All Hallows College, Dublin, Ireland.
Qual Health Res. 2011 Aug;21(8):1086-100. doi: 10.1177/1049732311404031. Epub 2011 Apr 6.
Findings from 35 qualitative interviews with drug users who were engaging in or who had engaged in sex work in Dublin, Ireland, illuminated how, because of a result of felt stigma and internalized shame, they tried to hide their drug use, thus endangering their own lives. This group carried multiple layers of stigma because of sex work, drug use (including injecting drug use), and having contracted human immunodeficiency virus (HIV) or hepatitis C virus (HCV). This stigma was powerfully reinforced by the language routinely used by health professionals. To improve the effectiveness of harm-reduction interventions, it is recommended that service providers change their language, in particular in recognition of the human dignity of these clients, but also to help attract and retain drug users in services, and to help reduce the unacceptable mortality levels among drug users.
在都柏林，爱尔兰，对 35 名从事或曾经从事性工作的吸毒者进行的 35 次定性访谈发现，由于感到耻辱和内心的羞愧，他们试图隐瞒自己的吸毒行为，从而危及自己的生命。由于性工作、吸毒（包括注射吸毒）以及感染人类免疫缺陷病毒（HIV）或丙型肝炎病毒（HCV），这群人背负着多重耻辱。卫生专业人员的惯用语言也强有力地强化了这种耻辱。为了提高减少伤害干预措施的效果，建议服务提供者改变他们的语言，特别是要承认这些客户的人的尊严，同时也要吸引和留住吸毒者使用服务，并帮助降低吸毒者不可接受的死亡率。
