"我们自己做":改善减少伤害的实践的优势和机会
Kasey Claborn1,2,3, Jake Samora4,5, Katie McCormick4,5
1Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA. Kasey.claborn@austin.utexas.edu.
Harm reduction journal
|June 9, 2023
概括
德克萨斯州面临大量过量死亡,需要减少危害. 这项研究揭示了吸毒者 (PWUD) 和减伤主义者的障碍,包括对系统和政策挑战的恐惧,阻碍了有效的过量预防.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 药物使用研究研究 药物使用研究
背景情况:
- 德克萨斯州和美国的COVID-19后物质过量死亡人数急剧增加.
- 基于证据的减少危害的做法对于减少使用毒品的危害和过量死亡至关重要.
- 在德克萨斯州实施降低危害是具有挑战性的,对当前实践的理解有限.
研究的目的:
- 了解德克萨斯州使用毒品的人 (PWUD),减少危害者和紧急响应者之间的危害减少实践.
- 确定在全州范围内扩大和传播危害降低策略的障碍和促进因素.
- 为未来的公共卫生倡议提供信息,以预防德克萨斯州的过量服用.
主要方法:
- 使用半结构面试对69个主要利益相关者进行定性研究.
- 参与者包括25名减少危害者,24名PWUD和20名德克萨斯州四个县的紧急响应人员.
- 数据分析涉及到字面转录,主题编码和应用主题分析,使用NVivo 12,并获得社区咨询委员会的意见.
主要成果:
- 减少危害面临微观和宏观层面的障碍,影响个人和系统医疗保健/紧急响应.
- 使用毒品的人 (PWUD) 表示害怕与医疗保健和911系统接触.
- 减伤主义者需要更多的支持来接触多样化的PWUD社区.
- 国家层面的政策可能会阻碍基于证据的减少危害的广泛采用.
结论:
- 利益相关者的观点揭示了德克萨斯州减少危害的现有优势和改进领域.
- 解决对参与的恐惧和加强对减伤主义者的支持至关重要.
- 政策审查是必要的,以促进实施有效的减少危害的做法.
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