探討警察參與清潔針具計畫的意願及影響因素

Factors Associated with the Willingness of Policemen to Participate in a Needle Exchange Program

陳政惠(Cheng-Hui Chen) ； 劉韋利(Wei-Li Liu) ； 吳姿瑩(Tzu-Ying Wu) ； 江欣怡(Hsin-I Chiang) ； 賴怡因(Yi-Yin Lai) ； 柯乃熒(Nai-Ying Ko)

《台灣公共衛生雜誌》 28卷4期 (2009/08) Pp. 312-321

https://doi.org/10.6288/TJPH2009-28-04-06

摘要

Objectives: The purpose of the study was to investigate the factors associated with the willingness of policemen to participate in needle exchange programs in Taiwan. Methods: A cross-sectional study was conducted among policemen who attended an introductory program about needle exchange programs in seven counties of southern Taiwan. Anonymous, voluntary questionnaires were distributed to the policemen. These included scales for assessing knowledge and attitude toward HIV and hepatitis, attitudes toward injection drug users (IDUs), and experiences during drug crackdowns. Results: A total of 745 policemen attended introductory programs. Of the 467 respondents (62.7% of the survey sample), fifty-six percent of the policmen (n=247) were willing to actively participate in the needle exchange programs. Compared to the unwilling participants, policemen willing to actively participate in the needle exchange programs: had higher scores on knowledge of HIV and hepatitis (OR, 1.27; 95%CI, 1.07-1.51; p＜0.01), felt comfortable being with IDUs (OR, 1.24; 95%CI, 1.06-1.45; p＜0.01), were older (OR, 1.12, 95%CI, 1.02-1.22; p＜0.05), had a negative attitude toward IDUs (OR, 0.88 ; 95%CI, 0.78-0.99; p＜0.05), and experienced fewer episodes of splattering by suspect’s blood (OR, 0.44; 95%CI, 0.21-0.90; p＜0.05). Conclusions: It is important for policemen to improve their knowledge about HIV and hepatitis, and about ways to prevent occupational exposure to bloodborne transmitted viruses. A comprehensive and effective post-exposure protocol is essential in order to minimize the risk of occupational bloodborne viral infections for policemen and to enhance their willingness to actively participate in needle exchange programs.

關鍵字

清潔針具計畫 ； 知識 ； 態度 ； 靜脈毒癮者 ； 參與意願

並列摘要

Objectives: The purpose of the study was to investigate the factors associated with the willingness of policemen to participate in needle exchange programs in Taiwan. Methods: A cross-sectional study was conducted among policemen who attended an introductory program about needle exchange programs in seven counties of southern Taiwan. Anonymous, voluntary questionnaires were distributed to the policemen. These included scales for assessing knowledge and attitude toward HIV and hepatitis, attitudes toward injection drug users (IDUs), and experiences during drug crackdowns. Results: A total of 745 policemen attended introductory programs. Of the 467 respondents (62.7% of the survey sample), fifty-six percent of the policmen (n=247) were willing to actively participate in the needle exchange programs. Compared to the unwilling participants, policemen willing to actively participate in the needle exchange programs: had higher scores on knowledge of HIV and hepatitis (OR, 1.27; 95%CI, 1.07-1.51; p＜0.01), felt comfortable being with IDUs (OR, 1.24; 95%CI, 1.06-1.45; p＜0.01), were older (OR, 1.12, 95%CI, 1.02-1.22; p＜0.05), had a negative attitude toward IDUs (OR, 0.88 ; 95%CI, 0.78-0.99; p＜0.05), and experienced fewer episodes of splattering by suspect’s blood (OR, 0.44; 95%CI, 0.21-0.90; p＜0.05). Conclusions: It is important for policemen to improve their knowledge about HIV and hepatitis, and about ways to prevent occupational exposure to bloodborne transmitted viruses. A comprehensive and effective post-exposure protocol is essential in order to minimize the risk of occupational bloodborne viral infections for policemen and to enhance their willingness to actively participate in needle exchange programs.

並列關鍵字

needle exchange programs ； knowledge ； attitude ； injection drug users ； willingness of participating

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