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在美国,人性化叙事对促进支持减少伤害政策有效性的证据。

Evidence for the efficacy of humanizing narratives to promote support for harm-reduction policies in the United States.

作者信息

Jones Katy, Foster Stephen

机构信息

Penn State York, York, USA.

出版信息

Harm Reduct J. 2025 Apr 21;22(1):63. doi: 10.1186/s12954-025-01206-y.

Abstract

BACKGROUND

Prior work has suggested that harm-reduction policies (HRPs) are influenced by beliefs that the public hold about drug use. The current studies sought to explore if controllability beliefs about addiction are linked with such support for heroin-oriented HRPs and whether aspects of humanizing narratives may be effective in heightening support for HRPs.

METHODS

Two studies administered in the United States (total N = 536) used survey designs to assess the causal effects of humanizing narratives on HRP support and controllability beliefs (Study 1) and the specific effect of mortality outcomes on HRP support (Study 2).

RESULTS

Results showed that while humanizing narratives did appear to elicit changes in controllability beliefs, this did not translate to changes in HRP support. Study 2 found that changes in HRP support were elicited by emphasizing the potential mortality affiliated with long-term heroin use.

CONCLUSIONS

The current research suggests that, although controllability beliefs do explain HRP support, targeting controllability may not be an effective approach for messaging campaigns. Instead, the more severe mortality outcomes of long-term heroin use may be the more effective strategy to employ in public health messaging campaigns seeking to elicit HRP support.

摘要

背景

先前的研究表明,减少伤害政策(HRPs)受到公众对药物使用的信念的影响。当前的研究旨在探讨对成瘾的可控性信念是否与对以海洛因为导向的减少伤害政策的支持相关联,以及人性化叙事的各个方面是否可能有效地增强对减少伤害政策的支持。

方法

在美国进行的两项研究(总样本量N = 536)采用调查设计来评估人性化叙事对减少伤害政策支持和可控性信念的因果效应(研究1)以及死亡率结果对减少伤害政策支持的具体影响(研究2)。

结果

结果表明,虽然人性化叙事似乎确实引发了可控性信念的变化,但这并没有转化为对减少伤害政策支持的变化。研究2发现,通过强调长期使用海洛因相关的潜在死亡率,引发了对减少伤害政策支持的变化。

结论

当前的研究表明,虽然可控性信念确实可以解释对减少伤害政策的支持,但针对可控性可能不是宣传活动的有效方法。相反,长期使用海洛因更严重的死亡率结果可能是在寻求获得对减少伤害政策支持的公共卫生宣传活动中采用的更有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b410/12010590/adafe3ed611d/12954_2025_1206_Fig1_HTML.jpg

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