"It Goes on Everywhere": Injection Drug Use in Canadian Federal Prisons
"It Goes on Everywhere": Injection Drug Use in Canadian Federal Prisons
复制标题
DOI：
10.1080/10826084.2016.1264974
复制
发表时间：
2017-01-01
影响因子：
2
通讯作者：
van der Meulen, Emily
中科院分区：
文献类型：
--
作者：
van der Meulen, Emily
背景资料：国际和加拿大关于监狱内注射吸毒的研究记录了注射吸毒的发生频率以及由此产生的一些后果，如艾滋病毒和丙型肝炎病毒流行率上升。因此，获得监狱减少伤害方案很重要。目的：这项研究的目的是从前囚犯的经验和见解，在监狱注射毒品的使用，以推进和改善获得减少伤害的选择，特别是监狱为基础的针头和注射器计划（PNSP）。研究方法：定性和基于社区的研究于2014/2015年进行，包括来自加拿大安大略的前囚犯（N = 30），他们最近有在联邦监狱监禁的经历，并了解注射毒品使用。数据分析采用演绎法，利用学术和社区研究小组成员的专门知识。结果如下：访谈和焦点小组的参与者透露，在加拿大联邦监狱中，毒品很容易获得，用于注射的设备可以通过各种方式获得，有时是通过非法手段获得的，有时是囚犯自己制造的。共用设备是经常发生的事，而处置这类用品的情况很少。结论/重要性：虽然加拿大尚未提供PNSP，但PNSP已在国际范围内取得积极成果，包括减少共用针头以及艾滋病毒和丙型肝炎的传播。沿着最近政府的更迭，许多加拿大组织和协会都支持《国家战略计划》，这可能意味着《国家战略计划》的执行有了新的机会。
Background: International and Canadian research on in-prison injection drug use has documented the frequency of its occurrence as well as some of the resulting consequences such as increased prevalence of HIV and hepatitis C virus. Access to prison-based harm reduction programing is thus important. Objectives: The aim of this study was to learn from former prisoner experiences and insights on in-prison injection drug use in order to advance and improve access to harm reduction options, in particular prison-based needle and syringe programs (PNSPs). Methods: The qualitative and community-based study was conducted in 2014/2015 and included former prisoners from Ontario, Canada (N = 30) who had recent experience of incarceration in a federal prison and knowledge of injection drug use. Data analysis followed the deductive approach, drawing on the expertise of the academic and community-based research team members. Results: Interview and focus group participants disclosed that drugs are readily available in Canadian federal prisons and that equipment used to inject is accessed in a variety of ways, sometimes gained through illicit means and sometimes made by prisoners themselves. Equipment sharing is a frequent occurrence, and disposal of such supplies is rare. Conclusions/Importance: While not yet available in Canada, PNSPs have led to positive outcomes in international contexts, including reductions in needle sharing and transmission of HIV and hepatitis C. Support for PNSPs among numerous Canadian organizations and associations, along with a recent change in government, could suggest a renewed opportunity for PNSP implementation.