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减少伤害——从概念框架到实践经验:以德国为例。

Harm reduction--from a conceptual framework to practical experience: the example of Germany.

机构信息

Office of the Federal Drug Commissioner, Federal Ministry of Health, Berlin, Germany.

出版信息

Subst Use Misuse. 2012 Jun-Jul;47(8-9):910-22. doi: 10.3109/10826084.2012.663281.

DOI:10.3109/10826084.2012.663281
PMID:22676562
Abstract

Drug demand reduction programs must be integrated into a comprehensive strategy aiming at preventing drug misuse, facilitating access to counseling, to treatment of dependence, and to rehabilitation; and establishing effective measures to reduce the adverse health and social consequences of drug misuse. The continuous and even rising spread of HIV/AIDS and other infectious diseases (e.g., hepatitis B and C) among injecting drug users is alarming. Although, in many countries the prevalence of HIV infections is decreasing due to the implementation of effective harm reduction measures, such as syringe exchange and opiate substitution treatment (OST), in other countries infections are on the rise. The lessons learnt indicate that only a comprehensive, evidence-based approach in prevention, treatment, care, and support is promising in combating the devastating effects of drug dependence.

摘要

减少毒品需求的方案必须纳入一项旨在预防药物滥用、为咨询、依赖治疗和康复提供便利的综合战略;并制定有效措施,减少药物滥用对健康和社会造成的不良后果。艾滋病毒/艾滋病和其他传染病(如乙型肝炎和丙型肝炎)在注射吸毒者中持续甚至不断上升,令人震惊。虽然,由于实施了有效的减少伤害措施,如注射器交换和阿片类药物替代治疗(OST),在许多国家艾滋病毒感染的流行率正在下降,但在其他国家,感染率却在上升。经验教训表明,只有采取基于证据的预防、治疗、护理和支持的综合方法,才能有望遏制药物依赖的破坏性影响。

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