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Titolo:
Harm reduction theories and strategies for control of human immunodeficiency virus: a review of the literature
Autore:
Hilton, BA; Thompson, R; Moore-Dempsey, L; Janzen, RG;
Indirizzi:
Univ British Columbia, Sch Nursing, Vancouver, BC V6T 2B5, Canada Univ British Columbia Vancouver BC Canada V6T 2B5 ver, BC V6T 2B5, Canada BC Ctr Dis Control Soc, STD AIDS Control, Vancouver, BC, Canada BC Ctr DisControl Soc Vancouver BC Canada ontrol, Vancouver, BC, Canada Selkirk Coll, Dept Hlth Studies, Vancouver, BC, Canada Selkirk Coll Vancouver BC Canada ept Hlth Studies, Vancouver, BC, Canada
Titolo Testata:
JOURNAL OF ADVANCED NURSING
fascicolo: 3, volume: 33, anno: 2001,
pagine: 357 - 370
SICI:
0309-2402(200102)33:3<357:HRTASF>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJECTION-DRUG USERS; NEEDLE EXCHANGE PROGRAM; HIV-INFECTION; METHADONE-MAINTENANCE; SYRINGE EXCHANGE; RISK BEHAVIORS; AIDS; PREVENTION; POLICY; CARE;
Keywords:
harm reduction; HIV; AIDS; injection drug users; harm reduction strategies; determinants of health; outreach services; abstinence; prohibition;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
110
Recensione:
Indirizzi per estratti:
Indirizzo: Hilton, BA Univ British Columbia, Sch Nursing, T201-2211 Wesbrook Mall, Vancouver, BCV6T 2B5, Canada Univ British Columbia T201-2211 Wesbrook Mall Vancouver BC Canada V6T 2B5
Citazione:
B.A. Hilton et al., "Harm reduction theories and strategies for control of human immunodeficiency virus: a review of the literature", J ADV NURS, 33(3), 2001, pp. 357-370

Abstract

Aim. To provide a comprehensive review of the literature on harm reductiontheories and strategies related primarily to licit and illicit drug use. Background. Although human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) disease transmission is well understood, it continues to spread, particularly among injection drug users (IDUs). Despite earlyindications that HIV would be contained within the IDU community, it is spreading to non-IDU sexual partners and to children of IDUs, threatening a more widespread epidemic. Methods. An examination of research studies and theoretical writings including reviews and policy papers published in English between 1990 and 2000. Results. Harm reduction does not seek to eliminate drug use; it focuses onminimizing the personal and social harms and costs associated with drug use and spread of HIV. It seeks to ameliorate conditions surrounding drug useresponsible for the spread of HIV in the IDU community: unequal access to health services; sharing of infected needles; racial and social discrimination; poverty; exposure to street violence; inadequate housing; lack of employment; poor general or mental health and other demographic and social determinants. Some controversial harm reduction strategies are described: methadone maintenance programmes, illegal drugs dispensing under controlled conditions, needle exchanges, HIV testing, vein maintenance, safe-sex and would-care programmes. Conclusion. The main challenge is to get IDUs to protect themselves against HIV when suffering physical and social privations and addiction needs. Diverse perspectives on harm reduction are problematic with consequences for success of drug use initiatives. Practical, ethical and theoretical complexities exist but further research is needed to build support for a harm-reduction orientation in practice and policy formulation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 18:22:28