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Health outcomes and quasi-supervised settings for street injecting drug use

机译:街头注射毒品使用的健康结果和半监督情况

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Over a 12-month period during 2000, public injecting in Melbourne's Central Business District (CBD) was displaced by a range of aggressive policing strategies. Public injecting was displaced into quasi-supervised settings such as public toilets and an outreach-serviced laneway. There is a complex relationship between the setting of drug use and acute health outcomes. Over the period of displacement to quasi-supervised settings, there was a specific reduction in the rate of non-fatal overdose per 1000 syringes used in the CBD, The change in setting of drug use was coincident with a change in the location of non-fatal overdose incidents, with limited evidence of differential changes in the number of overdoses in indoor and outdoor settings. This limited evidence of a differential reduction in overdose according to setting suggests the possibility that a blanket reduction in heroin purity does not solely account for the observed changes in the rate of non-fatal overdose. The findings suggest that there is a complex relationship between better health outcomes and the context of injecting in street drug use locations, Given this complex relationships caution should be exercised when projecting the likely impacts of police displacement and public health strategies to reduce harm in street drug markets.
机译:在2000年的12个月中,墨尔本中央商务区(CBD)的公众注射被一系列积极的警务策略所取代。公众注射被转移到准监督的环境中,例如公共厕所和外联服务的巷道。药物使用情况与急性健康结果之间存在复杂的关系。在转移到准监管机构期间,CBD中每使用1000个注射器的非致死性过量剂量率有特定的降低。用药机构的变化与非监管机构的位置变化同时发生。致命的用药过量事件,室内和室外用药过量数量差异性变化的有限证据有限。这种有限的证据表明,过量导致的过量剂量减少的情况表明,海洛因纯度的全面降低并不能完全解释非致命过量剂量的变化。研究结果表明,更好的健康结果与在街头毒品使用地点注射的情况之间存在复杂的关系,鉴于这种复杂的关系,在预测警察流离失所和减少街头毒品危害的公共卫生策略的可能影响时应谨慎行事。市场。

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