Rehman Laurene, Gahagan Jacqueline, DiCenso Anne Marie, Dias Giselle
School of Health and Human Performance, Dalhousie University, 6230 South St, Halifax, NS, B3H 3J5, Canada.
Women Health. 2004;40(4):57-73. doi: 10.1300/j013v40n04_04.
Applying the principles of harm reduction within the context of incarcerated populations raises a number of challenges. Although some access to harm reduction strategies has been promoted in general society, a divide between what is available and what is advocated continues to exist within the prison system. This paper explores the perceptions and lived experiences of a sample of nationally incarcerated women in Canada regarding their perceptions and experiences in accessing HIV and Hepatitis C prevention, care, treatment and support. In-depth interviews were conducted with 156 women in Canadian national prisons. Q.S.R. Nudist was used to assist with data management. A constant comparison method was used to derive categories, patterns, and themes. Emergent themes highlighted a gap between access to harm reduction in policy and in practice. Despite the implementation of some harm reduction techniques, women in Canadian prisons reported variable access to both education and methods of reducing HIV/HCV transmission. Concerns were also raised about pre-and post-test counseling for HIV/HCV testing. Best practices are suggested for implementing harm reduction strategies within prisons for women in Canada.
在被监禁人群的背景下应用减少伤害原则面临诸多挑战。尽管在一般社会中已推广了一些获取减少伤害策略的途径，但监狱系统内现有资源与所倡导内容之间的差距依然存在。本文探讨了加拿大全国范围内被监禁女性样本对于获取艾滋病毒和丙型肝炎预防、护理、治疗及支持方面的认知和实际经历。对加拿大国家监狱中的156名女性进行了深入访谈。使用Q.S.R. Nudist软件协助数据管理。采用持续比较法得出类别、模式和主题。新出现的主题凸显了政策层面与实际操作中在获取减少伤害措施方面的差距。尽管实施了一些减少伤害技术，但加拿大监狱中的女性报告称在获取艾滋病毒/丙型肝炎传播的教育和减少方法方面存在差异。对于艾滋病毒/丙型肝炎检测的检测前和检测后咨询也存在担忧。本文针对在加拿大监狱中为女性实施减少伤害策略提出了最佳实践建议。
