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首页> 外文期刊>The International journal of drug policy >Homelessness, drug use and Hepatitis C: A complex problem explored within the context of social exclusion
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Homelessness, drug use and Hepatitis C: A complex problem explored within the context of social exclusion

机译：无家可归，吸毒和丙型肝炎：在社会排斥的背景下探索的一个复杂问题

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This commentary explores the relationships between homelessness, drug use and Hepatitis C infection, within the broader context of social exclusion. Although it is difficult to estimate the number of homeless people who are misusing drugs or the number of drug users who are homeless, UK and international literature indicate a significant overlap between the two groups. Homeless drug users (HDUs) tend to experience many life problems and their situation has been described as a double jeopardy [Neale, J. (2001). Homelessness amongst drug users: A double jeopardy explored. The International Journal of Drug Policy, 12, 353-369]. Compounding this, emerging data now show that HDUs are at increased risk of being infected with the Hepatitis C virus (HCV). The concept of social exclusion is critically reviewed as a means of understanding the experiences and needs of HDUs infected with HCV and, in light of this, policy and practice are discussed. It is argued that efforts to tackle broader social problems are indirectly assisting this vulnerable group, but more joined-up strategies and targeted measures are still required. These include tackling negative community and professional attitudes and discriminatory practices; more integrated service provision and professional training; and drawing HDUs with HCV into policy and practice debates as advisors, educators and collaborators. To conclude, suggestions for future research that would help to clarify some of the complexity surrounding the behaviours, experiences and service needs of HDUs with HCV are made.
机译：在社会排斥的更广泛背景下，这篇评论探讨了无家可归，吸毒和丙型肝炎感染之间的关系。尽管很难估计滥用毒品的无家可归者的人数或无家可归的吸毒者的人数，但英国和国际文献表明，这两个群体之间存在重大重叠。无家可归的吸毒者（HDU）往往会遇到许多生活问题，他们的处境被描述为双重危险[Neale，J.（2001）。吸毒者中的无家可归：探索了双重危险。国际毒品政策杂志，第12期，第353-369页]。更为复杂的是，新出现的数据现在表明，HDU感染丙型肝炎病毒（HCV）的风险增加。对社会排斥的概念进行了严格的审查，以此来了解感染了HCV的HDU的经验和需求，并据此讨论了政策和实践。有人认为，解决更广泛的社会问题的努力间接地为这一弱势群体提供了帮助，但是仍然需要更多的联合战略和针对性的措施。这些措施包括解决消极的社区和专业态度以及歧视性做法;提供更多的综合服务和专业培训;将带有HCV的HDU作为顾问，教育者和合作者纳入政策和实践辩论中。总之，针对未来研究提出了一些建议，这些建议将有助于阐明围绕HCV的HDU的行为，经验和服务需求所涉及的一些复杂性。

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