Preventing hepatitis C: 'common sense', 'the bug' and other perspectives from the risk narratives of people who inject drugs
Preventing hepatitis C: 'common sense', 'the bug' and other perspectives from the risk narratives of people who inject drugs
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DOI：
10.1016/j.socscimed.2004.02.021
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发表时间：
2004-11-01
影响因子：
5.4
通讯作者：
Martin, A
中科院分区：
文献类型：
--
作者：
Davis, M;Rhodes, T;Martin, A
关于注射毒品的人对丙型肝炎疫情的反应，发表的研究很少。这项研究试图通过对伦敦注射吸毒者的定性访谈来解决丙型肝炎的预防问题。我们在其他风险的社会和历史背景下，如艾滋病毒、静脉损伤和过量用药，探索了关于降低风险和丙型肝炎的叙述。这些叙述的主题包括：在获得更安全的注射技能方面自主的重要性；更安全的注射被视为常识，并基于艾滋病毒风险进行正常化和预测；丙型肝炎风险与艾滋病毒风险相关，因此被视为不那么重要；丙型肝炎感染也被视为不可避免。这些叙述形式对丙型肝炎疫情的管理提出了重大挑战，无论是在为艾滋病毒而设计的现有降低风险努力方面，还是在将注射器的风险降低与一般公共卫生政策相结合方面。(C)2004爱思唯尔有限公司。保留所有权利。
There is little published research about how people who inject drugs are responding to the hepatitis C epidemic. This study seeks to address the prevention of hepatitis C using qualitative interviews with people who inject drugs in London. We explored narratives about risk reduction and hepatitis C in the social and historical context of other risks such as HIV, vein damage and overdose. Themes of the narratives included: the importance of autonomy in the acquisition of safer injecting skills; that safer injection was regarded as 'common sense', normalised and predicated on the risk of HIV; that hepatitis C risk was relativised with HIV risk and thereby seen as less important; and that hepatitis C infection was also seen as unavoidable. These narrative forms represent significant challenges for the management of the hepatitis C epidemic, both in terms of the existing risk reduction efforts designed for HIV and in terms of the articulation of risk reduction for injectors with general public health policy. (C) 2004 Elsevier Ltd. All rights reserved.