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首页> 外文期刊>The International journal of drug policy >A high proportion of users of low-threshold facilities with needle exchange programmes in Switzerland are currently on methadone treatment: Implications for new approaches in harm reduction and care
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A high proportion of users of low-threshold facilities with needle exchange programmes in Switzerland are currently on methadone treatment: Implications for new approaches in harm reduction and care

机译：目前在瑞士，有低阈值设施的高比例针头更换计划使用者正在使用美沙酮治疗：对减少伤害和护理新方法的意义

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Background: Increasingly, patients receiving methadone treatment are found in low threshold facilities (LTF), which provide needle exchange programmes in Switzerland. This paper identifies the characteristics of LTF attendees receiving methadone treatment (MT) compared with other LTF attendees (non-MT). Methods: A national cross-sectional survey was conducted in 2006 over five consecutive days in all LTF (n=25). Attendees were given an anonymous questionnaire, collecting information on socio-demographic indicators, drug consumption, injection, methadone treatment, and self-reported HIV and HCV status. Univariate analysis and logistic regression were performed to compare MT to non-MT. The response rate was 66% (n=1128). Results: MT comprised 57.6% of the sample. In multivariate analysis, factors associated with being on MT were older age (OR: 1.38), being female (OR: 1.60), having one's own accommodation (OR: 1.56), receiving public assistance (OR: 2.29), lifetime injecting (OR: 2.26), HIV-positive status (OR: 2.00), and having consumed cocaine during the past month (OR: 1.37); MT were less likely to have consumed heroin in the past month (OR: 0.76, not significant) and visited LTF less often on a daily basis (OR: 0.59). The number of injections during the past week was not associated with MT. Conclusions: More LTF attendees were in the MT group, bringing to light an underappreciated LTF clientele with specific needs. The MT group consumption profile may reflect therapeutic failure or deficits in treatment quality and it is necessary to acknowledge this and to strengthen the awareness of LTF personnel about potential needs of MT attendees to meet their therapeutic goals.
机译：背景：越来越多的人在低阈值设施（LTF）中发现接受美沙酮治疗的患者，该设施在瑞士提供针头更换计划。本文确定了接受美沙酮治疗（MT）的LTF与会者与其他LTF与会者（非MT）相比的特征。方法：2006年对所有LTF（n = 25）连续五天进行了国家横断面调查。与会者获得了匿名问卷，收集了有关社会人口统计学指标，药物消耗，注射，美沙酮治疗以及自我报告的HIV和HCV状况的信息。进行单因素分析和逻辑回归以比较MT与非MT。回应率为66％（n = 1128）。结果：MT占样本的57.6％。在多因素分析中，与MT相关的因素包括年龄较大（OR：1.38），女性（OR：1.60），自己的住所（OR：1.56），接受公共援助（OR：2.29），终生注射（OR ：2.26），HIV阳性（OR：2.00），并且在过去一个月内服用了可卡因（OR：1.37）;在过去的一个月中，MT服用海洛因的可能性较小（OR：0.76，不显着），并且每天访问LTF的频率较低（OR：0.59）。过去一周的注射次数与MT无关。结论：MT组中有更多的LTF参加者，这表明了具有特殊需求的LTF客户未被充分认识。 MT群体的消费状况可能反映出治疗失败或治疗质量下降，有必要承认这一点并加强LTF人员对MT参与者满足其治疗目标的潜在需求的认识。

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