Opportunities to learn and barriers to change crack cocaine use in the Downtown Eastside of Vancouver 英文参考文献.docVIP

Harm Reduction Journal BioMedCentral Research Open Access Opportunities to learn and barriers to change: crack cocaine use in the Downtown Eastside of Vancouver Susan Boyd*1, Joy L Johnson2 and Barbara Moffat3 Address: 1Studies in Policy Practice, University of Victoria, Canada, 2NEXUS, School of Nursing, University of British Colombia, Canada and 3Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Canada Email: Susan Boyd* - scboyd@uvic.ca; Joy L Johnson - joyjohnson@exchange.ubc.ca; Barbara Moffat - Barb.Moffat@nursing.ubc.ca * Corresponding author Published: 17 November 2008 Received: 24 June 2008 Accepted: 17 November 2008 Harm Reduction Journal 2008, 5:34 doi:10.1186/1477-7517-5-34 This article is available from: /content/5/1/34 ? 2008 Boyd et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract In 2004, a team comprised of researchers and service providers launched the Safer Crack Use, Outreach, Research and Education (SCORE) project in the Downtown Eastside of Vancouver, British Columbia, Canada. The project was aimed at developing a better understanding of the harms associated with crack cocaine smoking and determining the feasibility of introducing specific harm reduction strategies. Specifically, in partnership with the community, we constructed and distributed kits that contained harm reduction materials. We were particularly interested in understanding what people thought of these kits and how the kits contents were used. To obtain this information, we conducted 27 interviews with women and men who used crack cocaine and received safer crack kits. Four broad themes were generated from the data: 1) the context of