The association between law enforcement encounters and syringe sharing among IDUs on skid row: a mixed methods analysis.

The association between law enforcement encounters and syringe sharing among IDUs on skid row: a mixed methods analysis.
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执法遭遇与贫民窟注射吸毒者之间共用注射器之间的关联:混合方法分析。

DOI:
10.1007/s10461-013-0488-y
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发表时间:
2013
期刊:
影响因子:
4.4
通讯作者:
Bluthenthal,RickyN
Bluthenthal,RickyN
中科院分区:
医学2区
文献类型:
--
作者:
Wagner,KarlaD;Simon-Freeman,Rebecca;Bluthenthal,RickyN

文献摘要

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法律的环境是影响注射吸毒者感染艾滋病毒和其他血液传播病原体(如丙型肝炎病毒)风险的一个因素。我们研究了执法遭遇之间的关联(即,在加强治安努力的情况下,在注射吸毒者中实行注射器共用。我们对2008年至2009年在加利福尼亚州洛杉矶注射器交换计划中获得服务的注射吸毒者进行了30次定性和187次定量访谈,进行了混合方法分析。定性研究结果说明了有关的知名度,戒毒,和以前的逮捕/监禁的历史的关注。在定量分析中,收到的引用数量,目前无家可归,并认为被逮捕将是一个“大问题”独立与最近的注射器共享。调查结果说明了一些意想不到的公共卫生后果与加强街头警务,包括艾滋病毒和丙型肝炎病毒传播的风险。
The legal environment is one factor that influences injection drug users’ (IDUs) risk for HIV and other bloodborne pathogens such as hepatitis C virus (HCV). We examined the association between law enforcement encounters (i.e., arrests and citations) and receptive syringe sharing among IDUs in the context of an intensified policing effort. We conducted a mixed methods analysis of 30 qualitative and 187 quantitative interviews with IDUs accessing services at a Los Angeles, CA syringe exchange program from 2008 to 2009. Qualitative findings illustrate concerns related to visibility, drug withdrawal, and previous history of arrest/incarceration. In quantitative analysis, the number of citations received, current homelessness, and perceiving that being arrested would be a “big problem” were independently associated with recent syringe sharing. Findings illustrate some of the unintended public health consequences associated with intensified street-level policing, including risk for HIV and HCV transmission.