使用社会生态模型来指导加拿大监狱针交换计划的服务提供改进:来自多层次利益相关者的见解
Nadine Kronfli1,2, Lise Lafferty3,4, Frederic Leone5
1Department of Medicine, Division of Infectious Disease and Chronic Viral Illness Service, McGill University, Montreal, QC, Canada. nadine.kronfli@mcgill.ca.
BMC public health
|October 30, 2025
概括
加拿大监狱针交换计划 (PNEP) 的有限采用是由于对保密性和恐惧的担忧. 解决方案包括教育,安全注射地点和同行参与,以改善被监禁人员的PNEP访问.
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:
- 加拿大在2018-2019年实施了一项监狱针交换计划 (PNEP),以减少联邦监狱中注射毒品造成的伤害.
- 节目接受度有限,需要探索障碍物和促进者,以加强PNEP服务.
研究的目的:
- 确定加拿大联邦监狱中关键利益相关者改善监狱针交换计划 (PNEP) 的障碍和促进因素.
- 探索多层次的解决方案,以增加囚犯注射毒品的PNEP获取.
主要方法:
- 使用名义小组技术的重点小组与九个联邦设施的惩戒官员,医疗保健工作者和监狱人员进行了聚焦.
- 参与者对PNEP吸收的障碍和解决方案进行了排名,通过社会生态模型的五个层面进行了分析.
主要成果:
- 关键的障碍包括缺乏保密性/隐私,以及对与吸毒有关的后果的恐惧.
- 首选的解决方案包括全面的教育,监督/安全的注射场所和外部程序管理,可能与同行参与.
结论:
- 多层次,可修改的障碍阻碍了PNEP在加拿大联邦监狱的普及.
- 结构性变化,如监督/安全注射站点和同行领导的计划,对于增加PNEP访问至关重要.
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