Nunun Worapol, Kanato Manop
J Med Assoc Thai. 2015 Jul;98 Suppl 6:S64-72.
Drug use can harm to sex workers. Abstinence intervention, however, may not be appropriate since drug use fosters their career performance. The objective was to develop the culturally appropriate model for sex workers participation on drug demand reduction at the Thailand/Malaysian border
This study was a pre-post quasi-experimental design. Tripartite participation was used to develop the model aiming to reduce harm regarding drug use. The study carried out during June 2010-May 2011. Data were collected from 150 key informant interviews, 56 focus group discussions, 22 participant observations in various situations, and numerous related materials. Descriptive statistics, survival analysis and 95% confidence interval were utilizedfor quantitative data. Qualitative data were analyzed by content analysis.
Drug related harm reduction was evaluated at two-week time along implementation period of 12 months. 89.5% of all sessions introduced could decrease drug related harm. Of all sex workers participated in the study, intended to treat analysis showed 86.9% success rate (95% CI; 77.1, 96.7). Of these, 32.6% became abstinence, 39.1% reduced most of drug related harm. 13.0% reduced partial drug related harm either lessfrequency, less quantity, less concentration, decrease types of drugs/switch to safe drugs or safer method of administration. 2.2% was infancy stage, which needed further support.
Key success ofthe model was tripartite participation. With active leaders and strong support, sex workers were continually motivated to reduce harm regarding drug use.
吸毒会对性工作者造成伤害。然而，禁欲干预可能并不合适，因为吸毒有助于她们的职业表现。目的是为泰国/马来西亚边境的性工作者参与减少毒品需求制定适合当地文化的模式。
本研究采用前后准实验设计。采用三方参与的方式来开发旨在减少吸毒危害的模式。研究于2010年6月至2011年5月进行。数据收集自150次关键 informant 访谈、56次焦点小组讨论、22次在各种情况下的参与观察以及大量相关材料。对定量数据采用描述性统计、生存分析和95%置信区间。定性数据通过内容分析进行分析。
在12个月的实施期内，每两周对与毒品相关的危害减少情况进行评估。所有介绍的课程中有89.5%可以减少与毒品相关的危害。在所有参与研究的性工作者中，意向性治疗分析显示成功率为86.9%（95%CI；77.1，96.7）。其中，32.6%实现了戒毒，39.1%减少了大部分与毒品相关的危害。13.0%减少了部分与毒品相关的危害，要么是使用频率降低、数量减少、浓度降低、毒品种类减少/改用安全毒品或更安全的给药方法。2.2%处于初期阶段，需要进一步支持。
该模式的关键成功之处在于三方参与。在积极的领导者和强有力的支持下，性工作者不断受到激励以减少吸毒危害。
