'Social evils' and harm reduction: the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam.
Identifieur interne : 001C76 ( PubMed/Corpus ); précédent : 001C75; suivant : 001C77'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 ; Zunyou Wu ; Tran Tien Duc ; David Stephens ; Sheena Sullivan ; Wei Liu ; Yi Chen ; Doan Ngu ; Don C. Des JarlaisSource :
- Addiction (Abingdon, England) [ 0965-2140 ] ; 2008.
English descriptors
- KwdEn :
- China (epidemiology), Female, Government Programs, HIV Infections (epidemiology), HIV Infections (prevention & control), Health Policy, Health Promotion (methods), Humans, Male, Needle Sharing (adverse effects), Needle-Exchange Programs (organization & administration), Substance Abuse, Intravenous (prevention & control), Vietnam (epidemiology).
- MESH :
- geographic , epidemiology : China, Vietnam.
- adverse effects : Needle Sharing.
- epidemiology : HIV Infections.
- methods : Health Promotion.
- organization & administration : Needle-Exchange Programs.
- prevention & control : HIV Infections, Substance Abuse, Intravenous.
- Female, Government Programs, Health Policy, Humans, Male.
Abstract
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.
DOI: 10.1111/j.1360-0443.2007.02053.x
PubMed: 18028519
Links to Exploration step
pubmed:18028519Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">'Social evils' and harm reduction: the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam.</title>
<author><name sortKey="Hammett, Theodore M" sort="Hammett, Theodore M" uniqKey="Hammett T" first="Theodore M" last="Hammett">Theodore M. Hammett</name>
<affiliation><nlm:affiliation>Abt Associates Inc., Cambridge, MA 02138-1168, USA. ted_hammett@abtassoc.com</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wu, Zunyou" sort="Wu, Zunyou" uniqKey="Wu Z" first="Zunyou" last="Wu">Zunyou Wu</name>
</author>
<author><name sortKey="Duc, Tran Tien" sort="Duc, Tran Tien" uniqKey="Duc T" first="Tran Tien" last="Duc">Tran Tien Duc</name>
</author>
<author><name sortKey="Stephens, David" sort="Stephens, David" uniqKey="Stephens D" first="David" last="Stephens">David Stephens</name>
</author>
<author><name sortKey="Sullivan, Sheena" sort="Sullivan, Sheena" uniqKey="Sullivan S" first="Sheena" last="Sullivan">Sheena Sullivan</name>
</author>
<author><name sortKey="Liu, Wei" sort="Liu, Wei" uniqKey="Liu W" first="Wei" last="Liu">Wei Liu</name>
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<author><name sortKey="Chen, Yi" sort="Chen, Yi" uniqKey="Chen Y" first="Yi" last="Chen">Yi Chen</name>
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<author><name sortKey="Ngu, Doan" sort="Ngu, Doan" uniqKey="Ngu D" first="Doan" last="Ngu">Doan Ngu</name>
</author>
<author><name sortKey="Des Jarlais, Don C" sort="Des Jarlais, Don C" uniqKey="Des Jarlais D" first="Don C" last="Des Jarlais">Don C. Des Jarlais</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">'Social evils' and harm reduction: the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam.</title>
<author><name sortKey="Hammett, Theodore M" sort="Hammett, Theodore M" uniqKey="Hammett T" first="Theodore M" last="Hammett">Theodore M. Hammett</name>
<affiliation><nlm:affiliation>Abt Associates Inc., Cambridge, MA 02138-1168, USA. ted_hammett@abtassoc.com</nlm:affiliation>
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<author><name sortKey="Wu, Zunyou" sort="Wu, Zunyou" uniqKey="Wu Z" first="Zunyou" last="Wu">Zunyou Wu</name>
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<author><name sortKey="Duc, Tran Tien" sort="Duc, Tran Tien" uniqKey="Duc T" first="Tran Tien" last="Duc">Tran Tien Duc</name>
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<author><name sortKey="Stephens, David" sort="Stephens, David" uniqKey="Stephens D" first="David" last="Stephens">David Stephens</name>
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<author><name sortKey="Sullivan, Sheena" sort="Sullivan, Sheena" uniqKey="Sullivan S" first="Sheena" last="Sullivan">Sheena Sullivan</name>
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<author><name sortKey="Liu, Wei" sort="Liu, Wei" uniqKey="Liu W" first="Wei" last="Liu">Wei Liu</name>
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<author><name sortKey="Chen, Yi" sort="Chen, Yi" uniqKey="Chen Y" first="Yi" last="Chen">Yi Chen</name>
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<author><name sortKey="Ngu, Doan" sort="Ngu, Doan" uniqKey="Ngu D" first="Doan" last="Ngu">Doan Ngu</name>
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<author><name sortKey="Des Jarlais, Don C" sort="Des Jarlais, Don C" uniqKey="Des Jarlais D" first="Don C" last="Des Jarlais">Don C. Des Jarlais</name>
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<series><title level="j">Addiction (Abingdon, England)</title>
<idno type="ISSN">0965-2140</idno>
<imprint><date when="2008" type="published">2008</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>China (epidemiology)</term>
<term>Female</term>
<term>Government Programs</term>
<term>HIV Infections (epidemiology)</term>
<term>HIV Infections (prevention & control)</term>
<term>Health Policy</term>
<term>Health Promotion (methods)</term>
<term>Humans</term>
<term>Male</term>
<term>Needle Sharing (adverse effects)</term>
<term>Needle-Exchange Programs (organization & administration)</term>
<term>Substance Abuse, Intravenous (prevention & control)</term>
<term>Vietnam (epidemiology)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>China</term>
<term>Vietnam</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Needle Sharing</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Health Promotion</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Needle-Exchange Programs</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term>
<term>Substance Abuse, Intravenous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Government Programs</term>
<term>Health Policy</term>
<term>Humans</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18028519</PMID>
<DateCompleted><Year>2008</Year>
<Month>02</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2007</Year>
<Month>12</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0965-2140</ISSN>
<JournalIssue CitedMedium="Print"><Volume>103</Volume>
<Issue>1</Issue>
<PubDate><Year>2008</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Addiction (Abingdon, England)</Title>
<ISOAbbreviation>Addiction</ISOAbbreviation>
</Journal>
<ArticleTitle>'Social evils' and harm reduction: the evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam.</ArticleTitle>
<Pagination><MedlinePgn>137-45</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hammett</LastName>
<ForeName>Theodore M</ForeName>
<Initials>TM</Initials>
<AffiliationInfo><Affiliation>Abt Associates Inc., Cambridge, MA 02138-1168, USA. ted_hammett@abtassoc.com</Affiliation>
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<Author ValidYN="Y"><LastName>Duc</LastName>
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<Author ValidYN="Y"><LastName>Stephens</LastName>
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<Author ValidYN="Y"><LastName>Sullivan</LastName>
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<Author ValidYN="Y"><LastName>Ngu</LastName>
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<Author ValidYN="Y"><LastName>Des Jarlais</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Addiction</MedlineTA>
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<ISSNLinking>0965-2140</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N" Type="Geographic">China</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006078" MajorTopicYN="N">Government Programs</DescriptorName>
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<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
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<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006291" MajorTopicYN="N">Health Policy</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D016485" MajorTopicYN="N">Needle Sharing</DescriptorName>
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<MeshHeading><DescriptorName UI="D018671" MajorTopicYN="N">Needle-Exchange Programs</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D015819" MajorTopicYN="N">Substance Abuse, Intravenous</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014744" MajorTopicYN="N" Type="Geographic">Vietnam</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<NumberOfReferences>45</NumberOfReferences>
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