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Published on: March 7, 2020
Community Perceptions of Comprehensive Harm Reduction Programs and Stigma Towards People Who Inject Drugs in Rural
Logan S Baker1, Walter Smith2, Tauna Gulley3
1University of Virginia's College at Wise, 1 College Ave, Wise, VA, 24293, USA. lsb2f@uvawise.edu.
Community members in rural Virginia hold negative perceptions of people who inject drugs (PWID) and lack knowledge of comprehensive harm reduction (CHR) programs. High stigma towards PWID correlates with low support for CHR initiatives.
Area of Science:
- Public Health
- Social Science
- Epidemiology
Background:
- Injection drug use poses significant risks for infectious disease transmission, including HIV and Hepatitis C.
- Dickenson County, Virginia, is identified as a high-vulnerability area for HIV/HCV spread among people who inject drugs (PWID).
- Comprehensive Harm Reduction (CHR) is an evidence-based strategy to mitigate negative consequences of drug use.
Purpose of the Study:
- To evaluate community perceptions of CHR programs.
- To assess levels of stigma towards PWID in a rural Virginia community.
- To explore the relationship between stigma and support for CHR.
Main Methods:
- Anonymous surveys and interviews with community stakeholders in Dickenson County.
- Participant recruitment via online (email, social media) and in-person distribution of surveys.
- Statistical analysis of 153 completed surveys using Sigma Plot.
Main Results:
- A strikingly negative perception of PWID was observed in the rural Virginia community.
- Participants demonstrated limited knowledge of harm reduction programs and high levels of stigma towards PWID.
- Increased stigma toward PWID was associated with decreased support for CHR programs.
Conclusions:
- There is a clear need for harm reduction programs in rural Virginia.
- Low community knowledge and high stigma present significant barriers to implementing CHR programs.
- Addressing stigma and increasing awareness are crucial for successful harm reduction initiatives.
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