Injecting drug users' experiences of policing practices in two Mexican-US border cities: Public health perspectives

Injecting drug users' experiences of policing practices in two Mexican-US border cities: Public health perspectives
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DOI:
10.1016/j.drugpo.2007.06.002
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发表时间:
2008-08-01
影响因子:
4.4
通讯作者:
Strathdee, Steffanie A.
Strathdee, Steffanie A.
中科院分区:
医学2区
文献类型:
--
作者:
Miller, Cari L.;Firestone, Michelle;Strathdee, Steffanie A.

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背景:以前的研究已经确定了执法做法对注射吸毒者行为和健康的影响。我们进行了一项定性研究的注射吸毒者的经验,在两个墨西哥城市的警务工作在美国边境。方法:在2004年,两队墨西哥采访者进行了深入的采访,注射吸毒者居住在蒂华纳和华雷斯城(光盘。墨西哥的Juarez),他在上个月至少注射了一次毒品。主题包括使用的毒品类型、注射环境、获得无菌针头和与警察打交道的经验。现场笔记和转录访谈进行了分析,以确定紧急themes.Results:在43名参与者中,大多数人报告说,它是常见的注射吸毒者被逮捕和拘留36小时携带消毒或使用过的注射器。大多数人报告说,他们或他们认识的人被警察殴打。访谈提出了与警察对风险环境的影响有关的五个关键主题:(1)警务做法对无菌注射器可及性的影响,(2)警察对注射毒品地点选择的影响(例如,射击场),(3)警察暴力,(4)警察腐败和(5)感知的警务实践的变化。结论:调查结果表明,在蒂华纳和镉的警察的一些行为。华雷斯不符合法律的规范,可能对注射吸毒者中获得血液传播感染的风险产生负面影响。在注射吸毒者中实施全面和成功的艾滋病毒预防方案需要采取干预措施,以影响执法官员的知识、态度和做法。(C)2007 Elsevier B.V.保留所有权利。
Background: Previous research has identified the impact of law enforcement practices on the behaviours and health of injection drug users (IDUs). We undertook a qualitative study of IDUs' experiences of policing practices in two Mexican cities on the U.S. border.Methods: In 2004, two teams of Mexican interviewers conducted in-depth interviews with IDUs residing in Tijuana and Ciudad Juarez (Cd. Juarez), Mexico, who had injected drugs at least once in the prior month. Topics included types of drug used, injection settings, access to sterile needles and experiences with police. Field notes and transcribed interviews were analysed to identify emergent themes.Results: Amongst the 43 participants, most reported that it is common for IDUs to be arrested and detained for 36 h for carrying sterile or used syringes. Most reported that they or someone they knew had been beaten by police. Interviews suggested five key themes relating to police influence on the risk environment: (1) impact of policing practices on accessibility of sterile syringes, (2) influence of police on choice of places to inject drugs (e.g., shooting galleries), (3) police violence, (4) police corruption and (5) perceived changes in policing practices.Conclusion: Findings suggest that some behaviour of police officers in Tijuana and Cd. Juarez is inconsistent with legal norms and may be negatively influencing the risk of acquiring blood-borne infections amongst IDUs. Implementing a comprehensive and successful HIV prevention programme amongst IDUs requires interventions to influence the knowledge, attitudes and practices of law enforcement officers. (C) 2007 Elsevier B.V. All rights reserved.