Trusting the source: The potential role of drug dealers in reducing drug-related harms via drug checking
Trusting the source: The potential role of drug dealers in reducing drug-related harms via drug checking
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DOI：
10.1016/j.drugalcdep.2019.01.035
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发表时间：
2019-05-01
影响因子：
4.2
通讯作者：
Kerr, Thomas
中科院分区：
文献类型：
--
作者：
Bardwell, Geoff;Boyd, Jade;Kerr, Thomas
目标：药物检查技术（DCT）已被实施，以应对持续存在的阿片类药物过量流行问题。我们调查了吸毒者 (PWUD) 对毒贩的信任程度，以及他们对毒贩使用 DCT 向其顾客提供毒品内容知识的可能性的看法。 方法：我们对加拿大温哥华市中心东区的 20 名吸毒者进行了一对一的定性半结构化访谈。参与者是有意从正在进行的 PWUD 队列研究中招募的，并被要求目前正在使用兴奋剂和/或阿片类药物。 结果：大多数参与者讨论了基于关系长度、毒品供应一致性和沟通对毒贩的高度信任。鉴于此，参与者并未将药物检查视为优先事项。然而，参与者讨论了从陌生来源购买药品时信任度较低的问题。与会者还讨论了 DCT 如何向毒贩提供有关药物成分的知识，以及向客户传达测试结果如何成为一种降低风险的措施。参与者描述了毒贩可能遇到的隐私问题，以及一些毒贩对其药品供应缺乏关注。结论：未来的药品检查计划应考虑如何让毒贩测试其供应品，并制定沟通策略，以更准确地告知 PWUD 药品内容并避免与使用药品相关的风险。此外，应考虑制定解决刑事定罪影响的毒品政策，以减少毒贩使用 DCT 的潜在障碍。
Objectives: Drug checking technologies (DCTs) have been implemented as a response to the ongoing opioid overdose epidemic. We examined the level of trust people who use drugs (PWUD) have in their drug dealers as well as their perspectives on the potential for drug dealers to use DCTs to provide knowledge of drug contents to their customers.Methods: We conducted one-to-one qualitative semi-structured interviews with 20 PWUD in Vancouver, Canada's Downtown Eastside. Participants were purposively recruited from ongoing cohort studies of PWUD and were required to currently be using stimulants and/or opioids.Results: Most participants discussed having a high level of trust for their drug dealers based on length of relationships, drug supply consistencies, and communication. Given this, participants did not identify drug checking as a priority. However, participants discussed a lower level of trust when buying drugs from an unfamiliar source. Participants also discussed how DCTs would provide knowledge to drug dealers about drug contents and how communicating test results to customers could be a risk reduction measure. Participants described privacy concerns that drug dealers might experience as well as the lack of concern that some drug dealers have about their drug supply.Conclusions: Future drug checking programming should consider ways to engage drug dealers to test their supplies and develop communication strategies to more accurately inform PWUD of drug contents and avert risks associated with using them. Additionally, drug policies that address the effects of criminalization should be considered to lessen potential barriers to DCT use by drug dealers.