Safe using messages may not be enough to promote behaviour change amongst injecting drug users who are ambivalent or indifferent towards death 英文参考文献.docVIP

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Safe using messages may not be enough to promote behaviour change amongst injecting drug users who are ambivalent or indifferent towards death 英文参考文献.doc

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Safe using messages may not be enough to promote behaviour change amongst injecting drug users who are ambivalent or indifferent towards death 英文参考文献

Harm Reduction Journal BioMedCentral Research Open Access Safe using messages may not be enough to promote behaviour change amongst injecting drug users who are ambivalent or indifferent towards death Peter G Miller Address: School of Psychology, Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Waterfront campus, Level 3, 27 Brougham Street, Geelong, Victoria 3217, Australia Email: Peter G Miller - petermiller.mail@ Published: 25 July 2009 Received: 6 January 2009 Accepted: 25 July 2009 Harm Reduction Journal 2009, 6:18 doi:10.1186/1477-7517-6-18 This article is available from: /content/6/1/18 ? 2009 Miller; 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 Background: Health promotion strategies ultimately rely on people perceiving the consequences of their behaviour as negative. If someone is indifferent towards death, it would logically follow that health promotion messages such as safe using messages would have little resonance. This study aimed to investigate attitudes towards death in a group of injecting drug users (IDUs) and how such attitudes may impact upon the efficacy/relevance of safe using (health promotion) messages. Methods: Qualitative, semi-structured interviews in Geelong, Australia with 60 regular heroin users recruited primarily from needle and syringe programs. Results: Over half of the interviewees reported having previously overdosed and 35% reported not engaging in any overdose prevention practices. 13% had never been tested for either HIV or hepatitis C. Just under half reported needle sharing of some description and almost all (97%) reported previously sharing other injecting equipment. Many interviewees reported