作为参与工具的管道:来自英国裂设备和减少危害的培训干预的定性发现
Casey Sharpe1, Joanna Busza1, Cedomir Vuckovic1
1Department for Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom.
The International journal on drug policy
|January 29, 2026
概括
提供破解吸入设备和培训显著增加了对边缘化人口的毒品服务的参与. 这项干预措施促进了新的联系,改善了支持,尽管仍然存在一些进入障碍.
科学领域:
- 公共卫生 公共卫生
- 成研究 研究成研究
- 减少危害的策略
背景情况:
- 在英格兰,可卡因使用量正在上升,对这一群体的服务有限.
- 毒品服务面临的挑战是由于吸入设备的禁令和低危害减轻知识.
- 安全吸入管道供应 (SIPP) 项目引入了裂吸入设备和培训.
研究的目的:
- 探索破解培训和设备供应如何影响与毒品服务的参与.
- 了解降低危害干预措施对可卡因使用者的服务获取的影响.
主要方法:
- 一项混合方法研究,使用前后调查和服务监控.
- 通过采访,焦点小组和干预和比较地点的观察进行定性数据收集.
- 对定性数据进行主题分析,重点关注与毒品服务的接触和参与.
主要成果:
- 提供裂纹吸入设备导致使用裂纹的接触和披露增加.
- 劳动力培训改善了沟通,建立关系和确定额外的需求.
- 组织和结构上的约束影响了参与能力,对一些人来说,持续存在的进入障碍.
结论:
- 提供裂纹吸入设备可以为边缘化群体启动服务联系.
- 劳动力培训增强了建立关系和参与的机会.
- 需要以同行为主导的提供模式来克服剩余的访问障碍.
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