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Public opinion on needle and syringe programmes: avoiding assumptions for policy and practice.

机译:针头和注射器计划的公众舆论:避免政策和实践的假设。

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Despite evidence for their effectiveness, harm reduction services such as needle and syringe programmes (NSPs) are highly vulnerable to perceptions of community disapproval. This paper reviews Australian research on community attitudes to harm reduction services and its impact on research, policy and practice. The literature on community attitudes to NSPs in Australia comprises a small number of representative national samples and surveys of local communities affected by specific services. Despite these extremely limited data, negative community attitudes are often cited by policy-makers and health professionals as a primary constraint on policy-making. The main finding of this literature review is that community perceptions of NSPs are largely positive. Also, support for NSPs was not synonymous with condoning drug use. The failure of policy-makers and politicians to recognise positive community attitudes to NSPs has led in some instances to hasty political responses to adverse media reports, includingthe closure of services. This literature review showing positive community attitudes to harm reduction services should embolden researchers, practitioners and policy-makers to challenge such reactionary responses. Further, this evidence should be used in countering negative publicity surrounding these services.
机译:尽管有证据表明其有效性,但减少伤害服务(例如针头和注射器计划(NSP))极易受到社区不赞成的印象。本文回顾了澳大利亚关于社区对减少伤害服务态度及其对研究,政策和实践的影响的研究。关于澳大利亚社区对NSP的态度的文献包括少量代表性的国家样本和受特定服务影响的当地社区的调查。尽管数据极其有限,但决策者和卫生专业人员经常将社区的负面态度视为决策的主要障碍。这篇文献综述的主要发现是,社区对NSP的看法在很大程度上是积极的。另外,对NSP的支持并非宽容毒品的使用。决策者和政治人物未能认识到社区对NSP的积极态度,在某些情况下导致对不良媒体报道(包括关闭服务)的政治反应仓促。这份文献综述表明,社区对减少伤害服务持积极态度,应鼓励研究人员,从业人员和决策者对这种反应作出挑战。此外,应使用这些证据来应对围绕这些服务的负面宣传。

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