目标:由于处方阿片类药物过量危机和非法制造的芬太尼的增加,芬太尼过量仍然是一场公共卫生危机,使美国经济损失了超过1万亿美元的生产力下降,卫生保健,家庭援助,刑事司法,2023年死亡人数超过74,000人。阿片类药物危机最近的人口变化导致拉丁裔人口过量死亡人数增加。减少伤害的干预措施,包括使用纳洛酮和芬太尼试纸,已被证明是减少阿片类药物过量死亡人数的有效措施。本范围审查的目的是总结纳洛酮和芬太尼试纸干预措施以及针对Latinx社区的公共卫生政策。
方法:PubMed,CINHAL,WebofScience,Embase,和使用关键词“芬太尼”的PsycINFO研究数据库,\"\"Latinx,\“\”减少伤害,\"\"纳洛酮,\“和\”芬太尼测试条\'\'以确定2013年1月1日至2023年12月31日之间发表的研究。尾注和Covidence软件用于编目和管理引文以审查研究。随后,符合纳入标准的研究随后使用结果主题进行总结.
结果:27篇文章符合纳入标准,并为范围审查进一步摘要。在这些文章中,77.7%(n=21)包括纳洛酮干预,而只有11.1%(n=3)包括芬太尼试纸条干预。此外,这些研究中有30.1%(n=8)是针对拉丁裔的,7.7%(n=2)的研究适用于拉丁裔人群。四个主题,包括全面缺乏知识和意识,缺乏减少伤害或阿片类药物过量预防资源,总体上缺乏文化适应和/或有针对性的干预措施,以及限制保护因素有效性的限制性和惩罚性政策在本次范围审查中得到了强调。
结论:有限发表的关于使用新出现的减少伤害行为的研究,例如使用纳洛酮和芬太尼试纸作为社区干预策略,以防止阿片类药物过量死亡。关于针对拉丁裔社区的减少伤害干预措施的针对性和文化适应性的出版物甚至更少,特别是那些使用理论方法或框架来支持这些干预措施的人。需要未来的研究来评估拉丁裔人群的独特需求,并制定文化响应计划,以防止该人群中与阿片类药物相关的过量死亡。
OBJECTIVE: Fueled by the prescription opioid overdose crisis and increased influx of illicitly manufactured
fentanyl,
fentanyl overdoses continue to be a public health crisis that has cost the US economy over $1 trillion in reduced productivity, health care, family assistance, criminal justice, and accounted for over 74,000 deaths in 2023. A recent demographic shift in the opioid crisis has led to a rise in overdose deaths among the Latinx population. Harm reduction interventions, including the use of naloxone and
fentanyl test strips, have been shown to be effective measures at reducing the number of opioid overdose deaths. The aim of this scoping review is to summarize naloxone and
fentanyl test strip interventions and public health policies targeted to Latinx communities.
METHODS: PubMed, CINHAL, Web of Science, Embase, and PsycINFO research databases using the keywords \"fentanyl,\" \"Latinx,\" \"Harm Reduction,\" \"Naloxone,\" and \"
Fentanyl Test Strips\'\' to identify studies published between January 1, 2013 and December 31, 2023. Endnote and Covidence software were used to catalog and manage citations for review of studies. Subsequently, studies that met inclusion criteria were then summarized using resulting themes.
RESULTS: Twenty-seven articles met the inclusion criteria and were further abstracted for the scoping review. Of these articles, 77.7% (n = 21) included a naloxone intervention, while only 11.1% (n = 3) included a fentanyl test strip intervention. Furthermore, 30.1% (n = 8) of these studies were Latinx targeted, and 7.7% (n = 2) of the studies were adapted for Latinx populations. Four themes, including an overall lack of knowledge and awareness, a lack of access to harm reduction or opioid overdose prevention resources, an overall lack of culturally adapted and/or targeted interventions, and restrictive and punitive policies that limit the effectiveness of protective factors were highlighted in this scoping review.
CONCLUSIONS: Limited published research exists on the use of emerging harm reduction behaviors, such as the use of naloxone and fentanyl test strips as community intervention strategies to prevent opioid overdose deaths. Even fewer publications exist on the targeting and cultural adaptation of harm reduction interventions responsive to Latinx communities, especially those using theoretical approaches or frameworks to support these interventions. Future research is needed to assess the unique needs of Latinx populations and to develop culturally responsive programs to prevent opioid-related overdose deaths among this population.