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dc.contributorUniv Mayor, Fac Humanidades, Soc & Hlth Res Ctr, Santiago, Chilees
dc.contributor.authorBaker, Piete
dc.contributor.authorArredondo, Jaime
dc.contributor.authorBorquez, Annick
dc.contributor.authorClairgue, Erika
dc.contributor.authorMittal, Maria L.
dc.contributor.authorMorales, Mario
dc.contributor.authorGarfein, Richard
dc.contributor.authorOren, Eyal
dc.contributor.authorPitpitan, Eileen
dc.contributor.authorStrathdee, Steffanie A.
dc.contributor.authorBeletsky, Leo
dc.contributor.authorCepeda, Javier A.
dc.contributor.authorRocha-Jimenez, Teresita [Univ Mayor, Fac Humanidades, Soc & Hlth Res Ctr, Santiago, Chile]
dc.date.accessioned2023-11-29T19:50:56Z
dc.date.available2023-11-29T19:50:56Z
dc.date.issued2021-08-01
dc.identifier.citationBaker, P., Arredondo, J., Borquez, A., Clairgue, E., Mittal, M. L., Morales, M., ... & Cepeda, J. A. (2021). Municipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexico. Harm reduction journal, 18, 1-10.es
dc.identifier.issneISSN: 1477-7517
dc.identifier.otherWOS: 000677749500001
dc.identifier.otherPMID: 34311765
dc.identifier.urihttps://repositorio.umayor.cl/xmlui/handle/sibum/9070
dc.identifier.urihttps://doi.org/10.1186%2Fs12954-021-00513-4
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313001/pdf/12954_2021_Article_513.pdf
dc.identifier.urihttps://harmreductionjournal.biomedcentral.com/counter/pdf/10.1186/s12954-021-00513-4.pdf
dc.identifier.urihttps://escholarship.org/content/qt7cg2g6j0/qt7cg2g6j0.pdf?t=qxx5om
dc.description.abstractBackground Police constitute a structural determinant of health and HIV risk of people who inject drugs (PWID), and negative encounters with law enforcement present significant barriers to PWID access to harm reduction services. Conversely, police may facilitate access via officer-led referrals, potentiating prevention of HIV, overdose, and drug-related harms. We aimed to identify police characteristics associated with support for officer-led referrals to addiction treatment services and syringe service programs (SSP). We hypothesized that officers who believe harm reduction services are contradictory to policing priorities in terms of safety and crime reduction will be less likely to support police referrals. Methods Between January and June 2018, police officers (n = 305) in Tijuana, Mexico, completed self-administered surveys about referrals to harm reduction services during the 24-month follow-up visit as part of the SHIELD police training and longitudinal cohort study. Log-binomial regression was used to estimate adjusted prevalence ratios and model policing characteristics and attitudes related to officers' support for including addiction treatment and SSP in referrals. Results Respondents were primarily male (89%), patrol officers (86%) with a median age of 38 years (IQR 33-43). Overall, 89% endorsed referral to addiction services, whereas 53% endorsed SSP as acceptable targets of referrals. Officers endorsing addiction services were less likely to be assigned to high drug use districts (adjusted prevalence ratio [APR] = 0.50, 95% CI 0.24, 1.08) and more likely to agree that methadone programs reduce crime (APR = 4.66, 95% CI 2.05, 9.18) than officers who did not support addiction services. Officers endorsing SSPs were younger (adjusted prevalence ratio [APR] = 0.96 95% CI 0.93, 0.98), less likely to be assigned to high drug use districts (APR = 0.50, 95% CI 0.29, 0.87), more likely to believe that methadone programs reduce crime (APR = 2.43, 95% CI 1.30, 4.55), and less likely to believe that SSPs increase risk of needlestick injury for police (APR = 0.44, 0.27, 0.71). Conclusions Beliefs related to the occupational impact of harm reduction services in terms of officer safety and crime reduction are associated with support for referral to related harm reduction services. Efforts to deflect PWID from carceral systems toward harm reduction by frontline police should include measures to improve officer knowledge and attitudes about harm reduction services as they relate to occupational safety and law enforcement priorities. Trial Registration: NCT02444403.es
dc.description.sponsorshipR25 TW009343/TW/FIC NIH HHS/United States. R01 DA039073/DA/NIDA NIH HHS/United States. D43 TW009343/TW/FIC NIH HHS/United States. P30 AI036214/AI/NIAID NIH HHS/United States. T32 DA023356/DA/NIDA NIH HHS/United States.es
dc.format.extent10 p., PDFes
dc.language.isoen_USes
dc.publisherBMCes
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chilees
dc.titleMunicipal police support for harm reduction services in officer-led referrals of people who inject drugs in Tijuana, Mexicoes
dc.typeArtículo o Paperes
umayor.indizadorCOTes
umayor.politicas.sherpa/romeocopyrightes
umayor.indexadoWeb of Sciencees
umayor.indexadoPUBMEDes
dc.identifier.doi10.1186/s12954-021-00513-4
umayor.indicadores.wos-(cuartil)Q1
umayor.indicadores.scopus-(scimago-sjr)SCIMAGO/ INDICE H: 59
umayor.indicadores.scopus-(scimago-sjr)SJR 1,41


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