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Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico

التفاصيل البيبلوغرافية
العنوان: Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico
المؤلفون: Baker, P., Arredondo, J., Borquez, A., Clairgue, E., Mittal, M.L., Morales, M., Rocha-Jimenez, T., Garfein, R., Oren, E., Pitpitan, E., Strathdee, S.A., Beletsky, L., Cepeda, J.A.
المساهمون: School of Government and Public Policy, University of Arizona
المصدر: Harm Reduction Journal
بيانات النشر: BioMed Central Ltd
سنة النشر: 2021
المجموعة: The University of Arizona: UA Campus Repository
مصطلحات موضوعية: Addiction, Harm reduction, HIV, Law enforcement, People who use drugs, Police, Referral, Syringe service program
الوصف: Background: Police constitute a structural determinant of health and HIV risk of people who inject drugs (PWID), and negative encounters with law enforcement present significant barriers to PWID access to harm reduction services. Conversely, police may facilitate access via officer-led referrals, potentiating prevention of HIV, overdose, and drug-related harms. We aimed to identify police characteristics associated with support for officer-led referrals to addiction treatment services and syringe service programs (SSP). We hypothesized that officers who believe harm reduction services are contradictory to policing priorities in terms of safety and crime reduction will be less likely to support police referrals. Methods: Between January and June 2018, police officers (n = 305) in Tijuana, Mexico, completed self-administered surveys about referrals to harm reduction services during the 24-month follow-up visit as part of the SHIELD police training and longitudinal cohort study. Log-binomial regression was used to estimate adjusted prevalence ratios and model policing characteristics and attitudes related to officers’ support for including addiction treatment and SSP in referrals. Results: Respondents were primarily male (89%), patrol officers (86%) with a median age of 38 years (IQR 33–43). Overall, 89% endorsed referral to addiction services, whereas 53% endorsed SSP as acceptable targets of referrals. Officers endorsing addiction services were less likely to be assigned to high drug use districts (adjusted prevalence ratio [APR] = 0.50, 95% CI 0.24, 1.08) and more likely to agree that methadone programs reduce crime (APR = 4.66, 95% CI 2.05, 9.18) than officers who did not support addiction services. Officers endorsing SSPs were younger (adjusted prevalence ratio [APR] = 0.96 95% CI 0.93, 0.98), less likely to be assigned to high drug use districts (APR = 0.50, 95% CI 0.29, 0.87), more likely to believe that methadone programs reduce crime (APR = 2.43, 95% CI 1.30, 4.55), and less likely to believe that SSPs ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1477-7517
Relation: Baker, P., Arredondo, J., Borquez, A., Clairgue, E., Mittal, M. L., Morales, M., Rocha-Jimenez, T., Garfein, R., Oren, E., Pitpitan, E., Strathdee, S. A., Beletsky, L., & Cepeda, J. A. (2021). Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico. Harm Reduction Journal, 18(1).; http://hdl.handle.net/10150/661407; Harm Reduction Journal
DOI: 10.1186/s12954-021-00513-4
الاتاحة: http://hdl.handle.net/10150/661407
https://doi.org/10.1186/s12954-021-00513-4
Rights: Copyright © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. ; https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.9D8BAEA4
قاعدة البيانات: BASE
الوصف
تدمد:14777517
DOI:10.1186/s12954-021-00513-4