期刊
DRUG AND ALCOHOL DEPENDENCE
卷 144, 期 -, 页码 274-278出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.drugalcdep.2014.08.018
关键词
Perceived discrimination; Injecting drug use; Needle exchange; Healthcare workers; Risk practices
资金
- Department of Health, Australian Government
Background: Previous research indicates that stigma and discrimination have negative consequences for both healthcare delivery and for health outcomes of people who inject drugs (PWID). Also important but not as well researched is the association between perceived discrimination and increased engagement in risky behaviours. This research aimed to explore whether perceived discrimination from workers in Needle and Syringe programmes (NSPs) is associated with increased engagement in injecting risk practices such as the sharing of injecting equipment. Method: Convenience sampling was used across eight NSP sites within Western Sydney, Australia. All clients who attended one of the NSPs were eligible to participate. Results: A total of 236 clients completed the survey. Perceived discrimination from NSP staff was found. to be significantly associated with some injecting risk practices. Respondents who reported greater perceived discrimination from NSP staff were significantly more likely to report being injected by someone else after they had injected themselves (OR 1.2, 95%CI 1.1-1.3) and reusing a needle or syringe (OR 1.1, 95%CI 1.0-1.3) in the last month. Although clients reported perceiving more discrimination from general health workers than from NSP workers (12.8 vs. 10.2, t = 7.739, df = 226, p < 0.001), perceived discrimination from general health workers was not associated with increased injecting risk practices. Conclusions: The findings of this study suggest that NSP workers need to be aware that although they work in a model that is usually non-judgemental, their clients may still have a heightened sensitivity to discrimination which can then have consequences for on-going engagement in risk practices. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据