AIDS-PREVENTION OUTREACH AMONG INJECTION-DRUG USERS - AGENCY PROBLEMS AND NEW APPROACHES

AIDS-PREVENTION OUTREACH AMONG INJECTION-DRUG USERS - AGENCY PROBLEMS AND NEW APPROACHES
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DOI:
10.1525/sp.1994.41.3.03x0449g
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发表时间:
1994-08-01
期刊:
影响因子:
3.2
通讯作者:
HECKATHORN, DD
HECKATHORN, DD
中科院分区:
法学1区
文献类型:
--
作者:
BROADHEAD, RS;HECKATHORN, DD

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利用原始的实地研究和代理理论,我们研究了以社区为基础的外展项目的运作和内部运作,以打击艾滋病的治疗注射吸毒者(IDUs)。我们表明,即使这些项目遭受了一系列的组织问题,从注射吸毒者的反应是积极和有力的。基于这些研究结果和最近的事态发展,在理论上理解集体行动,我们描述了新的方法来预防艾滋病,建立在传统的外展预防工作,但更严重地依赖于注射吸毒者和服务提供者之间的积极合作。这些方法满足了许多艾滋病研究人员的呼吁,即利用注射吸毒者对传统外展工作表现出的意想不到的反应来制定未来的预防项目。最后,我们考虑了其他公共卫生领域,在这些领域中,这种干预措施可能会得到有效应用
Drawing on original field research and agency theory, we examine the operations and internal workings of community-based outreach projects to combat AIDS among out-of-treatment injection drug users (IDUs). We show that even though these projects suffered from a host of organizational problems, the response from IDUs was positive and vigorous. Based on these findings and recent developments in the theoretic understanding of collective action, we describe new approaches to AIDS prevention that build on traditional outreach prevention efforts but rely more heavily on an active collaboration between IDUs and service providers. These approaches fulfill the call by many AIDS researchers for the development of future prevention projects that capitalize on the unexpected responsiveness IDUs exhibited to traditional outreach efforts. Finally, we consider other public health areas in which such in interventions might be effectively applied