Practices of care among people who buy, use, and sell drugs in community settings
Practices of care among people who buy, use, and sell drugs in community settings
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DOI：
10.1186/s12954-020-00372-5
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发表时间：
2020-05-07
影响因子：
4.4
通讯作者：
Strike, Carol
中科院分区：
文献类型：
--
作者：
Kolla, Gillian;Strike, Carol
背景对贩卖毒品的人的普遍看法是负面的，贩卖毒品被认为是掠夺性的，在道德上是应受谴责的。相比之下，使用毒品的人（PWUD）经常描述对出售毒品的人的积极看法。加拿大多伦多的“卫星站点”方案在人们聚集购买、使用和销售毒品的社区提供减少危害服务。该计划雇用PWUD-谁可能会进入和退出毒品销售-作为减少伤害的工作人员。在本文中，我们研究的人谁直接销售毒品到减少伤害的服务提供的整合，以及他们的做法，照顾与其他PWUD在他们的社区。方法数据收集包括2016-2017年7个月期间在卫星站点内的参与者观察，辅以20个半结构化的采访，包括卫星站点工作人员，客户和项目主管。主题分析被用来检查从卫星站点工作人员的活动中出现的护理实践，包括那些围绕药物销售和分享行为的传播。结果卫星站点的工作人员从事各种各样的护理实践与PWUD访问他们的网站。减少危害设备的分发更容易被视为一种护理实践，因为它符合护理的规范框架。刑事定罪，再加上作为掠夺性的毒品销售的负面框架，有助于在审查互助和护理行为的困难，围绕毒品销售作为护理的做法。通过认真对待PWUD采购优质药物的重要性，更广泛的护理实践变得显而易见。这些额外的护理做法包括协助购买毒品、提供关于毒品效力的信息以及拒绝出售被认为太强的毒品。结论我们的研究结果表明，减少伤害的计划，将一些人谁卖毒品到编程的潜力。认真对待护理的做法可能会消除一些障碍，将毒品销售人员纳入减少危害规划，并有助于制定更相关的干预措施，了解毒品买卖在PWUD生活中的关键作用。
Background Popular perception of people who sell drugs is negative, with drug selling framed as predatory and morally reprehensible. In contrast, people who use drugs (PWUD) often describe positive perceptions of the people who sell them drugs. The "Satellite Sites" program in Toronto, Canada, provides harm reduction services in the community spaces where people gather to buy, use, and sell drugs. This program hires PWUD-who may move into and out of drug selling-as harm reduction workers. In this paper, we examine the integration of people who sell drugs directly into harm reduction service provision, and their practices of care with other PWUD in their community. Methods Data collection included participant observation within the Satellite Sites over a 7-month period in 2016-2017, complemented by 20 semi-structured interviews with Satellite Site workers, clients, and program supervisors. Thematic analysis was used to examine practices of care emerging from the activities of Satellite Site workers, including those circulating around drug selling and sharing behaviors. Results Satellite Site workers engage in a variety of practices of care with PWUD accessing their sites. Distribution of harm reduction equipment is more easily visible as a practice of care because it conforms to normative framings of care. Criminalization, coupled with negative framings of drug selling as predatory, contributes to the difficultly in examining acts of mutual aid and care that surround drug selling as practices of care. By taking seriously the importance for PWUD of procuring good quality drugs, a wider variety of practices of care are made visible. These additional practices of care include assistance in buying drugs, information on drug potency, and refusal to sell drugs that are perceived to be too strong. Conclusion Our results suggest a potential for harm reduction programs to incorporate some people who sell drugs into programming. Taking practices of care seriously may remove some barriers to integration of people who sell drugs into harm reduction programming, and assist in the development of more pertinent interventions that understand the key role of drug buying and selling within the lives of PWUD.