SrasV1, Main, Merge, bibRecord, 003631

'Social evils' and harm reduction : the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam

Identifieur interne : 003631 ( Main/Merge ); précédent : 003630; suivant : 003632

'Social evils' and harm reduction : the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam

Auteurs : Theodore M. Hammett [États-Unis] ; ZUNYOU WU [République populaire de Chine] ; TRAN TIEN DUC [Viêt Nam] ; David Stephens [Viêt Nam] ; Sheena Sullivan [République populaire de Chine] ; WEI LIU [République populaire de Chine] ; YI CHEN [République populaire de Chine] ; Doan Ngu [Viêt Nam] ; Don C. Des Jarlais [États-Unis]

Source :

Addiction : (Abingdon. Print) [ 0965-2140 ] ; 2008.

RBID : Pascal:08-0099532

Descripteurs français

Pascal (Inist)
- Toxicomanie, Aspect social, Santé publique, Addiction, Danger, Réduction, Politique sanitaire, Environnement, Virus immunodéficience humaine, SIDA, Prévention, Voie intraveineuse, Drogue illicite, Chine, Vietnam, Homme, Psychiatrie, Psychologie.
Wicri :
- topic : Toxicomanie, Santé publique, Homme, Psychiatrie, Psychologie.

English descriptors

KwdEn :
- AIDS, Addiction, China, Danger, Drug addiction, Environment, Health policy, Human, Human immunodeficiency virus, Illicit drug, Intravenous administration, Prevention, Psychiatry, Psychology, Public health, Reduction, Social aspect, Vietnam.

Abstract

Aims This paper reviews the evolution of government policies in China and Vietnam regarding harm reduction interventions for human immunodeficiency virus (HIV) prevention, such as needle/syringe provision and opioid substitution treatment. Methods The work is based upon the authors' experiences in and observations of these policy developments, as well as relevant government policy documents and legislation. Results Both countries are experiencing HIV epidemics driven by injection drug use and have maintained generally severe policies towards injection drug users (IDUs). In recent years, however, they have also officially endorsed harm reduction. We sought to understand how and why this apparently surprising policy evolution took place. Factors associated with growing support for harm reduction were similar but not identical in China and Vietnam. These included the emergence of effective 'champions' for such policies, an ethos of pragmatism and receptivity to evidence, growing collaboration across public health, police and other sectors, the influence of contingent events such as the severe acute respiratory syndrome (SARS) epidemic and pressure from donors and international organizations to adopt best practice in HIV prevention. Conclusions Ongoing challenges and lessons learned include the persistence of tensions between drug control and harm reduction that may have negative effects on programs until a fully harmonized policy environment is established. Excessive reliance on law enforcement and forced detoxification will not solve the problems of substance abuse or of HIV among drug users. Ongoing evaluation of harm reduction programs, as well as increased levels of multi-sectoral training, collaboration and support are also needed.

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Pascal:08-0099532

Le document en format XML

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<term>Environment</term>
<term>Health policy</term>
<term>Human</term>
<term>Human immunodeficiency virus</term>
<term>Illicit drug</term>
<term>Intravenous administration</term>
<term>Prevention</term>
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<term>Aspect social</term>
<term>Santé publique</term>
<term>Addiction</term>
<term>Danger</term>
<term>Réduction</term>
<term>Politique sanitaire</term>
<term>Environnement</term>
<term>Virus immunodéficience humaine</term>
<term>SIDA</term>
<term>Prévention</term>
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<front><div type="abstract" xml:lang="en">Aims This paper reviews the evolution of government policies in China and Vietnam regarding harm reduction interventions for human immunodeficiency virus (HIV) prevention, such as needle/syringe provision and opioid substitution treatment. Methods The work is based upon the authors' experiences in and observations of these policy developments, as well as relevant government policy documents and legislation. Results Both countries are experiencing HIV epidemics driven by injection drug use and have maintained generally severe policies towards injection drug users (IDUs). In recent years, however, they have also officially endorsed harm reduction. We sought to understand how and why this apparently surprising policy evolution took place. Factors associated with growing support for harm reduction were similar but not identical in China and Vietnam. These included the emergence of effective 'champions' for such policies, an ethos of pragmatism and receptivity to evidence, growing collaboration across public health, police and other sectors, the influence of contingent events such as the severe acute respiratory syndrome (SARS) epidemic and pressure from donors and international organizations to adopt best practice in HIV prevention. Conclusions Ongoing challenges and lessons learned include the persistence of tensions between drug control and harm reduction that may have negative effects on programs until a fully harmonized policy environment is established. Excessive reliance on law enforcement and forced detoxification will not solve the problems of substance abuse or of HIV among drug users. Ongoing evaluation of harm reduction programs, as well as increased levels of multi-sectoral training, collaboration and support are also needed.</div>
</front>
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<name sortKey="Wei Liu" sort="Wei Liu" uniqKey="Wei Liu" last="Wei Liu">WEI LIU</name>
<name sortKey="Yi Chen" sort="Yi Chen" uniqKey="Yi Chen" last="Yi Chen">YI CHEN</name>
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<name sortKey="Ngu, Doan" sort="Ngu, Doan" uniqKey="Ngu D" first="Doan" last="Ngu">Doan Ngu</name>
<name sortKey="Stephens, David" sort="Stephens, David" uniqKey="Stephens D" first="David" last="Stephens">David Stephens</name>
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'Social evils' and harm reduction : the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam

'Social evils' and harm reduction : the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri