：1999-2014 年。
DOI：
10.1007/s10461-016-1393-y
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发表时间：
2016
影响因子：
4.4
通讯作者：
Krafty,Robert
中科院分区：
文献类型：
--
作者：
Maurer,LaurieA;Bass,SarahBauerle;Ye,Du;Benitez,José;Mazzella,Silvana;Krafty,Robert
这项研究调查了1999至2014年间注射吸毒者(IDU)使用宾夕法尼亚州费城注射器交换计划(SEP)的趋势，包括人口统计、药物使用、药物滥用治疗、地理指标和SEP使用的变化。用线性回归、皮尔逊卡方检验和t检验分析了费城预防中心的SEP登记数据。随着时间的推移，新的SEP注册者变得更加年轻，种族更加多样化，地理上更加集中在城市的特定地区，与城市人口结构的变化相对应。每年新登记的人数有所减少，但交换的注射器有所增加。士绅化、文化规范和风险认知的变化被认为是SEP注册变化的原因。人口结构的变化表明，注射吸毒者的外展战略可能需要调整，以解决年轻、种族更多样化的用户面临的独特障碍。讨论了对SEP的影响，包括应对当前公共卫生威胁的政策和持续能力。
This study examines trends of injection drug users’ (IDUs) use of a Philadelphia, Pennsylvania, syringe exchange program (SEP) from 1999 to 2014, including changes in demographics, drug use, substance abuse treatment, geographic indicators, and SEP use. Prevention Point Philadelphia’s SEP registration data were analyzed using linear regression, Pearson’s Chi square, and t-tests. Over time new SEP registrants have become younger, more racially diverse, and geographically more concentrated in specific areas of the city, corresponding to urban demographic shifts. The number of new registrants per year has decreased, however syringes exchanged have increased. Gentrification, cultural norms, and changes in risk perception are believed to have contributed to the changes in SEP registration. Demographic changes indicate outreach strategies for IDUs may need adjusting to address unique barriers for younger, more racially diverse users. Implications for SEPs are discussed, including policy and continued ability to address current public health threats.