Correlates of public support toward federal funding for harm reduction strategies.
Correlates of public support toward federal funding for harm reduction strategies.
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DOI：
10.1186/s13011-015-0022-5
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发表时间：
2015-06-30
期刊：
影响因子：
--
通讯作者：
Lindgren KP
中科院分区：
文献类型：
--
作者：
Kulesza M;Teachman BA;Werntz AJ;Gasser ML;Lindgren KP
从历史上看，美国联邦政策并不支持减少危害的干预措施，例如安全注射设施（SIF）和针头和注射器计划（NSP），这些措施可以减轻与注射毒品使用相关的负担。鉴于最近滥用合法和非法阿片类药物的情况有所增加，人们对解决这一问题的有效方法重新展开了辩论。当前的研究 (1) 评估了参与者对 SIF 和 NSP 的支持，(2) 评估了一些人口因素（例如年龄、性别、种族、教育、政治意识形态和宗教信仰）以及对注射吸毒者 (PWID) 的污名化信念的个体差异，这些差异可能与对这些干预措施的支持有关。美国成年人 (N = 899) 完成了一项基于网络的研究，评估了自我报告的对 NSP 和 SIF 的支持，以及对吸毒者的耻辱。大多数参与者至少在一定程度上支持 NSP 和 SIF。回归分析表明，更加自由的政治意识形态、更多人认为注射吸毒者应该得到帮助而不是惩罚、年龄较大和男性性别，预测了对 NSP 和 SIF 的更大支持。此外，支持降低吸毒者耻辱感的参与者更支持 NSP 和 SIF。种族、宗教信仰和教育程度并不能预测对 NSP 和 SIF 的支持。大多数参与者倾向于报告支持减少伤害策略。年龄、政治意识形态和个人对吸毒者污名化信念的差异与支持率显着相关。鉴于污名化信念的潜在可塑性，寻求改变吸毒者污名的努力可能会对减少吸毒者伤害战略的公共政策产生重要影响。
Historically, US federal policy has not supported harm reduction interventions, such as safe injection facilities (SIFs) and needle and syringe programs (NSPs), which can reduce the burden associated with injection drug use. Given recent increases in abuse of both legal and illegal opioids, there has been a renewed debate about effective ways to address this problem. The current study (1) assessed participants’ support for SIFs and NSPs, and (2) evaluated several demographic factors (e.g., age, gender, race, education, political ideology, and religiosity) and individual differences in stigmatizing beliefs about people who inject drugs (PWID) that might relate to support for these interventions. U.S. adults (N = 899) completed a web-based study that assessed self-reported support for NSPs and SIFs, and stigma about PWID. The majority of participants were at least somewhat supportive of both NSPs and SIFs. Regression analyses indicated greater support for NSPs and SIFs was predicted by more liberal political ideology, more agreement that PWID deserve help rather than punishment, older age, and male gender. Also, participants who endorsed lower stigma about PWID were more supportive of NSPs and SIFs. Race, religiosity, and education did not predict support for NSPs and SIFs. Most participants tended to report support for harm reduction strategies. Age, political ideology, and individual differences in stigmatizing beliefs about PWID were significantly associated with support. Given the potential malleability of stigmatizing beliefs, efforts that seek to shift stigma about PWID could have important implications for public policy towards harm reduction strategies for PWID.
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