Law enforcement influences on HIV prevention for injection drug users: Observations from a cross-border project in China and Vietnam
Law enforcement influences on HIV prevention for injection drug users: Observations from a cross-border project in China and Vietnam
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DOI：
10.1016/j.drugpo.2005.05.009
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发表时间：
2005-08-01
影响因子：
4.4
通讯作者：
Des Jarlais, DC
中科院分区：
文献类型：
--
作者：
Hammett, TM;Bartlett, NA;Des Jarlais, DC
执法活动对注射吸毒者 (IDU) 参与中国南部和越南北部跨境艾滋病毒预防项目产生了多重影响。该项目成功获得并维持了警方和其他政府机构的官方支持，并有效实施了干预措施。然而，对过程数据、现场访问观察以及对项目工作人员、同伴教育者、注射吸毒者和警官的访谈揭示了来自执法部门的实际和感知威胁以及社区污名对注射吸毒者项目参与的持续影响。这些影响可以通过每月提供的针头/注射器数量的变化、注射吸毒者接收新针头/注射器和保留用过的针头/注射器进行交换的首选方式的跨境差异，以及注射吸毒者接收和兑换药房优惠券的地理模式来辨别。艾滋病毒预防计划不仅必须维持警察和其他官员的支持，而且还要让吸毒者相信参与干预措施对他们来说既有益又安全。计划的实施还必须灵活，适应注射吸毒者可能变化的偏好、看法和需求。 (c) 2005 Elsevier B.V. 保留所有权利。
Law enforcement activity has had multiple influences on injection drug users' (IDUs') participation in a cross-border HIV prevention project in southern China and northern Vietnam. The project has successfully achieved and maintained the official support of police and other government agencies and effectively implemented its interventions. However, analysis of process data, site visit observations, and interviews with project staff, peer educators, IDUs, and police officers reveal the ongoing effects of actual and perceived threats from law enforcement, as well as community stigmatisation, on IDUs' project participation. These effects are discernible in variations in the monthly numbers of needles/syringes provided, cross-border differences in IDUs' preferred ways to receive new needles/syringes and retain used needles/syringes for exchange, and geographic patterns of IDUs' receiving and redeeming pharmacy vouchers. HIV prevention programmes must not only maintain the support of police and other officials but also convince IDUs that it is both beneficial and safe for them to participate in the interventions. Programmes must also be implemented with flexibility, adapting to the potentially changeable preferences, perceptions, and needs of IDUs. (c) 2005 Elsevier B.V. All rights reserved.