针头到处都是吗? : 在社区合作伙伴和注射毒品者之间,关于与基于需求的注射器服务计划相关的注射器废物和处置的不同看法
Rebecca B Hershow1, Lauren Love Pieczykolan1, Nancy Worthington2
1Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Substance use & misuse
|March 21, 2024
概括
社区对注射器废弃物的担忧阻碍了注射器服务计划 (SSP). 这项研究发现,对注射器废弃物的看法往往与支持或反对SSP一致,造成实施障碍.
科学领域:
- 公共卫生 公共卫生
- 定性研究是一种定性研究.
- 社会科学 社会科学 社会科学
背景情况:
- 社区对注射器废弃物的担忧经常阻碍了注射器服务计划 (SSP) 的建立.
- 西弗吉尼亚州卡纳瓦县对SSP的反对导致在注射毒品者 (PWID) 爆发艾滋病毒之前和期间关闭该计划.
研究的目的:
- 调查PWID和社区合作伙伴在与基于需求的SSP相关的注射器废物和处置方面的观点.
- 了解对注射器废弃物的不同看法如何影响SSP实施和社区关系.
主要方法:
- 与26个PWID和45个不同的社区合作伙伴进行了定性访谈.
- 录制,转录和编码采访,以分析关于注射器废弃物,处置和基于需求的SSP的观点.
主要成果:
- 基于需求的SSP的支持者报告说,注射器浪费没有增加,而反对者认为基于需求的SSP加剧了这个问题.
- 社区合作伙伴指出,SSP与浪费,针刺伤害,毒品使用和犯罪增加有关.
- 关于注射器废弃物的相互矛盾观点对讨论和实施SSP构成了重大障碍.
结论:
- 参与者对注射器废弃物的看法与他们对基于需求的SSP的立场相关,这阻碍了艾滋病毒爆发期间的共识.
- 解决注射器废弃物的问题需要扩大处理力度,社区参与,以及减少耻辱的活动,以有效实施SSP.
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