Analysis of different populations accessing online overdose response training and harm reduction supplies (ADORES).

IF 4 2区社会学 Q1 SUBSTANCE ABUSE

Harm Reduction Journal Pub Date : 2024-11-20 DOI:10.1186/s12954-024-01118-3

Michaela Pacheco, Abiodun Ologunowa, Anita Jacobson

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引用次数: 0

Abstract

Background: An online mail order naloxone and harm reduction supply program was created by an interdisciplinary team at the University of Rhode Island College of Pharmacy and hosted on the university website (UNIV). The program was subsequently funded by the Rhode Island Department of Health (DOH) and added to the DOH website. This study compares demographic characteristics of the two populations submitting requests through the program's distinct access points, UNIV and DOH, to those of populations at-risk for overdose.

Methods: This is a retrospective comparative analysis using voluntarily provided information from mail order request forms submitted through two websites from June 2020 through October 2023. The primary objective was to compare demographic characteristics of requesters through the two access points to those of individuals at-risk for experiencing or responding to an overdose. Descriptive statistics were used to characterize the two distinct populations. Chi-square tests were performed to determine if statistically significant differences in population demographics existed between access points. Odds ratios were estimated using a simple logistic regression model to assess the relationship between access point and demographic characteristic to determine if either access point had a greater likelihood of reaching individuals with at-risk demographics.

Results: A total of 5,783 (UNIV = 1662; DOH = 4121) mail order request forms were included in the analysis. Participants who completed requests through UNIV were more likely to be 44 years old or younger and/or reside in rural areas. Participants who submitted requests through DOH were more likely to reside in non-rural and/or low-income areas, and/or identify as gender minorities. Additionally, UNIV respondents were more likely to be first-time naloxone requesters while DOH respondents were more likely to have obtained and used naloxone before.

Conclusions: Results establish that different access points can reach different at-risk population subsets and support the use of multiple access points and advertising strategies to expand the reach of online mail order harm reduction programs.

Study registration: The study was retrospectively approved by the University of Rhode Island Institutional Review Board (IRB reference #2124391-2).

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分析不同人群获取在线用药过量应对培训和减低伤害用品（ADORES）的情况。

背景：罗德岛大学药学院的一个跨学科团队创建了一个在线邮购纳洛酮和减低伤害供应项目，并将其托管在大学网站 (UNIV) 上。该项目随后得到了罗德岛卫生部 (DOH) 的资助，并被添加到 DOH 网站上。本研究比较了通过该计划的不同接入点（UNIV 和 DOH）提交申请的两种人群的人口特征，以及用药过量风险人群的人口特征：这是一项回顾性比较分析，使用的是 2020 年 6 月至 2023 年 10 月期间通过两个网站提交的邮购申请表中自愿提供的信息。主要目的是比较通过两个接入点申请者的人口统计学特征与有用药过量风险或对用药过量做出反应的个人的人口统计学特征。使用描述性统计来描述这两个不同人群的特征。进行了卡方检验，以确定两个接入点之间是否存在人口统计学上的显著差异。使用简单的逻辑回归模型估算了比率，以评估接入点与人口统计学特征之间的关系，从而确定接入点是否更有可能接触到高危人口：共有 5783 份（UNIV = 1662；DOH = 4121）邮购申请表被纳入分析。通过 UNIV 完成申请的参与者更有可能是 44 岁或 44 岁以下和/或居住在农村地区。通过 DOH 提交申请的参与者更有可能居住在非农村地区和/或低收入地区，和/或被认定为性别少数群体。此外，UNIV 的受访者更有可能是首次申请纳洛酮，而 DOH 的受访者则更有可能曾经获得并使用过纳洛酮：研究结果表明，不同的接入点可以覆盖不同的高危人群，并支持使用多种接入点和广告策略来扩大网上邮购减低伤害项目的覆盖范围：该研究已获得罗德岛大学机构审查委员会（IRB reference #2124391-2）的回顾性批准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.90

自引率

9.10%

发文量

126

审稿时长

26 weeks

期刊介绍： Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.