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Examination of the impact of human rights abuses on health service utilization and quality of life among injecting drug users in Delhi, India.

机译：在印度德里，调查侵犯人权行为对吸毒者的卫生服务利用和生活质量的影响。

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摘要

Introduction. Given the high rates of buprenorphine and heroin injecting, an increasing HIV epidemic among injecting drug users (IDU) in many Indian states, and growing evidence from the field about human rights abuses of drug users, this study examines the relationship between such abuses and suicidal ideation, the use of health services and quality of life.;Methods. A cross sectional study among 343 IDUs was conducted through respondent driven sampling in two research sites. A survey questionnaire of human rights abuses and the WHOQOL Bref were used to interview participants.;Results. Human rights abuses were common among IDUs. Being arrested for carrying needles or using drugs (OR 2.72; 1.15-6.41); fired from job (OR 3.99; 2.07-7.69) and refused harm reduction services (OR 6.37; 2.57-15.78) were associated with high suicidal ideation. Rights abuses such as police arrests for carrying needles (OR 0.27, CI: 0.08-0.98), refusal of needles and buprenorphine substitution (OR: 0.27, CI: 0.10-0.78) and lack of health information (OR: 0.25, CI: 0.11-0.58) were associated with lower utilization of health services. Physical abuse (0.47, CI: 0.28-0.84), threats and insults (0.47, CI: 0.26-0.86), arrests and incarceration (OR: 0.50, CI: 0.29-0.86)), and forced to go without food and water (OR: 0.59, CI: 0.35-0.99) were associated with lower quality of life. Cumulative rights abuses affected social (OR 0.84; 0.71-0.98) and psychological quality of life (OR 0.83; 0.73-0.96);Conclusion. The association of human rights abuses with lower use of services and lower quality of life warrants rights based programmes for IDUs, advocacy for their civil and economic rights and increased coverage of HIV prevention and treatment. The association between rights abuses and suicidal ideation calls for provision of mental health services as well as advocacy and legal action to prevent rights abuses.
机译：介绍。鉴于丁丙诺啡和海洛因注射的比率很高，印度许多州的注射吸毒者（IDU）的艾滋病毒流行不断增加，以及来自该领域吸毒者滥用人权的证据不断增多，本研究调查了此类滥用与自杀之间的关系构想，卫生服务的使用和生活质量。通过在两个研究地点进行响应者驱动的抽样，对343个注射毒品使用者进行了横断面研究。一项关于侵犯人权行为的调查问卷和WHOQOL Bref被用来采访参与者。滥用毒品在IDU中很常见。因携带针头或使用毒品而被捕（OR 2.72； 1.15-6.41）；被解雇（OR 3.99； 2.07-7.69）和拒绝减少伤害服务（OR 6.37； 2.57-15.78）与强烈的自杀念头有关。侵犯人权的行为，例如因携带针头而逮捕警察（OR 0.27，CI：0.08-0.98），拒绝注射针头和丁丙诺啡替代（OR：0.27，CI：0.10-0.78）和缺乏健康信息（OR：0.25，CI：0.11） -0.58）与卫生服务利用率较低相关。身体虐待（0.47，CI：0.28-0.84），威胁和侮辱（0.47，CI：0.26-0.86），逮捕和监禁（OR：0.50，CI：0.29-0.86）），被迫没有食物和水（ OR：0.59，CI：0.35-0.99）与生活质量降低相关。累积权利侵害影响了社会（OR 0.84; 0.71-0.98）和心理生活质量（OR 0.83; 0.73-0.96）;结论。侵犯人权与减少服务使用和生活质量降低之间的联系保证了针对吸毒者的基于权利的方案，倡导其公民和经济权利以及对艾滋病毒的预防和治疗的扩大覆盖面。权利滥用与自杀念头之间的联系要求提供精神卫生服务以及倡导和法律行动以防止权利滥用。

著录项

  • 作者

    Sarin, Enisha.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 211 p.
  • 总页数 211
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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