Syringe Decriminalization Advocacy in Red States: Lessons from the North Carolina Harm Reduction Coalition

Syringe Decriminalization Advocacy in Red States: Lessons from the North Carolina Harm Reduction Coalition
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DOI:
10.1007/s11904-018-0397-9
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发表时间:
2018-06-01
影响因子:
4.6
通讯作者:
Childs, Robert
Childs, Robert
中科院分区:
医学2区
文献类型:
--
作者:
Cloud, David H.;Castillo, Tessie;Childs, Robert

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审查注射器获取计划(SAP)的目的是打击国家阿片类药物流行病的基石减少伤害干预措施。本文的目标是描述有效的宣传策略,制定注射器合法化的立法,以促进扩大的SAP在高需求地区的政治options.Recent调查结果几十年或研究表明,SAP防止艾滋病毒的传播之间的人谁注射毒品(PWID),是一个具有成本效益的工具,将PWID的医疗保健,健康教育和社会服务。在美国,州法律将分发和拥有注射器定为犯罪,这阻碍了SAP向急需SAP的地区的扩展。摘要2016年,北卡罗来纳州成为第一个将SAP合法化的州,共和党占绝对多数。本文提炼了社区组织寻求推进注射器合法化立法在政治上保守的国家优先考虑惩罚性制裁的公共卫生应对药物使用的历史战略。
Purpose of Review Syringe access programs (SAPs) are cornerstone harm reduction interventions for combatting the national opioid epidemic. The goal of this paper is to describe effective advocacy strategies for enacting syringe decriminalization legislation to foster the expansion of SAPs in high-need areas amidst political opposition.Recent Findings Decades or research shows that SAPs prevent the transmission of HIV among people who inject drugs (PWID) and are a cost-effective tool for linking PWID to medical care, health education, and social services. In the USA, state laws criminalizing distribution and possession of syringes impede the expansion of SAPs into areas where they are sorely needed.Summary In 2016, North Carolina became the first state to legalize SAPs with a Republican super majority. This paper distills strategies for community organizations seeking to advance syringe decriminalization legislation in politically conservative states with histories of prioritizing punitive sanctions over public health responses to drug use.