Law enforcement influences on HIV prevention for injection drug users: Observations from a cross-border project in China and Vietnam

Theodore M. Hammett, Nicholas A. Bartlett, Yi Chen, Doan Ngu, Dao Dinh Cuong, Nguyen Minh Phuong, Nguyen Huu Tho, Ly Kieu Van, Wei Liu, Meng Donghua, Xiang Shaomi, Huabin Chen, Hoang Ngoc Quyen, Robert S. Broadhead, Don Des Jarlais

Research output: Contribution to journalArticle

Abstract

Law enforcement activity has had multiple influences on injection drug users' (IDUs') participation in a cross-border HIV prevention project in southern China and northern Vietnam. The project has successfully achieved and maintained the official support of police and other government agencies and effectively implemented its interventions. However, analysis of process data, site visit observations, and interviews with project staff, peer educators, IDUs, and police officers reveal the ongoing effects of actual and perceived threats from law enforcement, as well as community stigmatisation, on IDUs' project participation. These effects are discernible in variations in the monthly numbers of needles/syringes provided, cross-border differences in IDUs' preferred ways to receive new needles/syringes and retain used needles/syringes for exchange, and geographic patterns of IDUs' receiving and redeeming pharmacy vouchers. HIV prevention programmes must not only maintain the support of police and other officials but also convince IDUs that it is both beneficial and safe for them to participate in the interventions. Programmes must also be implemented with flexibility, adapting to the potentially changeable preferences, perceptions, and needs of IDUs.

Original languageEnglish (US)
Pages (from-to)235-245
Number of pages11
JournalInternational Journal of Drug Policy
Volume16
Issue number4
DOIs
StatePublished - Jan 1 2005

Fingerprint

Law Enforcement
Vietnam
Drug Users
China
Syringes
Police
HIV
Needles
Injections
Government Agencies
Stereotyping
Interviews

Keywords

  • Harm reduction
  • HIV prevention
  • IDUs
  • Police

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy

Cite this

Law enforcement influences on HIV prevention for injection drug users : Observations from a cross-border project in China and Vietnam. / Hammett, Theodore M.; Bartlett, Nicholas A.; Chen, Yi; Ngu, Doan; Cuong, Dao Dinh; Phuong, Nguyen Minh; Tho, Nguyen Huu; Van, Ly Kieu; Liu, Wei; Donghua, Meng; Shaomi, Xiang; Chen, Huabin; Quyen, Hoang Ngoc; Broadhead, Robert S.; Des Jarlais, Don.

In: International Journal of Drug Policy, Vol. 16, No. 4, 01.01.2005, p. 235-245.

Research output: Contribution to journalArticle

Hammett, TM, Bartlett, NA, Chen, Y, Ngu, D, Cuong, DD, Phuong, NM, Tho, NH, Van, LK, Liu, W, Donghua, M, Shaomi, X, Chen, H, Quyen, HN, Broadhead, RS & Des Jarlais, D 2005, 'Law enforcement influences on HIV prevention for injection drug users: Observations from a cross-border project in China and Vietnam', International Journal of Drug Policy, vol. 16, no. 4, pp. 235-245. https://doi.org/10.1016/j.drugpo.2005.05.009
Hammett, Theodore M. ; Bartlett, Nicholas A. ; Chen, Yi ; Ngu, Doan ; Cuong, Dao Dinh ; Phuong, Nguyen Minh ; Tho, Nguyen Huu ; Van, Ly Kieu ; Liu, Wei ; Donghua, Meng ; Shaomi, Xiang ; Chen, Huabin ; Quyen, Hoang Ngoc ; Broadhead, Robert S. ; Des Jarlais, Don. / Law enforcement influences on HIV prevention for injection drug users : Observations from a cross-border project in China and Vietnam. In: International Journal of Drug Policy. 2005 ; Vol. 16, No. 4. pp. 235-245.
@article{d1e4a924569049ca9dc7bb2413bca85a,
title = "Law enforcement influences on HIV prevention for injection drug users: Observations from a cross-border project in China and Vietnam",
abstract = "Law enforcement activity has had multiple influences on injection drug users' (IDUs') participation in a cross-border HIV prevention project in southern China and northern Vietnam. The project has successfully achieved and maintained the official support of police and other government agencies and effectively implemented its interventions. However, analysis of process data, site visit observations, and interviews with project staff, peer educators, IDUs, and police officers reveal the ongoing effects of actual and perceived threats from law enforcement, as well as community stigmatisation, on IDUs' project participation. These effects are discernible in variations in the monthly numbers of needles/syringes provided, cross-border differences in IDUs' preferred ways to receive new needles/syringes and retain used needles/syringes for exchange, and geographic patterns of IDUs' receiving and redeeming pharmacy vouchers. HIV prevention programmes must not only maintain the support of police and other officials but also convince IDUs that it is both beneficial and safe for them to participate in the interventions. Programmes must also be implemented with flexibility, adapting to the potentially changeable preferences, perceptions, and needs of IDUs.",
keywords = "Harm reduction, HIV prevention, IDUs, Police",
author = "Hammett, {Theodore M.} and Bartlett, {Nicholas A.} and Yi Chen and Doan Ngu and Cuong, {Dao Dinh} and Phuong, {Nguyen Minh} and Tho, {Nguyen Huu} and Van, {Ly Kieu} and Wei Liu and Meng Donghua and Xiang Shaomi and Huabin Chen and Quyen, {Hoang Ngoc} and Broadhead, {Robert S.} and {Des Jarlais}, Don",
year = "2005",
month = "1",
day = "1",
doi = "10.1016/j.drugpo.2005.05.009",
language = "English (US)",
volume = "16",
pages = "235--245",
journal = "International Journal of Drug Policy",
issn = "0955-3959",
publisher = "Elsevier",
number = "4",

}

TY - JOUR

T1 - Law enforcement influences on HIV prevention for injection drug users

T2 - Observations from a cross-border project in China and Vietnam

AU - Hammett, Theodore M.

AU - Bartlett, Nicholas A.

AU - Chen, Yi

AU - Ngu, Doan

AU - Cuong, Dao Dinh

AU - Phuong, Nguyen Minh

AU - Tho, Nguyen Huu

AU - Van, Ly Kieu

AU - Liu, Wei

AU - Donghua, Meng

AU - Shaomi, Xiang

AU - Chen, Huabin

AU - Quyen, Hoang Ngoc

AU - Broadhead, Robert S.

AU - Des Jarlais, Don

PY - 2005/1/1

Y1 - 2005/1/1

N2 - Law enforcement activity has had multiple influences on injection drug users' (IDUs') participation in a cross-border HIV prevention project in southern China and northern Vietnam. The project has successfully achieved and maintained the official support of police and other government agencies and effectively implemented its interventions. However, analysis of process data, site visit observations, and interviews with project staff, peer educators, IDUs, and police officers reveal the ongoing effects of actual and perceived threats from law enforcement, as well as community stigmatisation, on IDUs' project participation. These effects are discernible in variations in the monthly numbers of needles/syringes provided, cross-border differences in IDUs' preferred ways to receive new needles/syringes and retain used needles/syringes for exchange, and geographic patterns of IDUs' receiving and redeeming pharmacy vouchers. HIV prevention programmes must not only maintain the support of police and other officials but also convince IDUs that it is both beneficial and safe for them to participate in the interventions. Programmes must also be implemented with flexibility, adapting to the potentially changeable preferences, perceptions, and needs of IDUs.

AB - Law enforcement activity has had multiple influences on injection drug users' (IDUs') participation in a cross-border HIV prevention project in southern China and northern Vietnam. The project has successfully achieved and maintained the official support of police and other government agencies and effectively implemented its interventions. However, analysis of process data, site visit observations, and interviews with project staff, peer educators, IDUs, and police officers reveal the ongoing effects of actual and perceived threats from law enforcement, as well as community stigmatisation, on IDUs' project participation. These effects are discernible in variations in the monthly numbers of needles/syringes provided, cross-border differences in IDUs' preferred ways to receive new needles/syringes and retain used needles/syringes for exchange, and geographic patterns of IDUs' receiving and redeeming pharmacy vouchers. HIV prevention programmes must not only maintain the support of police and other officials but also convince IDUs that it is both beneficial and safe for them to participate in the interventions. Programmes must also be implemented with flexibility, adapting to the potentially changeable preferences, perceptions, and needs of IDUs.

KW - Harm reduction

KW - HIV prevention

KW - IDUs

KW - Police

UR - http://www.scopus.com/inward/record.url?scp=27644469432&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=27644469432&partnerID=8YFLogxK

U2 - 10.1016/j.drugpo.2005.05.009

DO - 10.1016/j.drugpo.2005.05.009

M3 - Article

AN - SCOPUS:27644469432

VL - 16

SP - 235

EP - 245

JO - International Journal of Drug Policy

JF - International Journal of Drug Policy

SN - 0955-3959

IS - 4

ER -