The impact of a police drug crackdown on drug injectors' ability to practice harm reduction: A qualitative study

The impact of a police drug crackdown on drug injectors' ability to practice harm reduction: A qualitative study
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DOI:
10.1016/j.socscimed.2004.12.030
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发表时间:
2005-08-01
影响因子:
5.4
通讯作者:
Krieger, N
Krieger, N
中科院分区:
医学2区
文献类型:
--
作者:
Cooper, H;Moore, L;Krieger, N

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本文采用定性方法来探讨警察打击毒品对毒品注射者实践减少伤害能力的影响。在2000年8月至12月期间,我们对纽约市一个正在进行打击的警察分局的40名非法注射毒品的居民进行了开放式访谈。访谈主题包括参与者在辖区内与警察打交道的经历以及他们的吸毒做法。采用扎根理论方法分析结果转录本。由于地点作为一个突出的分析范畴出现,我们还利用社会地理学的要素来解释结果。分析表明,特定的镇压策略,特别是警察频繁搜查参与者的身体和加强对辖区公共空间的监视,以不利的方式重新配置了参与者对他们的身体和构成辖区的公共空间的体验,影响了他们参与减少伤害的能力。例如,警察的频繁搜查使参与者不愿携带他们需要的注射设备,以确保他们可以用无菌注射器进行注射。对当地公共场所的持续监控使得无家可归的男女难以安全地注射毒品。同时,与会者表示支持警方采取行动减少公众毒品活动。鉴于这些调查结果,我们建议执行由社区团体、政府和非政府组织的伙伴关系设计的战略,减少公共毒品活动,同时又不危及注射者的健康。可能的战略包括改善获得治疗的机会和建立安全的注射空间。(c) 2005 Elsevier Ltd版权所有。
This paper employs qualitative methods to explore the ramifications of a police drug crackdown on drug injectors' ability to practice harm reduction. Between August and December 2000, we conducted open-ended interviews with 40 illicit-drug-injecting residents of a New York City police precinct undergoing a crackdown. Interview topics included participants' experiences with police in the precinct and their drug use practices. Grounded theory methods were used to analyze resulting transcripts. Because place emerged as a salient analytic category, we also drew on elements of social geography to interpret results. The analysis suggests that particular crackdown tactics, notably frequent police searches of participants' bodies and elevated surveillance of the precinct's public spaces, reconfigured participants' experiences of their bodies and the public spaces comprising the precinct in ways that adversely affected their capacity to engage in harm reduction. Frequent police searches, for example, discouraged participants from carrying the injection equipment they needed to ensure that they could inject with a sterile syringe. Constant monitoring of local public spaces made it difficult for homeless women and men to inject safely. Simultaneously, participants expressed support for police actions that reduced public drug activity. Given these findings, we recommend the implementation of strategies, designed by partnerships of community groups and governmental and non-governmental organizations, which reduce public drug activity without imperiling injectors' health. Possible strategies include improving access to treatment and establishing safe injection spaces. (c) 2005 Elsevier Ltd. All rights reserved.