通过注射器服务计划为吸毒者提供性保健和生殖保健:潜在的希望和错失的机会。

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE
Joy D Scheidell, Teresa Chueng, Katrina Ciraldo, Belén Hervera, Sophia Dakoulas, Muthoni Mahachi, Alex S Bennett, Luther C Elliott
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引用次数: 0

摘要

背景:吸毒者的性健康和生殖健康风险较高,但在获得服务方面却面临障碍。注射器服务计划(SSP)是提供综合健康服务的重要场所。很少有研究对不同性别、种族和民族群体(包括注射吸毒者)使用 SSP 的情况,以及这些群体在性健康和生殖健康方面的差异进行研究:在对纽约市使用未开具处方阿片类药物的人群进行的一项队列研究中,我们于 2021 年 11 月至 2022 年 8 月开展了一项嵌套横断面研究,通过调查(n = 120)评估性健康。母研究测量基线特征,横断面研究调查测量自我报告的过去一年 SSP 使用情况以及性健康和生殖健康状况。我们按 IDU 估算了性别、种族和民族群体中 SSP 的使用情况,并按性别、种族、民族和 SSP 使用情况估算了性健康和生殖健康结果的发生率:在男性(n = 61)和女性(n = 54)中,无论是否注射吸毒,黑人参与者使用 SSP 的比例都很低。报告使用 SSP 的女性有多个、新的、性交易和/或临时性伴侣、性传播感染症状史以及缺乏有效的性传播感染预防措施的比例较高,尽管未使用 SSP 的女性的风险水平不可忽略,但不同种族和族裔群体之间存在差异。在男性中,不同种族和民族群体的性健康和生殖健康状况各不相同,但使用 SSP 的情况并不明显:结论:SSP 为解决吸毒者中性传播感染风险升高的问题提供了机会,但可能会忽略某些交叉的性别、种族和民族群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reaching people who use drugs with sexual and reproductive healthcare through syringe services programs: potential promise and missed opportunities.

Background: People who use drugs are at elevated sexual and reproductive health risk but experience barriers to services. Syringe services programs (SSP) are an important venue to provide integrated health services. Few studies have examined SSP use within intersecting gender, racial, and ethnic groups, including by injection drug use (IDU), and differences in sexual and reproductive health among these groups.

Methods: Within a cohort study among people who use unprescribed opioids in New York City, we conducted a nested cross-sectional study from November 2021-August 2022 assessing sexual health with a survey (n = 120). The parent study measured baseline characteristics, and the cross-sectional study survey measured self-reported past-year SSP use and sexual and reproductive health. We estimated SSP use within gender, racial, and ethnic groups by IDU, and the prevalence of sexual and reproductive health outcomes by gender, race, ethnicity, and SSP use.

Results: Among men (n = 61) and women (n = 54), SSP use was disproportionately low among Black participants irrespective of IDU. Women reporting SSP use had a higher prevalence of multiple, new, sex trade, and/or casual sex partners, history of STI symptoms, and lack of effective STI prevention, although women who did not use SSP had non-negligible levels of risk with variation between racial and ethnic groups. Among men, sexual and reproductive health varied across racial and ethnic groups but not as clearly by SSP use.

Conclusions: SSP offer opportunity to address elevated STI risk among people who use drugs but may miss certain intersecting gender, race, and ethnic groups.

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来源期刊
Harm Reduction Journal
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.
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