靜脈注射藥癮者對減害計畫需求評估~以台中監獄、雲林及嘉義戒治所為例

Demand assessment of harm reduction among drug abuser taking Taichung Prison , Yunlin and Chiayi Drug Abuser Treatment Center as an example

許淑雲(Shu-Yun Hsu)

指導教授 ： 廖宏恩

亞洲大學/健康學院/健康管理研究所/碩士(2006年)

摘要

目標：本研究目的主要在於分析影響靜脈注射藥癮者接受「清潔針具交換」及「替代療法」意願及其相關因子，並建議減害措施的可行模式。方法：以分層隨機抽樣方式選取台中監獄、雲林及嘉義戒治所靜脈注射藥癮者樣本共計1206人，進行橫斷式問卷調查。結果：雖然有超過七成五（77.2%）的高危險群受訪者認為參加針具交換計畫對降低愛滋病感染非常有幫助，然而僅約有四成（43.1%）填答者參加針具交換的意願較堅定；另約有九成（93%）填答者願意參加替代療法。結論：實施減害措施需先透過瞭解靜脈注射藥癮者解癮管道、並增強藥癮同儕及配偶因素來提高其參加的意願，本研究建議行政院衛生署應著重在降低購買針具的障礙而非交換，同時推動藥癮者同儕教育並應降低自費者參加替代療法之障礙。

關鍵字

減害計畫 ； 靜脈注射藥癮者 ； 清潔針具交換 ； 替代療法 ； 愛滋病

並列摘要

Objectives: The purpose of this study is analysis of factors to acceptance of “clean injection device exchange” and “substitution therapy” and related factors on intravenous injected drug users. The possible models of damage reduction are also suggested. Method: The layer random sampling method is used for sample collection of intravenous injected drug user from Taichung prison, Yunlin and Chia-I rehabilitation institutes. Results: Although there are more than seventy five (77.2%) percent high risk participants think to participant the injection device exchange program is very helpful for reduction of HIV infection. However, around forty (43.1%) percent participants have more firm will. Around ninety (93%) percent participants are willing to join the substitution therapy. Conclusions: To implement the measures of harm reduction, first we need to comprehend the channels of drugs for intravenous injected users, and to enhance the companion and spouse factor to elevate the will of participation. This study suggests department of health, Executive Yuan, ROC, to focus on reducing the barrier of injection device purchase but exchange the devices. Meanwhile, to promote drug user group education by reducing the barrier for self-sponsored participants.

並列關鍵字

harm reduction program ； intravenous injected drug users ； clean injection device exchange ； substitution therapy ； HIV

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