Effect of police action on low-barrier substance use disorder service utilization.
Effect of police action on low-barrier substance use disorder service utilization.
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DOI：
10.1186/s12954-022-00668-8
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发表时间：
2022-07-29
影响因子：
4.4
通讯作者：
Taylor, Jessica L.
中科院分区：
文献类型：
--
作者：
Weisenthal, Karrin;Kimmel, Simeon D.;Kehoe, Jessica;Larochelle, Marc R.;Walley, Alexander Y.;Taylor, Jessica L.
关键词：
警察行动可能会增加吸毒者 (PWUD) 的危险药物使用模式，但目前尚不清楚增加警察存在如何影响低门槛药物使用障碍桥梁诊所的使用。警察人数的增加可能会增加或减少寻求治疗的行为。我们研究了马萨诸塞州波士顿为期两周的警方行动“一网打尽”行动 (OCS) 与 BMC 低门槛丁丙诺啡桥诊所的就诊量之间的关联。在这个回顾性队列中，我们使用分段回归来调查 OCS 期间警察存在的增加是否与桥梁诊所就诊次数的变化有关。我们使用普通内科 (GIM) 诊所就诊量作为阴性对照。我们检查了 OCS 之前 6 周、期间 2 周和之后 4 周（2019 年 6 月 18 日至 9 月 11 日）的就诊情况。 OCS 之前每次提供者就诊的桥梁诊所次数为 2.8 次，OCS 期间为 2.0 次，之后为 3.0 次。 OCS 之前每次提供者就诊 GIM 诊所的平均次数分别为 7.0、OCS 期间和之后 7.0 次。在每次提供者会话的桥梁诊所就诊的调整分段回归模型中，OCS 期间水平增加不显着（0.643 P = 0.171），斜率显着下降（0.100，P = 0.045）。 OCS 完成后，每次提供者会话的访问量显着增加（1.442，P = 0.003）和斜率增加（0.141，P = 0.007）。研究期间 GIM 诊所数量没有显着变化。 OCS 期间警力的增加与桥梁诊所就诊次数的显着减少有关。 OCS 完成后，就诊人数显着增加，这表明对阿片类药物使用障碍（一种挽救生命的治疗方法）药物的需求被压抑。
Police action can increase risky substance use patterns by people who use drugs (PWUD), but it is not known how increased police presence affects utilization of low-barrier substance use disorder bridge clinics. Increased police presence may increase or decrease treatment-seeking behavior. We examined the association between Operation Clean Sweep (OCS), a 2-week police action in Boston, MA, and visit volume in BMC’s low-barrier buprenorphine bridge clinic. In this retrospective cohort, we used segmented regression to investigate whether the increased police presence during OCS was associated with changes in bridge clinic visits. We used General Internal Medicine (GIM) clinic visit volume as a negative control. We examined visits during the 6 weeks prior, 2 weeks during, and 4 weeks after OCS (June 18–September 11, 2019). Bridge clinic visits were 2.8 per provider session before, 2.0 during, and 3.0 after OCS. The mean number of GIM clinic visits per provider session before OCS was 7.0, 6.8 during, and 7.0 after OCS. In adjusted segmented regression models for bridge clinic visits per provider session, there was a nonsignificant level increase (0.643 P = 0.171) and significant decrease in slope (0.100, P = 0.045) during OCS. After OCS completed, there was a significant level increase (1.442, P = 0.003) and slope increase in visits per provider session (0.141, P = 0.007). There was no significant change in GIM clinic volume during the study period. The increased policing during OCS was associated with a significant decrease in bridge clinic visits. Following the completion of OCS, there was a significant increase in clinic visits, suggesting pent-up demand for medications for opioid use disorder, a life-saving treatment.
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影响因子：
3.9
作者：
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通讯作者：
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影响因子：
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DOI：
10.1046/j.1365-2710.2002.00430.x
发表时间：
2002-08-01
影响因子：
2
作者：
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通讯作者：
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影响因子：
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通讯作者：
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