عنوان انگلیسی مقاله:
Police-related barriers to harm reduction linked to non-fatal overdose amongst sex workers who use drugs: Results of a community-based cohort in Metro Vancouver, Canada
ترجمه فارسی عنوان مقاله:
موانع مربوط به پلیس در کاهش آسیب مرتبط با مصرف بیش از حد غیر کشنده در میان کارگران جنسی که مواد مخدر استفاده می کنند: نتایج یک گروه مبتنی در جامعه در مترو ونکوور ، کانادا
Sciencedirect - Elsevier - International Journal of Drug Policy, 76 (2020) 102618. doi:10.1016/j.drugpo.2019.102618
Shira Goldenberga,b,⁎, Sarah Watta,b, Melissa Braschela, Kanna Hayashib,e, Sarah Morehearta, Kate Shannona,c,d
Background: High rates of overdose and overdose-related mortality in North America represent a pressing health
and social concern. Women sex workers face severe health and social inequities, which have been linked to
structural factors including negative police interactions; however, little is known regarding the burden of
overdose or how policing impacts overdose risk amongst sex workers who use drugs. Given this, we aimed to
explore the independent effects of experiencing police-related barriers to harm reduction on non-fatal overdose
amongst women sex workers who use drugs in Metro Vancouver, Canada over a 7.5-year period.
Methods: Data were drawn from An Evaluation of Sex Workers Health Access (AESHA), a community-based open
prospective cohort of women sex workers in Metro Vancouver, from 2010 to 2017. Using multivariate logistic
regression with generalized estimating equations (GEE), we used a confounder modeling approach to identify
the independent effect of experiencing police-related barriers to harm reduction strategies on non-fatal overdose
amongst sex workers using drugs within the last six months at each study visit.
Results: Amongst 624 participants, 7.7% overdosed within the last six months at baseline and 27.6% overdosed
during the study period, contributing 287 non-fatal overdose events over the 7.5-year period. 68.6% reported
police-related barriers to harm reduction strategies during the study. In a multivariate confounder model, exposure
to police-related barriers to harm reduction strategies [AOR: 2.15, CI: 1.60–2.90] was independently
associated with higher odds of non-fatal overdose after adjustment for key confounders.
Conclusions: Our findings suggest that in the context of the current overdose crisis, adversarial policing practices
may undermine access to lifesaving overdose prevention services and exacerbate overdose risks for marginalized
women. Findings underscore the urgent need to scale-up access and remove barriers to progressive harm reduction
strategies for women sex workers.
Keywords: Sex work | Drug overdose | Harm reduction | Women | Policing | Criminalization