背景:监督注射设施(SIF)已被证明可以减少注射毒品者的负面结果。他们经常受到公众和媒体的严格审查。本文旨在探讨澳大利亚人口对SIF的态度以及这些态度如何随时间变化。
方法:数据来自国家药品战略家庭调查,一个全国样本,收集关于澳大利亚人非法药物使用和对毒品政策态度的数据(2001-2019年)。有序逻辑回归评估了与对SIF的不同态度相关的社会人口统计学特征,二元逻辑回归评估了随时间和辖区的趋势。
结果:2019年,54%的受访者(95%CI52.9,55.1)支持SIF,27.5%(95%CI26.6,28.4)和18.4%(95%CI17.7,19.2)存在矛盾。对SIF的支持与拥有大学学位相关(OR1.75;95%CI1.58,1.94),非异性恋身份(OR1.81,95%CI1.51,2.17)和近期非法药物使用(OR=1.74,95%CI1.55,1.94)。男性受访者或生活在社会经济弱势地区的受访者支持SIF的几率较低(分别为OR0.92,95%CI0.85,1.00;OR0.64-0.80)。在2001年至2019年期间,对SIF的支持适度增加了3.3%,那些“不知道”的人减少了7.4%,反对派减少11.7%。2001年至2019年,新南威尔士州和昆士兰州对SIF的支持有所增加,而反对派在所有司法管辖区都有所减少。
结论:在过去的20年里,对SIF的反对有所下降,但相当大比例的受访者是矛盾的,或者“不知道说”。关于SIF及其潜在好处的简单语言信息,针对那些矛盾的人/“不知道”可能会进一步增加公众支持。
BACKGROUND: Supervised injecting facilities (SIF) have been shown to reduce negative outcomes experienced by people who inject drugs. They are often subject to intense public and media scrutiny. This article aimed to explore population attitudes to SIFs and how these changed over time in Australia.
METHODS: Data were drawn from the National Drug Strategy Household Survey, a national sample collecting data on illicit drug use and attitudes towards drug policy among Australians (2001-2019). Ordinal logistic regression assessed sociodemographic characteristics associated with different attitudes to SIFs and binary logistic regression assessed trends over time and by jurisdiction.
RESULTS: In 2019, 54% of respondents (95% CI 52.9, 55.1) supported SIFs, 27.5% (95% CI 26.6, 28.4) opposed and 18.4% (95% CI 17.7, 19.2) were ambivalent. Support for SIFs correlated with having a university degree (OR 1.75; 95% CI 1.58, 1.94), non-heterosexual identity (OR 1.81, 95% CI 1.51, 2.17) and recent illicit drug use (OR = 1.74, 95% CI 1.55, 1.94). Male respondents or those living in socioeconomically disadvantaged areas had lower odds of supporting SIFs (OR 0.92, 95% CI 0.85, 1.00; OR 0.64-0.80, respectively). Between 2001 and 2019, support for SIFs increased modestly by 3.3%, those who \'don\'t know\' by 7.4%, whereas opposition decreased by 11.7%. Between 2001 and 2019, support for SIFs increased in NSW and Queensland, whereas opposition decreased in all jurisdictions.
CONCLUSIONS: Opposition to SIFs declined over the past 20 years, but a substantial proportion of respondents are ambivalent or \'don\'t know enough to say\'. Plain language information about SIFs and their potential benefits, targeted to those who are ambivalent/\'don\'t know\' may further increase public support.