■涉及合成阿片类药物的过量死亡率仍然很高,越来越多地涉及兴奋剂与阿片类药物的结合,在种族和少数民族社区中迅速增加,然而,对这些群体获得减少伤害和治疗服务的情况知之甚少。
■在种族和种族不同的吸毒人群中,描述减少伤害和治疗的途径和障碍。
■对从39名治疗中招募的人员进行的横断面电话调查,减少危害,和密尔沃基县的社会服务组织,威斯康星州;弗林特和底特律,密歇根州;新泽西州全州范围于2023年1月30日至7月28日进行。使用可卡因的成年人,甲基苯丙胺,或阿片类药物在过去30天拨打了研究热线,并以英语或西班牙语完成了面试。
■用药过量经验,使用的药物类型(仅限阿片类药物,只有兴奋剂,和多物质),和社会风险因素(例如,金融不稳定和刑事法律参与)。
■最近使用的任何伤害减少服务,芬太尼试纸,拥有纳洛酮,治疗,以及自我报告的服务壁垒。
■在1240名成年人的总样本中,486(39.2%)是黑人非西班牙裔,183(14.8%)是西班牙裔,和464(37.4%)是白人非西班牙裔。在过去的30天,826人(66.6%)为多物质使用者,135(10.9%)仅使用阿片类药物,和279(22.5%)只使用兴奋剂。共有349名受访者(28.1%)经历了前一年的用药过量。与前一年没有过量的人相比,服用过量的人更有可能拥有纳洛酮(80.7%vs68.2%;P<.001),拥有芬太尼试纸(36.8%vs23.5%;P<.001),并使用减少伤害服务(63.4%对53.0%;P=0.003),而治疗使用的差异无统计学意义(52.0%vs46.6%;P=.24)。在仅使用兴奋剂的用户中,51.4%的人拥有纳洛酮,相比之下,只有阿片类药物使用者的77.3%(P<.001)和多物质使用者的77.6%(P<.001),芬太尼试纸拥有相似的差异。
■在这项对过去30天内使用药物的人的横断面研究中,研究结果强调了使用兴奋剂的人群中减少伤害和治疗服务的使用率较低.关于其重要性的额外沟通可能有助于在迅速变化的药物供应中增加服务的使用。
UNASSIGNED: Rates of overdose deaths involving synthetic opioids remain high, increasingly involve stimulants combined with opioids, and are increasing rapidly in racially and ethnically minoritized communities, yet little is known about access to harm reduction and treatment services in these groups.
UNASSIGNED: To characterize access and barriers to harm reduction and treatment in a racially and ethnically diverse population of people who use drugs.
UNASSIGNED: A cross-sectional telephone survey of people recruited from 39 treatment, harm reduction, and social service organizations in Milwaukee County, Wisconsin; Flint and Detroit, Michigan; and statewide in New Jersey was conducted from January 30 to July 28, 2023. Adults who used cocaine, methamphetamine, or opioids in the past 30 days called a study hotline and completed an interview in English or Spanish.
UNASSIGNED: Overdose experience, drug types used (opioids only, stimulants only, and polysubstance), and social risk factors (eg, financial instability and criminal legal involvement).
UNASSIGNED: Recent use of any harm reduction services, fentanyl test strips, naloxone possession, treatment, and self-reported barriers to services.
UNASSIGNED: Of the total sample of 1240 adults, 486 (39.2%) were Black non-Hispanic, 183 (14.8%) were Hispanic, and 464 (37.4%) were White non-Hispanic. In the past 30 days, 826 individuals (66.6%) were polysubstance users, 135 (10.9%) used only opioids, and 279 (22.5%) used only stimulants. A total of 349 respondents (28.1%) experienced a prior-year overdose. Compared with those without a prior-year overdose, people with overdose were more likely to possess naloxone (80.7% vs 68.2%; P < .001), possess fentanyl test strips (36.8% vs 23.5%; P < .001), and use harm reduction services (63.4% vs 53.0%; P = .003), while differences in treatment use were nonsignificant (52.0% vs 46.6%; P = .24). Among stimulant-only users, 51.4% possessed naloxone compared with 77.3% of opioid-only users (P < .001) and 77.6% of polysubstance users (P < .001), with similar disparities in fentanyl test strip possession.
UNASSIGNED: In this cross-sectional study of people who used drugs in the past 30 days, findings highlighted low use of harm reduction and treatment services among people who use stimulants. Additional communication regarding their importance may help increase the use of the services amidst a rapidly changing drug supply.