"We Want a Living Solution": Views of Harm Reduction Programs in Black U.S. Communities
"We Want a Living Solution": Views of Harm Reduction Programs in Black U.S. Communities
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DOI：
10.1080/15332640.2014.976803
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发表时间：
2015-04-03
影响因子：
1.3
通讯作者：
Eversman, Michael H.
中科院分区：
文献类型：
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作者：
Eversman, Michael H.
美国的非法毒品使用仍然令人担忧，注射毒品与艾滋病毒/艾滋病等血液传播疾病有关；包括美国黑人在内的有色人种的传播率高得不成比例。减少危害的计划，如美沙酮和针头和注射器交换(NEP/SEP)，经验证明可以减少艾滋病毒的传播，但被认为在很大程度上受到黑人社区的反对。这项研究使用了21家药物滥用服务提供商和相关服务组织的采访数据，这些服务组织位于和/或服务于以有色人种为主的人群，探讨了美国对非法药物和种族减少危害规划的看法。受访者批评每个项目都有独特的原因，认为它们在很大程度上不足以应对社区毒品问题。虽然一些人认为这些项目会恶化黑人社区，但另一些人认为，这些项目在那里变得更容易被接受。观点受到社会中围绕毒品的种族动态、节目主持人社区承担的负担以及对毒品使用的种族主义刻板印象的影响。
Illicit drug use in the US remains concerning, with injection drug use linked to transmission of blood-borne diseases as HIV/AIDS; persons of color, including Black Americans, experience disproportionately higher transmission rates. Harm reduction programs such as methadone and needle- and syringe-exchange (NEP/SEP) are empirically demonstrated to reduce HIV transmission, yet are believed largely opposed by Black communities. Using interview data from 21 service providers of substance abuse and related service organizations located in and/or serving predominantly populations of color, this study explored perceptions of harm reduction programming for illicit drugs and race in the US. Criticizing each program for unique reasons, respondents deemed them largely inadequate and inappropriate responses to community drug problems. While some believed these programs worsen Black communities, others believed they are becoming more accepted there. Views were informed by racial dynamics surrounding drugs in society, burdens borne by program host communities, and racialized stereotypes of drug use.