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首页> 外文期刊>The International journal of drug policy >Rejuvenating harm reduction projects for injection drug users: Ukraine's nationwide introduction of peer-driven interventions
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Rejuvenating harm reduction projects for injection drug users: Ukraine's nationwide introduction of peer-driven interventions

机译：振兴注射毒品使用者减少伤害的项目：乌克兰在全国范围内引入由同伴驱动的干预措施

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Background: A peer-driven intervention (PDI) for injecting drug users (IDUs) was implemented in five Ukrainian city-sites to test-pilot its effectiveness in rejuvenating harm reduction (HR) projects that had become moribund. A PDI relies on drug users in a unique way to educate their peers in the community and recruit them for HIV prevention services. The goal of the PDI was to recruit in six month 500 IDUs who had never been respondents before to each of the five HR projects, especially stimulant- and women-injectors, and IDUs < 25 years of age. Method: We standardized the PDI's structure and operations across all five sites. All five PDIs were started in May 2007 using a carefully selected handful of " seed" IDU-recruiters who were trained to educate three peers who had never received HR services. We also accessed the database of all five projects and analysed the new respondents they recruited six-months prior to the start-up of the PDIs with the new recruits generated by the PDIs. Results: Whilst the HR projects in the five city-sites recruited 72 new respondents on average during the six months prior to the PDIs' start-up, the PDIs recruited 455 new respondents on average in each city during their six months of operation, indicating that the PDI was 6.3 times more powerful as a recruitment mechanism. Compared to traditional outreach the PDIs resulted in significant increases in the recruitment of women- and young-injectors, and IDUs who injected a more diverse variety of drugs. Conclusion: The PDI can have a rejuvenating effect when added to HR projects that had become stagnate over time, resulting in an increase in the number and diversity of new IDU-respondents.
机译：背景：在五个乌克兰城市地点实施了注射毒品使用者（IDUs）的同伴驱动干预（PDI），以测试其在振兴已濒临灭绝的减灾（HR）项目中的有效性。 PDI以独特的方式依靠吸毒者来教育社区中的同龄人并招募他们的艾滋病毒预防服务。 PDI的目标是在六个月内招募500名吸毒者，他们从未参加过五个人力资源项目中的每一个，尤其是兴奋剂和女性注射者以及年龄小于25岁的吸毒者。方法：我们对所有五个站点的PDI的结构和操作进行了标准化。所有五个PDI于2007年5月启动，使用了经过精心挑选的少数“种子” IDU招聘人员，这些人员经过培训以教育从未接受过人力资源服务的三个同龄人。我们还访问了所有五个项目的数据库，并在PDI启动前六个月与PDI产生的新人员一起分析了他们招募的新受访者。结果：在PDI成立前的六个月中，五个城市地点的人力资源项目平均招聘了72名新受访者，而PDI在运营六个月中，每个城市平均招聘了455名新受访者，表明PDI比招募机制强大6.3倍。与传统的外联活动相比，PDI导致女性和年轻注射者以及注射了更多种药物的注射毒品使用者的招募显着增加。结论：将PDI添加到已随着时间而停滞的人力资源项目中可以起到振兴作用，从而导致新的IDU响应者的数量和多样性增加。

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