在四个欧洲大都会城市使用毒品的移民背景的人群中的挑战和支持需求
Aline Pouille1, Clara De Ruysscher2, Lena van Selm3,4
1Department of Special Needs Education, Ghent University, Ghent, Belgium. aline.pouille@ugent.be.
Harm reduction journal
|November 23, 2024
概括
使用毒品的移民个人面临严重的护理障碍,包括社会经济脆弱性和歧视. 可访问的,低门的减伤服务对于满足他们的基本需求和改善健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 移民研究 移民研究
背景情况:
- 由于社会经济脆弱性和不平等,移民,寻求庇护者和难民面临更高的心理健康问题和物质依赖的风险.
- 在欧洲,使用毒品的移民背景人士 (PMWUD) 面临着不稳定的生活状况和有限的基本护理.
- 交叉的社会和经济因素加剧了PMWUD面临的挑战.
研究的目的:
- 探索欧洲使用毒品 (PMWUD) 的移民背景的弱势群体的挑战和支持需求.
- 确定在城市环境中为PMWUD提供护理和有效支持策略的障碍.
- 了解PMWUD在健康,住房和社会融合方面的经验.
主要方法:
- 使用了基于社区的参与式方法.
- 在阿姆斯特丹,雅典,柏林和巴黎的99名移民背景的吸毒者 (PMWUD) 进行了半结构化采访.
- 参与者通过社区守门员,场地和雪球采样招募,采访重点是生活情况,物质使用,健康和就业.
主要成果:
- 常见的挑战包括童年逆境,孤独,物质使用问题,暴力,贫困,无家可归以及缺乏医疗保健和就业的文件.
- 诸如行政障碍,语言/文化差异,耻辱和歧视等结构性障碍阻碍了获得护理和支持的机会.
- 低门减少危害服务和地方组织对于满足基本需求 (卫生,食品) 和提供支持至关重要,尽管住房和服务存在城市特定的差异.
结论:
- 结构和行政障碍严重阻碍了对PMWUD的适当护理.
- 具有语言和文化敏感的外展与最低要求可以帮助克服社会和治疗障碍.
- 需要量身定制的,可访问的干预措施来改善这一弱势群体的健康和社会结果.
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