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Substance Use and The Necessity for Harm Reduction Programs in Prisons: A Qualitative Study in Central Prison of Sanandaj, Iran 监狱中物质使用和减少危害方案的必要性:伊朗萨南达杰中心监狱的定性研究
Q4 Medicine Pub Date : 2021-10-11 DOI: 10.5812/ijhrba.113989
M. B. Saberi Zafarghandi, S. Eshrati, Reza Arezoomandan, M. Farnia
Background: For decades, harm reduction programs for addiction have been started in Iranian prisons. The programs comprise methadone maintenance treatment, antiretroviral treatment, and other harm reduction programs implemented as a triangular clinic. Despite the lack of funding to provide mental health services, particularly for substance use and harm reduction in prisons of low- and middle-income countries, Iran provides well-developed services. Objectives: The study investigated the implementation and achievements of harm reduction programs in Sanandaj prison located in the center of Kurdistan Province, west of Iran. Methods: This was a qualitative cross-sectional study. We used various information sources such as a checklist and group discussions. The participants were chosen by the purposive sample method and included prison authorities and harm reduction service providers and recipients. The data were analyzed by content analysis. Results: The harm reduction programs included opioid substitution therapy, providing information and education, voluntary counseling and testing for blood-borne diseases, providing condoms, hepatitis C virus screening, and antiretroviral treatment. Following the implementation of the program, a significant decrease in violence, self-injury, illegal drug use and shared syringes, HIV-positive new comers, and no necessity for the needle and syringe program when starting methadone treatment was reported. Conclusions: Commitment to a strict ban on the entering of drugs to the prison is a reason for the use of high-risk methods of drug use and behaviors such as injection, self-injury, or violence. Sharing syringes and needles is a major cause of the transmission of HIV and hepatitis viruses among drug users. Harm reduction programs, especially methadone maintenance treatment and antiretroviral treatment, have reduced a large proportion of drug-related harms in prisons. Scaling up the programs and their extension to post-release treatment will greatly reduce the country's health costs.
背景:几十年来,伊朗监狱开始实施减少毒瘾危害的计划。这些项目包括美沙酮维持治疗、抗逆转录病毒治疗和其他以三角诊所形式实施的减少危害项目。尽管缺乏资金来提供心理健康服务,特别是低收入和中等收入国家监狱中的药物使用和减少伤害方面的服务,但伊朗提供了发达的服务。目的:本研究调查了位于伊朗西部库尔德斯坦省中心的萨南达杰监狱减少危害方案的实施情况和成果。方法:采用定性横断面研究。我们使用了各种信息源,如清单和小组讨论。参与者是通过有目的抽样方法选择的,包括监狱当局和减少伤害服务提供者和接受者。采用内容分析法对数据进行分析。结果:减少危害的项目包括阿片类药物替代治疗、提供信息和教育、自愿咨询和血液传播疾病检测、提供避孕套、丙型肝炎病毒筛查和抗逆转录病毒治疗。据报告,在实施该方案后,暴力、自残、非法吸毒和共用注射器、艾滋病毒阳性新来者显著减少,并且在开始美沙酮治疗时不再需要针头和注射器方案。结论:承诺严格禁止毒品进入监狱是使用注射、自残、暴力等高危吸毒方法和行为的原因。共用注射器和针头是吸毒者之间传播艾滋病毒和肝炎病毒的一个主要原因。减少危害方案,特别是美沙酮维持治疗和抗逆转录病毒治疗,大大减少了监狱中与毒品有关的危害。扩大这些方案并将其扩展到释放后治疗将大大降低该国的卫生成本。
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引用次数: 0
Alleles Frequency and Polymorphic Genes Genotypes Associated with Alcoholism in Kazakh Population 哈萨克族人群酒精中毒相关的等位基因频率和多态基因型
Q4 Medicine Pub Date : 2021-10-07 DOI: 10.5812/ijhrba.116243
S. Sakhanova, G. Svyatova, Valery Petrovich Pavlenko, A. A. Ramazanova, Stanislav Vladimirovich Zaynullin, Daniya Smagulova
Background: There is a category of people with a congenial predisposition to alcohol abuse among the total population. The identification of such persons by molecular genetic diagnostics and the implementation of appropriate preventive measures can significantly reduce the incidence of alcoholism. Objectives: This research aimed to study the genetic foundations of alcohol dependence development in Kazakhs based on the analysis of population frequencies of polymorphic variants of predisposition to alcoholism genes. Materials and Methods: The material for the research was the DNA recovered from the peripheral blood of the recruited control group population, which was represented by 1,800 conditionally healthy individuals of Kazakh nationality. Isolated DNA samples were genotyped by PCR. Conclusions: Kazakhs take an intermediate position between the previously studied European and Asian populations by allele frequencies of nine polymorphic variants of ADH1B (rs2066701, rs1789891), ADH1C (rs1693425, rs698), HTR2C (rs6318), ALDH2 (rs671), CADM2 (rs9841829), KLB (rs11940694), DRD2 (rs1076560) genes. Possible markers of an increased risk of alcoholism development in Kazakhs are G alleles of polymorphic loci rs2066701 of the ADH1B gene and rs671 of the ALDH2 gene, and the protective effect is possible in the presence of A alleles rs2066701 of the ADH1B gene and rs671 of the ALDH2 gene.
背景:在总人口中存在一类具有酒精滥用倾向的人。通过分子遗传诊断来识别这些人并采取适当的预防措施,可以大大减少酗酒的发生率。目的:本研究旨在通过分析哈萨克族酒精倾向基因多态性变异的群体频率,研究哈萨克族酒精依赖发展的遗传基础。材料和方法:本研究的材料为从招募的对照组人群中提取的DNA,该对照组以1800名哈萨克族有条件健康个体为代表。分离的DNA样本采用PCR分型。结论:哈萨克人ADH1B (rs2066701, rs1789891)、ADH1C (rs1693425, rs698)、HTR2C (rs6318)、ALDH2 (rs671)、CADM2 (rs9841829)、KLB (rs11940694)、DRD2 (rs1076560)基因9个多态性变异的等位基因频率介于之前研究的欧洲和亚洲人群之间。哈萨克人酒精中毒风险增加的可能标志是ADH1B基因多态性位点rs2066701和ALDH2基因多态性位点rs671的G等位基因,并且在ADH1B基因多态性位点rs2066701和ALDH2基因多态性位点rs671存在的情况下可能具有保护作用。
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引用次数: 0
Investigating the Prevalence of Substance Abuse Among Students of Medical Science Universities in the Eighth Macro-region of Iran 伊朗第八大区医学院校学生药物滥用情况调查
Q4 Medicine Pub Date : 2021-09-28 DOI: 10.5812/ijhrba.113237
Mohadeseh Balvardi, Nasim Dehdashti, Zahra Imani-Goghary, M. Ghaljeh, Hamideh Bashiri, Kamran Babaee, S. Daneshi, M. Raei
Background: The growing trend of substance abuse among students is a serious threat for the health of young adults. Using Network Scale-up (NSU) method Objectives: The present study was designed to indirectly estimate the prevalence of substance abuse among students of medical science universities in the eighth macro-region of Iran to attract government attention to this problem. Methods: This cross-sectional study was performed on 3,900 students from medical science universities in the eighth macro-region of Iran (2300 from Kerman and 1600 from Sistan and Baluchestan provinces) in 2019. The sample size of each university was determined using a multistage non-random sampling approach. The participants were asked to introduce their academic close friends who did high-risk behaviors during last year. Results: Out of 3,900 participants, 1,872 (48%) were males and 2,028 (52%) were females. Students from all academic degrees contributed to this study. The prevalence of alcohol, marijuana, hemp, chewing tobacco, tramadol, methylphenidate, and opium abuse were 20.6% (95% CI: 19.3 - 21.9), 13.5% (CI: 12.4 - 14.5), 4.1% (CI: 3.5 - 4.7), 6.3% (CI: 5.5 - 7.1), 3.1% (CI: 2.6 - 3.7), 6.5% (CI: 5.7 - 7.3), and 4.0% (CI: 3.1 - 4.9), respectively. Also, the prevalence of substance abuse was higher among male students than females. Conclusions: Male students are more at risk for substance abuse. The rates of alcohol and marijuana consumption were higher among students. Training programs are recommended to increase awareness level of young people and the society about disadvantages of these behaviors.
背景:学生滥用药物的趋势日益严重,严重威胁着青少年的健康。目的:本研究旨在间接估计伊朗第八宏观区域医学大学学生药物滥用的普遍程度,以引起政府对这一问题的关注。方法:本横断面研究于2019年对伊朗第八大区医科大学的3900名学生进行了研究,其中2300名来自克尔曼省,1600名来自锡斯坦省和俾路支斯坦省。每所大学的样本量采用多阶段非随机抽样方法确定。参与者被要求介绍他们在过去一年中有高危行为的学术密友。结果:在3900名参与者中,男性为1872人(48%),女性为2028人(52%)。所有学位的学生都参与了这项研究。酒精、大麻、大麻、嚼烟、曲马多、哌醋甲酯和鸦片滥用的患病率分别为20.6% (95% CI: 19.3 ~ 21.9)、13.5% (CI: 12.4 ~ 14.5)、4.1% (CI: 3.5 ~ 4.7)、6.3% (CI: 5.5 ~ 7.1)、3.1% (CI: 2.6 ~ 3.7)、6.5% (CI: 5.7 ~ 7.3)和4.0% (CI: 3.1 ~ 4.9)。此外,男生滥用药物的比例高于女生。结论:男生滥用药物的风险更高。学生中饮酒和吸食大麻的比例更高。建议开展培训计划,以提高年轻人和社会对这些行为的危害的认识。
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引用次数: 2
Factor Structure and Psychometric Properties of Persian Version of Relationship Emotional Schema Scale Among Iranian Victims of Domestic Violence 伊朗家庭暴力受害者波斯语版关系情绪图式量表的因素结构与心理测量特征
Q4 Medicine Pub Date : 2021-09-01 DOI: 10.5812/IJHRBA.112252
A. Masoudzadeh, Somayeh Alami, M. Pourasghar, Yazdan Naderi Rajeh
Background: After introducing the emotional schema model, two questionnaires are proposed to assess this structure. This study is the first validation research on the Relationship Emotional Schema scale (RESS) worldwide. Objectives: The present study aimed to assess the factor structure and psychometric properties of RESS among Iranian victims of domestic violence. Materials and Methods: This study used a correlational method, and the research population encompassed couples with the experience of domestic violence, who had referred to the Forensics Center of Sari Province in 2018. The sample size of the study was determined to be 227 persons selected by the convenience sampling method. To implement RESS for Iranian population after back translation, a pilot study was conducted on 50 persons. Moreover, internal consistency and exploratory factor analysis were performed to check its structure validity. Results: Fourteen items have a significant correlation with the scores of the relevant subscale (negative and positive relationship emotional schema). The reliability of these two dimensions was acceptable, as confirmed by Cronbach’s alpha coefficient with a range of 0.68 to 0.74. The total value of Cronbach’s alpha coefficient was 0.71. Exploratory factor analysis revealed four factors of RESS. Furthermore, a two-factor structure was extracted, and the correlation between items confirmed the structure validity of the scale. Convergent validity analyses revealed that negative and positive relationship emotional schemas had a significant correlation with the domestic violence domains and its total score and with neuroticism and extraversion. Conclusions: According to the present findings, RESS can be utilized in research and clinical practice.
背景:在引入情绪图式模型后,提出了两份问卷来评估这一结构。本研究是国际上首次对关系情绪图式量表(RESS)进行验证性研究。目的:本研究旨在评估伊朗家庭暴力受害者的焦虑因素结构和心理测量特征。材料和方法:本研究采用了相关方法,研究人群包括2018年到萨里省法医中心就诊的有家庭暴力经历的夫妇。本研究的样本量确定为227人,采用方便抽样法。为了在翻译后对伊朗人口实施RESS,对50人进行了试点研究。并通过内部一致性和探索性因子分析检验其结构效度。结果:14个条目与相关子量表(消极和积极关系情绪图式)得分显著相关。这两个维度的信度是可以接受的,Cronbach 's alpha系数在0.68 ~ 0.74之间。Cronbach’s alpha系数的总和为0.71。探索性因子分析揭示了影响RESS的四个因素。进一步提取双因子结构,项目间的相关性证实了量表的结构效度。收敛效度分析显示,消极和积极关系情绪图式与家庭暴力域及其总分、神经质和外向性有显著相关。结论:根据目前的研究结果,RESS可用于研究和临床实践。
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引用次数: 0
Effectiveness of Interpersonal and Social Rhythm Therapy (IPSRT) With and Without Computer-based Cognitive Rehabilitation Therapy (CRT) in Promoting Emotion Dysregulation and Response Inhibition in Methamphetamine Abusers 人际与社会节律治疗(IPSRT)加与不加计算机认知康复治疗(CRT)促进甲基苯丙胺滥用者情绪失调和反应抑制的效果
Q4 Medicine Pub Date : 2021-08-24 DOI: 10.5812/ijhrba.111372
Nikzad Ghanbari Pirkashani, S. Shahidi, M. Heidari, V. Nejati
Background: Despite extensive evidence on cognitive deficits and difficulty in emotion regulation related to substance abuse, especially methamphetamine abuse, a few well-organized programs could have improved cognitive abilities and emotion regulation in drug users. Objectives: The present study aimed to investigate the effectiveness of Interpersonal and Social Rhythm therapy (IPSRT) alone and combined with Cognitive Rehabilitation therapy (CRT) on inhibitory response and emotion dysregulation in people with methamphetamine use disorder. Patients and Methods: The current quasi-experimental study with a pretest-posttest and follow-up design included two intervention groups. Forty methamphetamine abusers were selected based on the inclusion and exclusion criteria and assigned randomly to the IPSRT (n = 20) and IPSRT + CRT (n = 20) groups. The first group received IPSRT in 12 sessions, two 60 min sessions per week. The second group received IPSRT and 16 sessions of CRT. Subjects were assessed three times at pre-intervention, immediately after the intervention, and four weeks after the intervention. Results: Data analyzed by descriptive statistics and mixed repeated ANOVA indicated that the two interventions had significant long-term effects on increasing the inhibitory response and decreasing emotion dysregulation. In addition, IPSRT with CRT was more effective than IPSRT alone in promoting executive functions and decreasing emotion dysregulation. Conclusions: The findings of this study provide evidence that adding CRT as an adjunct intervention to psychological interventions such as IPSRT can improve emotional and cognitive performance. Therefore, a combination of psychological interventions with CRT can be considered a useful intervention in addiction treatment centers.
背景:尽管有大量证据表明认知缺陷和情绪调节困难与药物滥用有关,特别是甲基苯丙胺滥用,但一些组织良好的计划可以改善吸毒者的认知能力和情绪调节。目的:探讨人际与社会节律疗法(IPSRT)单用及联合认知康复疗法(CRT)对甲基苯丙胺使用障碍患者抑制反应和情绪失调的影响。患者和方法:目前的准实验研究采用前测后测和随访设计,包括两个干预组。根据纳入和排除标准,选择40例甲基苯丙胺滥用者,随机分为IPSRT组(n = 20)和IPSRT + CRT组(n = 20)。第一组接受12次IPSRT,每周2次,每次60分钟。第二组接受IPSRT和16次CRT。受试者在干预前、干预后和干预后四周分别接受三次评估。结果:描述性统计和混合重复方差分析表明,两种干预措施在增加抑制反应和减少情绪失调方面具有显著的长期效果。此外,IPSRT联合CRT在促进执行功能和减少情绪失调方面比单独IPSRT更有效。结论:本研究结果证明,在IPSRT等心理干预措施的辅助干预下,加入CRT可以改善情绪和认知表现。因此,心理干预与CRT的结合可以被认为是成瘾治疗中心的有效干预。
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引用次数: 0
Potential Concerns About a Decrease in the Number of Healthcare Providers Seeking COVID-19 Testing: A Letter to the Editor 对寻求 COVID-19 检测的医疗保健提供者人数减少的潜在担忧:致编辑的一封信
Q4 Medicine Pub Date : 2021-08-21 DOI: 10.5812/ijhrba.111538
Nima Hajian, Mehran Rostami
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引用次数: 0
Risk Factors of Suicide in Zanjan Population 赞詹人口自杀的危险因素
Q4 Medicine Pub Date : 2021-08-11 DOI: 10.5812/ijhrba.111973
F. Taremian, R. Moloodi, Seyedeh Kiana Zamani, S. Faghihzadeh, Mazaher Rezaei
Background: Few studies have examined the risk factors among Iranians attempting suicide. Objectives: The present study aimed to explore the risk factors of suicide among patients admitted to hospitals due to suicide attempts. Patients and Methods: Suicidal participants (N = 200, 104 males and 96 females, aged 18 to 40) were recruited via judgmental sampling method, and non-suicidal participants (n = 300, 166 males and 134 females, aged from 18 to 40) were selected via a convincing sampling method. They completed a battery of questionnaires on family strength, religious identification, substance use, hopelessness, depression, sexual, emotional, and physical abuse, impulsive aggression, neuroticism, suicidal ideation, family discord, stressful life events, and anxiety. Results: The current use of cigarettes/hookah, lifetime non-prescribed medication use, suicidal ideation (suicidal thoughts/tendencies), and depression significantly predicted suicide attempts. In addition, lower levels of religious belief were significantly associated with a higher likelihood of attempting suicide. Conclusions: Suicide prevention programs should explore the efficacy of treating individuals with substance abuse disorders, depression, and suicidal thoughts/tendencies for the reduction of suicide attempts. Furthermore, family, media, and school-based programs to internalize religious values would be valuable components of prevention programs for suicide in Iran.
背景:很少有研究调查伊朗人企图自杀的危险因素。目的:本研究旨在探讨自杀未遂住院患者的自杀危险因素。患者与方法:采用判断抽样法选取有自杀倾向的受试者(男200人,男104人,女96人,年龄18 ~ 40岁);采用信服抽样法选取无自杀倾向的受试者(男300人,男166人,女134人,年龄18 ~ 40岁)。他们完成了一系列关于家庭力量、宗教信仰、药物使用、绝望、抑郁、性、情感和身体虐待、冲动攻击、神经质、自杀意念、家庭不和、压力生活事件和焦虑的调查问卷。结果:当前使用香烟/水烟、终生使用非处方药、自杀意念(自杀想法/倾向)和抑郁显著预测自杀企图。此外,较低的宗教信仰水平与较高的自杀倾向显著相关。结论:自杀预防计划应该探索治疗有药物滥用障碍、抑郁症和自杀想法/倾向的个体以减少自杀企图的有效性。此外,以家庭、媒体和学校为基础的内化宗教价值观的项目将是伊朗预防自杀项目的重要组成部分。
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引用次数: 0
Cyberbullying and Its Contributing Factors Among Iranian Adolescents 伊朗青少年中的网络欺凌及其影响因素
Q4 Medicine Pub Date : 2021-08-10 DOI: 10.5812/ijhrba.112178
G. Shariatpanahi, Kia Tahouri, M. Asadabadi, Atousa Moienafshar, M. Nazari, A. Sayarifard
Background: Adolescents’ exposure to new communication systems via the Internet and mobile phone can be detrimental if cyberbullying is the case. Objectives: The present study aimed to investigate the prevalence of cyberbullying and detect its contributing factors. Materials and Methods: This cross-sectional study was performed in four girls’ and boys’ high schools in District 17, Tehran, Iran. The research sample was selected using the simple random sampling method. The research instrument was a researcher-made questionnaire encompassing three sections (namely, the experience of being cyberbullied, the experience of attempts at cyberbullying, and close friends’ exposure to cyberbullying). Results: Eighty-five of the respondents (29.82%) had experienced being cyberbullied, 89 persons (30.90%) had made attempts at cyberbullying, and 117 individuals (40.62%) had friends being cyberbullied. Female gender and secondary high school education significantly increased the likelihood of attempts at cyberbullying and being cyberbullied (P < 0.001). Moreover, there was a significant relationship between an increase in time to use virtual tools per week and aging with attempts at cyberbullying (P < 0.001). There was also a significant relationship between being cyberbullied and attempts at cyberbullying (P < 0.001). Conclusions: According to the study findings, the authorities are recommended to implement appropriate educational programs to increase adolescents’ awareness of cyberbullying and culturalization to exploit new communication tools at the school and community levels.
背景:如果存在网络欺凌,青少年通过互联网和移动电话接触新的通信系统可能是有害的。目的:本研究旨在调查网络欺凌的流行情况,并找出其影响因素。材料和方法:本横断面研究在伊朗德黑兰17区的四所男女高中进行。研究样本选择采用简单随机抽样方法。研究工具是一份由研究者自行制作的问卷,问卷包含三个部分(即被网络欺凌的经历、网络欺凌的尝试经历和亲密朋友接触网络欺凌的经历)。结果:85人(29.82%)曾遭受过网络欺凌,89人(30.90%)曾尝试过网络欺凌,117人(40.62%)的朋友曾遭受网络欺凌。女性性别和中学教育程度显著增加了网络欺凌企图和被网络欺凌的可能性(P < 0.001)。此外,每周使用虚拟工具的时间增加与尝试网络欺凌的年龄之间存在显著关系(P < 0.001)。网络欺凌与网络欺凌行为之间也存在显著关系(P < 0.001)。结论:根据研究结果,建议当局实施适当的教育计划,以提高青少年对网络欺凌和文化的认识,并在学校和社区层面利用新的沟通工具。
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引用次数: 1
Relationship Between the Use of Pornography and Marital Sexual Satisfaction and Attitudes Towards Marital Infidelity in Married Women in Zahedan City 扎黑丹市已婚妇女色情使用与婚姻性满意度及对婚姻不忠态度的关系
Q4 Medicine Pub Date : 2021-08-05 DOI: 10.5812/ijhrba.109168
Z. Nikmanesh, Samane Ganjaly
Background: The spread of the Internet and the improvement of audio and video media have led to the emergence of an industry called pornography. Objectives: The purpose of this study was to investigate the relationship between the use of pornography and marital sexual satisfaction and attitudes toward marital infidelity in married women in Zahedan. Patients and Methods: This was a descriptive correlational study. The statistical population consisted of all working married women and housewives in Zahedan during 2017. Among them, a sample of 190 people (95 housewives and 95 employed women) was selected through a convenience sampling method. To collect data, the problematic pornography use scale, the Sexual Satisfaction Questionnaire (women's form), and Whatley's attitudes toward marital infidelity scale were used. Results: Data analysis was performed using Pearson correlation coefficient and multivariate regression. According to the results, there was a significant reverse relationship between the use of pornography and its components and marital sexual satisfaction, and the use of pornography to escape or avoid negative emotions was a negative predictor of marital sexual satisfaction. There was a significant direct relationship between the use of pornography and its components and the attitude towards marital infidelity, and the psychological and social problems of using pornography were a positive predictor of attitude towards marital infidelity. Conclusions: It is necessary to consider appropriate strategies to reduce the use of pornography to promote marital sexual satisfaction and reduce the attitude towards marital infidelity in married women.
背景:互联网的普及和音视频媒体的完善导致了一个被称为色情的行业的出现。目的:本研究旨在探讨扎黑丹地区已婚妇女色情内容使用与婚姻性满意度及对婚姻不忠态度的关系。患者和方法:这是一项描述性相关研究。统计人口包括2017年扎黑丹所有在职已婚妇女和家庭主妇。其中,采用方便抽样法抽取了190人(95名家庭主妇和95名职业妇女)。采用问题色情使用量表、性满意度问卷(女性表格)和Whatley对婚姻不忠态度量表收集数据。结果:采用Pearson相关系数和多元回归对数据进行分析。结果显示,使用色情内容及其成分与婚姻性满意度呈显著负相关,使用色情内容逃避或避免负面情绪是婚姻性满意度的负向预测因子。使用色情制品及其成分与对婚姻不忠的态度有显著的直接关系,使用色情制品的心理和社会问题是对婚姻不忠态度的积极预测因子。结论:有必要考虑适当的策略,减少使用色情制品,以提高已婚妇女的婚姻性满意度,降低对婚姻不忠的态度。
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引用次数: 1
Legalization, Decriminalization or Criminalization; Could We Introduce a Global Prescription for Prostitution? 合法化,非刑事化或刑事化;我们是否可以为卖淫制定全球处方?
Q4 Medicine Pub Date : 2021-08-04 DOI: 10.5812/ijhrba.106741
H. Joulaei, Nooshin Zarei, M. Khorsandian, Amir Keshavarzian
Context: Prostitution is a complex phenomenon defined as the provision of sexual services to receive something (goods or services) which is not sexual. Given the response of different societies and cultures to criminalization, decriminalization, or legalization of prostitution, this study aimed to compare the three aforementioned approaches to analyze the strengths and weaknesses of each view. Method: This narrative review study summarizes various views on how to control the prostitution phenomenon. To conduct this study, related articles in PubMed, Google Scholar, and Scopus databases, as well as documents and reports published by Amnesty International, the World Health Organization, and the United Nations Office on AIDS, were investigated. There was no time limit for searching the articles and documents. Results: Different communities have their own responses to the prostitution phenomenon, depending on their economic, social, and cultural context. According to the literature reviews, three main approaches, including criminalization, decriminalization, and legalization, are recommended to deal with prostitution. In each of these frameworks, human trafficking and child prostitution are criminalized. Although it seems that partial decriminalization has greater benefits with fewer disadvantages, it is not without defects. Conclusions: All countries, with any dominant approach, must respect the human rights of prostitutes and improve access to healthcare facilities. Using the moderator rules that are embedded in the laws of each country for expediency might also reduce the harmful consequences of the first rules, or measures can be taken by considering specific regulations that exist in the national system of each country.
背景:卖淫是一种复杂的现象,被定义为提供性服务以获得与性无关的东西(商品或服务)。鉴于不同社会和文化对卖淫犯罪化、非犯罪化或合法化的反应,本研究旨在比较上述三种方法,分析每种观点的优缺点。方法:本文对如何控制卖淫现象的各种观点进行叙述综述。为了进行这项研究,研究人员调查了PubMed、Google Scholar和Scopus数据库中的相关文章,以及大赦国际、世界卫生组织和联合国艾滋病办公室发表的文件和报告。查阅文章和文件没有时间限制。结果:不同的社区对卖淫现象有不同的反应,这取决于他们的经济、社会和文化背景。根据文献综述,建议采取刑事化、非刑事化和合法化三种主要途径来处理卖淫问题。在这些框架中,贩卖人口和儿童卖淫都被定为犯罪。虽然局部非刑事化似乎利大弊小,但它也并非没有缺陷。结论:所有国家,无论采取何种主导方式,都必须尊重妓女的人权,改善获得医疗保健设施的机会。为了权宜之计而使用各国法律中所包含的调解规则也可能减少第一规则的有害后果,或者可以考虑各国国家制度中存在的具体规定来采取措施。
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引用次数: 5
期刊
International Journal of High Risk Behaviors and Addiction
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