Jeziorska Iga, Martinelli Thomas F, Kools John-Peter
Correlation - European Harm Reduction Network, North Holland, The Netherlands.
Corvinus University of Budapest, Budapest, Hungary.
Harm Reduct J. 2025 May 30;22(1):94. doi: 10.1186/s12954-025-01200-4.
Europe has been the first home for the harm reduction movement, acknowledging its values and principles relatively early, although not without challenges. Built on successful experiences starting in the early 1980s, some pioneering European countries committed, invested in and implemented a broad spectrum of harm reduction services over the years. The HIV/AIDS epidemic helped to establish a broader recognition of the effectiveness of harm reduction policies in other countries as well by the mid-1990s. However, we argue that the adoption of harm reduction is lagging behind in important ways, leading to uneven and poor implementation of services. In this perspective-paper, we highlight some reasons that may have contributed to this, and we explore how multiple societal trends and the current conceptualisation of harm reduction have hindered further acceptance and implementation. We do this by revealing assumptions underlying the concept of harm reduction. Finally, we explore how we may move harm reduction forward as a field.
欧洲一直是减少伤害运动的发源地，相对较早地认可了其价值观和原则，尽管并非没有挑战。基于20世纪80年代初开始的成功经验，多年来一些具有开拓精神的欧洲国家致力于、投资并实施了广泛的减少伤害服务。到20世纪90年代中期，艾滋病毒/艾滋病疫情也促使其他国家更广泛地认识到减少伤害政策的有效性。然而，我们认为，减少伤害理念的采用在重要方面滞后，导致服务实施不均衡且效果不佳。在这篇观点论文中，我们强调了可能导致这种情况的一些原因，并探讨了多种社会趋势以及当前对减少伤害的概念化是如何阻碍其进一步被接受和实施的。我们通过揭示减少伤害概念背后的假设来做到这一点。最后，我们探讨如何推动减少伤害这一领域向前发展。
