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首页> 外文期刊>The International journal of drug policy >Exploring stakeholder perceptions of acceptability and feasibility of needle exchange programmes, syringe vending machines and safer injection facilities in Tijuana, Mexico
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Exploring stakeholder perceptions of acceptability and feasibility of needle exchange programmes, syringe vending machines and safer injection facilities in Tijuana, Mexico

机译:探索利益相关者对墨西哥蒂华纳的针头交换计划,注射器自动售货机和更安全的注射设施的可接受性和可行性的看法

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Background: Injection drug use is a growing public health crisis along the U.S.-Mexican border and rising rates of blood-borne infections highlight the pressing need for harm reduction interventions. We explored the acceptability and feasibility of such interventions in Tijuana, a city adjacent to San Diego, California. Methods: Using in-depth qualitative interviews conducted from August 2006-March 2007 with 40 key stakeholders - pharmacists, legal professionals, health officials, religious officials, drug treatment providers, and law enforcement personnel - we explored the acceptability and feasibility of interventions to reduce drug-related harm in Tijuana, Mexico. Interviews were taped with consent, transcribed verbatim, and translated. Content analysis was conducted to identify themes which included barriers, structural limitations, and suggestions for implementation.Results: Topics included acceptance and feasibility of needle exchange programmes (NEPs), syringe vending machines, and safer injection facilities (SIFs), structural barriers and suggestions for implementation. Of these interventions, NEPs were deemed the most acceptable (75%); however, only half believed these could be feasibly implemented, citing barriers involving religion, police, and lack of political will, public awareness, and funding.Conclusions: Increasing HIV infection rates among injection drug users in Tijuana have prompted interest in public health responses. Our results may assist policy strategists in implementing social-structural interventions that will help create enabling environments that facilitate the scale-up and implementation of harm reduction in Tijuana.
机译:背景:注射毒品的使用是美国和墨西哥边境地区日益严重的公共卫生危机,而血源性感染率的上升凸显了减少伤害干预措施的迫切需求。我们探讨了在蒂华纳(Tijuana)进行此类干预的可接受性和可行性,蒂华纳​​是加利福尼亚州圣地亚哥市附近的一个城市。方法:使用2006年8月至2007年3月对40位主要利益相关者进行的深入定性访谈,这些利益相关者包括药剂师,法律专业人员,卫生官员,宗教官员,药物治疗提供者和执法人员,我们探讨了减少干预措施的可接受性和可行性墨西哥蒂华纳的毒品相关危害。采访均经录音录音,逐字记录和翻译。进行内容分析以找出包括障碍,结构限制和实施建议的主题。结果:主题包括针头交换程序(NEP),注射器自动售货机和更安全的注射设施(SIF)的接受和可行性,结构障碍和建议实施。在这些干预措施中,NEP被认为是最可接受的(75%)。但是,只有一半的人认为这是可以实现的,理由是宗教,警察,缺乏政治意愿,公众意识和资金等方面的障碍。结论:提华纳注射吸毒者中HIV感染率上升,引起了人们对公共卫生应对的兴趣。我们的研究结果可能会帮助政策策略师实施社会结构干预措施,这将有助于创建有利的环境,以促进提华纳州的扩大和减少伤害的实施。

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