识别监狱中获取危害减轻服务的障碍和促进者:一个系统的叙事综合
O Varsaneux1, M Charest1, K Ma2
1School of Epidemiology and Public Health, University of Ottawa Roger Guindon Hall, 451 Smyth Rd., Ottawa, Ontario K1H 8M5, Canada.
The International journal on drug policy
|June 15, 2025
概括
监狱减少伤害服务 (HRS) 的障碍包括恐惧和负面看法,而促进者涉及教育和领导力支持. 改善获取需要全面的教育,同行倡议和对监狱人员的支持政策 (PIP).
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 社会学 社会学 社会学
背景情况:
- 毒品使用是全球监狱环境中的一个重要问题.
- 对监狱人员 (PIP) 提供综合性减少伤害服务 (HRS) 是国际上推的,但实施不足.
- 限制对监狱HRS的访问,阻碍了有效的公共卫生干预.
研究的目的:
- 系统地综合有关监狱中获取危害减轻服务的障碍和促进者的证据.
- 确定影响监禁人口中HRS吸收的因素.
- 为改善监狱环境中HRS实施的策略提供信息.
主要方法:
- 发表在MEDLINE,PsycINFO,SCOPUS和CINAHL杂志上的研究的系统叙事综合.
- 包括在监狱环境中评估各种HRS (避孕套,PrEP,PEP,OAT,NSP,HBV疫苗接种) 的研究.
- 使用社会生态模型和常数比较方法进行定性内容分析.
主要成果:
- 对94项研究的分析揭示了多层次的障碍:个人 (对影响的恐惧),人际关系 (负面看法),机构 (资源分配) 和社会 (严格的政策).
- 促进者包括关于预防风险的教育,积极的先前HRS经验,以及监狱领导层的支持.
- 大多数研究 (85%) 来自高收入国家,这表明全球代表性存在潜在差距.
结论:
- 多层次的因素显著影响了对监狱HRS的访问和使用.
- 提高HRS的普及需要为PIP和工作人员提供全面的教育,以同行为主导的意识倡议,以及强有力的监狱领导支持.
- 专门的资源配置和促进HRS的政策改革对于改善监狱环境中的健康结果至关重要.
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