A scoping review on barriers and facilitators to harm reduction care among youth in British Columbia, Canada.

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Harm Reduction Journal Pub Date : 2024-10-23 DOI:10.1186/s12954-024-01063-1
Kassey Beck, Katija Pallot, Michelle Amri
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Abstract

Background: Progressive harm reduction policies have been implemented in British Columbia, Canada. However, youth who use drugs face barriers to receiving harm reduction care, resulting in increasing opioid-related hospitalizations and drug toxicity deaths. This scoping review collates peer-reviewed evidence to understand the barriers and facilitators faced by youth who use drugs when accessing harm reduction programming in British Columbia, Canada.

Methods: This scoping review entailed conducting a systematic search of relevant databases to identify relevant articles. Articles were included if they: (i) contained youth falling between the ages of 12 and 26 years old; (ii) explored accessibility, barriers, and/or facilitators to harm reduction care or related topics; (iii) were empirical research articles using primary data (i.e., reviews, grey literature, theoretical or conceptual papers, books, etc. were excluded); and (iv) were available in the English language, given the geographic focus on British Columbia.

Results: A total of 398 sources were identified and ultimately, data from 13 sources were charted and extracted. When investigating barriers to harm reduction care among youth, four themes emerged: self-stigma, service navigation, service delivery, and negative provider interactions. Furthermore, in exploring factors that facilitate harm reduction care for youth, four themes surfaced: ability to meet basic needs, positive provider interactions, social networks, and risk mitigation guidance.

Conclusions: The expansion of harm reduction services in 2016 did not fully address accessibility challenges faced by youth who use drugs. Barriers continue to hinder harm reduction engagement, while supportive networks, positive provider interactions, and the ability to meet basic needs facilitated sustained access. Tailored policy interventions rooted in equity are crucial to improving access to harm reduction services for youth who use drugs.

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关于加拿大不列颠哥伦比亚省青少年减低伤害护理的障碍和促进因素的范围研究。
背景:加拿大不列颠哥伦比亚省实施了渐进式减低伤害政策。然而,吸毒青少年在接受减低伤害护理时却面临障碍,导致与阿片类药物相关的住院治疗和药物中毒死亡人数不断增加。本范围界定综述整理了经同行评审的证据,以了解加拿大不列颠哥伦比亚省吸毒青少年在接受减低危害方案时面临的障碍和促进因素:此次范围界定审查需要对相关数据库进行系统搜索,以确定相关文章。如果文章(i) 包含年龄在 12 岁至 26 岁之间的青少年;(ii) 探讨减低伤害护理或相关主题的可及性、障碍和/或促进因素;(iii) 使用原始数据的实证研究文章(即不包括评论、灰色文献、理论或概念性论文、书籍等);(iv) 以不列颠哥伦比亚省为地理重点,以英语提供:共确定了 398 个资料来源,最终对 13 个资料来源的数据进行了制图和提取。在调查青少年接受减低伤害护理的障碍时,出现了四个主题:自我污名、服务导航、服务提供和提供者的负面互动。此外,在探索促进青少年减低危害护理的因素时,出现了四个主题:满足基本需求的能力、积极的提供者互动、社交网络和风险缓解指导:2016年减低伤害服务的扩展并没有完全解决吸毒青少年所面临的可及性挑战。障碍继续阻碍着减低伤害服务的参与,而支持性网络、提供者的积极互动以及满足基本需求的能力则有助于持续获得服务。以公平为基础的有针对性的政策干预对于改善吸毒青年获得减低危害服务的机会至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Harm Reduction Journal
Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.90
自引率
9.10%
发文量
126
审稿时长
26 weeks
期刊介绍: Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.
期刊最新文献
Reducing the harms of cannabis use in youth post-legalization: insights from Ontario youth, parents, and service providers. Exploring the substitution of cannabis for alcohol and other drugs among a large convenience sample of people who use cannabis. Navigating transitions into, through, and beyond peer worker roles: insider insights from the Supporting Harm Reduction through Peer Support (SHARPS) study. Unpacking the Effects of Decriminalization: Understanding Drug Use Experiences and Risks among Individuals Who Use Drugs in British Columbia. A scoping review on barriers and facilitators to harm reduction care among youth in British Columbia, Canada.
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