A link between binge drinking, negative sexual health outcomes, and sexual victimization among university populations is well established in the research literature (Messman-Moore et al., 2013; PHAC, 2016; Smith et al., 2009). Despite these known risks, young people often hold beliefs that alcohol consumption can enhance or facilitate their sexual experiences, however, less is known about the role of alcohol in young women’s consensual sexual experiences. In this qualitative study, I used a feminist perspective to explore young women’s perceptions and experiences of the role of alcohol in their sexual agency – the ability to communicate and fulfill their sexual desires and boundaries – and the social norms that influence this relationship. I collected data through interviews with 14 young university women between the ages of 19 and 25 who identified as heterosexual, lesbian, bisexual, or queer. Participants identified heteronormative sexuality norms that influence the role of alcohol in their sexual agency, namely the prioritization of women’s sexual inexperience, female sexual fidelity, and women’s attractiveness. Participants perceived that alcohol influenced their sexual agency at an individual and social level. In their individual experiences, participants discussed the dis-inhibitory effects of alcohol as a “tool” to alleviate feelings of shame associated with sexual expression and negative body image. At a social level, participants used alcohol as a means to deflect social stigma associated sexual expression as they could “blame the alcohol” as their motivation for engaging in sexual activity. These findings suggest that young women’s motivations for drinking may be linked to sexuality norms that discourage young women’s sexual agency, which could be relevant to consider in health promotion and harm reduction efforts. / Graduate / 0573 / 0453 / 0733 / 0758 / eecusack@gmail.com

Abroad is the method of peer work dealing with the involvement of drug users (active and retired) extended far more than in the Czech Republic. Information and data are available mainly from foreign sources, where peer work has been continuing a tradition. In the Czech Republic, this method is still not so much used, as well as is the lack of Czech professional literature on the subject. Method of peer work in the Czech Republic has not been comprehensively mapped, described and evaluated. They are organizations dealing with the involvement and employment of drug users, which usually draw infromation from foreign sources and work with their data. There is no comprehensive overview, providing information and data in this area in the Czech Republic. The target of this work is to map the use of peer work in the Czech Republic in the area of drug services. Within the sub-targets are the structure and functioning of each peer programs studying. The practical part is realized by an empirical research (research orientation) in order to get a general overview of the analysis of the problem in the form of quantitative research. For the data collection was used a questionnaire distributed in the online version. The basic set was consisted of low-threshold programs in harm reduction, contact centers and...

O Bairro da Luz surge como uma região nobre no centro da cidade de São Paulo no final do século XIX. Com a queda da economia do café e a expansão da cidade para outras regiões mais valorizadas, o bairro passou a viver mudanças significativas em suas dinâmicas econômicas e sociais. Após a desativação do Terminal Rodoviário em 1982, intensificou-se o processo de degradação urbana e social que já acompanhava a história do bairro. A chegada do crack - mistura de pasta base de cocaína, água e bicarbonato de sódio (e outras substâncias desconhecidas) - no início dos anos 1990, configurou nova dinâmica local e contribuiu para diversas ações do poder público, que trouxeram mudanças ambientais significativas para moradores e frequentadores. Neste contexto, o crack é uma substância que passou a ter um uso social e cotidiano para a população da região. A relação de consumo e comércio desta substância se territorializou e agravou uma considerada desqualificação social e urbana no bairro, que associada à política proibicionista em relação às drogas, teve efeitos perversos. Tal condição potencializa o forte estigma da sociedade associado a este espaço, o que leva a uma consequente exclusão dos que lá estão. Para a Saúde Ambiental, a deterioração física e social deste ambiente pode propiciar condições de baixa qualidade de vida e facilitar a ocorrências de agravos à saúde para além da condição de uso de uma determinada substância. Nesse sentido, este projeto se propõe a investigar a relação entre saúde e ambiente (contexto) no cotidiano das pessoas que fazem uso do crack na cracolândia, região central da cidade de São Paulo. A partir desta aproximação este estudo tem o objetivo de trazer informações capazes de subsidiar políticas públicas mais eficientes. / R. Luso-Brasileira, 4 - Jardim Estoril IV, Bauru - SP, 17016-230 The Luz district emerges as a prime area in the center of São Paulo in the late nineteenth century. With the fall of the coffee economy and the city\'s expansion to more valued regions, the neighborhood lived significant changes in its economic and social dynamics. The deactivation of the Bus Terminal in 1982 intensified the process of urban and social degradation that has accompanied the history of the neighborhood. The \'arrival of crack\' - mixture of cocaine base paste, water and baking soda (and other unknown substances) - in the early 1990s, set up new local dynamics and contributed to several government actions that brought significant environmental changes for locals and other people that regularly attend the place. In this context, the crack is a substance which has a social use in a daily life for the population of the region. The relationship of consumption and trade of this substance have aggravated a territorialized considered social and urban disqualification in the neighborhood, which associated with the prohibitionist policy on drugs, had perverse effects. This condition enhances the strong stigma in society associated with this space, which leads to a consequent exclusion of those who are there. For Environmental Health, physical and social deterioration of this environment can provide conditions of low quality of life and facilitate the health problems of occurrence beyond a condition of use of a substance. In this sense, this project aims to investigate the relationship between health and environment (context) in the daily life of people who use crack in cracolândia, central region of São Paulo. From this approach, this study aims to bring information that can support more efficient public policies.

Made available in DSpace on 2016-04-25T20:20:49Z (GMT). No. of bitstreams: 1 Pablo Ornelas Rosa.pdf: 1849337 bytes, checksum: 7a8de89b2a8876a93d1d5e80d154359b (MD5) Previous issue date: 2012-09-28 / In the end of the decade of 1980 appear, in Brazil, the politics of Harm Reduction that consider a new to look at on the individuals that make psychoactive substance use, allowed how much in such a way illicit. Those, that before were stigmas as criminal and/or sick, had started to be recognized as citizens of right through the access to the programs of health to show by the State. So, at that moment certain technologies of being able had also emerged initiated centuries behind by means of the medical truths, that had started to capture the individuals through security and normalization devices that, situated for the governmental reason and the reason of State, governamentalized to the population in everything what it is mentioned to psychoactive substances. This work looks for to analyze the forms with that the politics of reduction of damages in such a way capture the practical individuals by means of and speeches used for the health when for the public security, resulting in a biopolitic located in the transformations of neoliberal racionality / No final da década de 1980 surgem, no Brasil, as políticas de Redução de Danos que propõem um novo olhar sobre os indivíduos que fazem uso de substâncias psicoativas, tanto lícitas quanto ilícitas. Aqueles, que antes eram estigmatizados como criminosos e/ou doentes, passaram a ser reconhecidos como sujeitos de direito através do acesso aos programas de saúde disponibilizados pelo Estado. Não obstante, naquele momento também emergiram certas tecnologias de poder iniciadas séculos atrás por meio das verdades médicas, que passaram a capturar os indivíduos através de dispositivos de normalização e de segurança que governamentalizaram a população em tudo aquilo que se refere às substâncias psicoativas. Este trabalho procura analisar as formas com que as políticas de redução de danos capturam os indivíduos pelos discursos da saúde e da segurança pública, resultando em uma biopolítica situada em transformações decorrentes da racionalidade neoliberal

Made available in DSpace on 2016-04-26T14:53:46Z (GMT). No. of bitstreams: 1 Pablo Ornelas Rosa.pdf: 1849337 bytes, checksum: 7a8de89b2a8876a93d1d5e80d154359b (MD5) Previous issue date: 2012-09-28 / In the end of the decade of 1980 appear, in Brazil, the politics of Harm Reduction that consider a new to look at on the individuals that make psychoactive substance use, allowed how much in such a way illicit. Those, that before were stigmas as criminal and/or sick, had started to be recognized as citizens of right through the access to the programs of health to show by the State. So, at that moment certain technologies of being able had also emerged initiated centuries behind by means of the medical truths, that had started to capture the individuals through security and normalization devices that, situated for the governmental reason and the reason of State, governamentalized to the population in everything what it is mentioned to psychoactive substances. This work looks for to analyze the forms with that the politics of reduction of damages in such a way capture the practical individuals by means of and speeches used for the health when for the public security, resulting in a biopolitic located in the transformations of neoliberal racionality / No final da década de 1980 surgem, no Brasil, as políticas de Redução de Danos que propõem um novo olhar sobre os indivíduos que fazem uso de substâncias psicoativas, tanto lícitas quanto ilícitas. Aqueles, que antes eram estigmatizados como criminosos e/ou doentes, passaram a ser reconhecidos como sujeitos de direito através do acesso aos programas de saúde disponibilizados pelo Estado. Não obstante, naquele momento também emergiram certas tecnologias de poder iniciadas séculos atrás por meio das verdades médicas, que passaram a capturar os indivíduos através de dispositivos de normalização e de segurança que governamentalizaram a população em tudo aquilo que se refere às substâncias psicoativas. Este trabalho procura analisar as formas com que as políticas de redução de danos capturam os indivíduos pelos discursos da saúde e da segurança pública, resultando em uma biopolítica situada em transformações decorrentes da racionalidade neoliberal

Esta dissertação inscreve-se nos campos dos Estudos de Gênero e Culturais, em uma aproximação com a perspectiva pós-estruturalista de análise; investiga as posições de sujeito usuário/a de substâncias psicoativas e os atravessamentos de gênero (re)produzidos no âmbito da Política de Redução de Danos. A Política de RD está preocupada em reconhecer as escolhas dos/as usuários/as de substâncias psicoativas (SPA) que demandam algum tipo de cuidado e, desse modo, alcançar a esfera do direito à saúde, à cidadania e aos direitos humanos. O material empírico é composto pelos documentos normativos da política e seus desdobramentos. Para o exame do corpus de investigação, foi utilizada a análise cultural, em combinação com a pesquisa documental, operando com os conceitos de posição de sujeito, norma, poder e gênero. Os documentos da política e seus desdobramentos foram tomados como artefatos culturais e pedagógicos que (re)produzem e veiculam discursos biomédicos, psicológicos, morais e jurídicos implicados com a produção de sujeitos e de práticas de cuidado no campo da saúde mental voltada para o uso de SPA. A análise permitiu descrever, discutir e problematizar os sentidos de termos como usuário, dependente, droga, substância, autonomia, dentre outros utilizados de forma naturalizada na política; com esse movimento analítico, foi possível explorar sua multiplicidade, conflitualidade e historicidade. As análises empreendidas contribuem para que sejam desnaturalizadas determinadas noções tão presentes nas formulações de propostas para o cuidado desses usuários/as. A (in)definição de termos discutidos permitiu visualizar a aparente sobreposição de sentidos de alguns termos como usuário/dependente para explorar distinções entre eles; também algumas relações lineares, como uso/consumo = dependência, que podem levar o indivíduo a evitar a aproximação com serviços de saúde como o CAPS mesmo quando deles precisa, com receio de ser nomeado como um/uma dependente, uma vez que essa nomeação produz diferentes efeitos em sua vida. Do ponto de vista do gênero, parece haver algumas pistas na (in)definição desses termos, mostrando que, em alguma medida, não se contemplam distinções produzidas pelo gênero, talvez porque haja ainda uma dificuldade em associar a mulher ao uso/abuso de SPA, embora os estudos mostrem o uso crescente destas entre as mulheres. Assim, um olhar sensível às abordagens de gênero na política permitiu ir "encontrando" pistas em relação à naturalização da relação entre uso de SPA e masculinidade e de uma feminilidade que não se droga. Nesse sentido, a pesquisa intentou desnaturalizar e mostrar alguns silenciamentos nas representações de feminino/masculino ainda ativas na cultura que contribuem para dificultar o dimensionamento de uma demanda de cuidado. / This dissertation is inserted in the field of Gender and Cultural Studies, approaching the poststructuralist perspective of analysis. It investigates the places of the subject/user of psychoactive substances and gender crossings (re)produced under the National Policy of Harm Reduction, a public policy concerned in recognizing the choices of the users of psychoactive substances (PAS) who require some sort of care, so reaching the boundaries of health protection and social citizenship and social rights. The empirical material consists of normative documents of the policy and its consequences. Cultural analysis, in combination with documentary research, was used for data analysis, considering the concepts of subject position, rule, power and gender. The policy documents and its consequences were taken as cultural and educational artifacts that (re)produce and convey biomedical, psychological, moral and juridical discourses involved in the production of subjects and care practices in the field of mental health addressed to the use of PAS. The analysis allowed to describe, debate and discuss the meanings of terms such as user, addicted, drug, substance, autonomy, among others used in a naturalized way in the policy, whose multiplicity, conflictuality and historicity was explored from this analytical movement. The undertaken analyses contribute to denaturalize certain notions usually used in the texts of the care proposals for those users. The (in)definition of discussed terms allowed to perceive the apparent meaning overlaps of some terms such as user/addicted to explore distinctions between them; it was also possible observe some linear relations, such as use/consumption = addiction, which can lead the individual to avoid looking for healthcare services, such as the Centers of Psychosocial Care (CAPS), even when he/she needs those services, fearing being named as addicted, since this nomination causes different effects in his/her life. From the gender point of view, there seem to be some clues in the (in)definition of these terms, showing that, to some extent, distinctions produced by the genre are not considered, perhaps because there are still some difficulties in associating the woman to the use/abuse of PAS, although some studies show increasing use among women. Thus, a sensitive reading to gender approaches in the policy allowed to go "finding" clues regarding the naturalization of the relationship between the use of PAS and masculinity, and regarding a femininity that is not addicted. In this sense, this research intended denaturalize this relationship and show some silences regarding the female/male representations still active in the culture that contribute to hinder the design of a care demand.

Harm reduction is a concept that has gained momentum as it relates to prevention of negative consequences of drug use. Some harm reduction approaches, such as naloxone provision, have garnered significant support, whereas others, such as providing access to clean syringes, are the exception as opposed the rule. Evidence suggests there is significant variation in harm reduction behaviors among providers, including community pharmacists. Community pharmacies are one of the most accessible points for healthcare; approximately 90% of U.S. residents live within five miles of a pharmacy. Therefore, pharmacies have a great opportunity to promote and engage their communities in harm reduction approaches. This session will examine evidence-based harm reduction approaches that can be employed in community pharmacies. The presenters will use their syringe dispensing research conducted across three states to describe the current harm reduction climate in community pharmacies. During this interactive session, participants will discuss scenarios in which they are encouraged to evaluate their own attitudes and beliefs toward non-Rx syringe sales, naloxone dispensing and other harm reduction strategies while taking a look at the impact of state level policies on these approaches. The session will be targeted to practicing pharmacists, coalition leaders and harm reduction stakeholders.

<p>Harm reduction som insats, har för avsikt att minska de negativa konsekvenserna som tenderar att följa missbruket. Konceptet härstammar från 1920-talets England där grunderna för behandlingsformen utvecklades efter att läkarkåren ansåg att underhåll av missbruk i flera fall kan vara nödvändigt. Metadonbehandling och sprututbytesprojekt är två exempel på Harm reduction relaterade insatser. Grunderna för metadonbehandlingen utvecklades i USA av Marie Nyswander och Vincent Dole och lanserades 1966 i Sverige av professor Lars Gunne, aktiv vid Ulleråkers sjukhus i Uppsala. Läkemedelsassisterad behandling är dokumenterat effektiv och visar goda resultat som t.ex. en ökad livskvalitet. Den svenska narkotikapolitiken har genom historiens gång haft inslag av både repressiv, liberal, och restriktiv karaktär, och även kombinationer av dessa. Idag bedriver Sverige en restriktiv narkotikapolitik där inslag av Harm reduciton relaterade insatser accepteras allt mer genom den nya lagstiftningen angående läkemedelsassisterad behandling(2005) och sprututbytesverksamhet(2006). Genom en kvalitativ enkätstudie baserad på sju enkätintervjuer via e-post och en personlig halvstrukturerad intervju är syftet i denna studie att undersöka om ny lagstiftning av Harm reduction karaktär kan ses som ett tecken på förändring inom den svenska narkotikapolitiken. Genom en teoretisk överblick innehållande relevanta teorier önskar studien även att öka förståelsen för missbrukssituationen hos läsaren. Resultatet har inte varit helt entydigt och generalisering av materialet är svårt eftersom studien varit av kvalitativ art. Dock kan en förändring i synen på och inställningen till exempelvis underhållsbehandlingar urskiljas. Det finns även en frustration bland respondenterna över att verksamheter ute i landet inte lever upp till sina åtaganden och att individer med beroende- och missbruksproblematik prioriteras bort. Trots att direktiven är tydliga kan i dagsläget ca hälften av alla landsting inte hålla vårdgarantin för den berörda patientgruppen, detta visar en granskning Socialstyrelsen genomfört. Behandlingen skall vara lättillgänglig, något som uppenbarligen inte efterlevs.</p>

Harm reduction som insats, har för avsikt att minska de negativa konsekvenserna som tenderar att följa missbruket. Konceptet härstammar från 1920-talets England där grunderna för behandlingsformen utvecklades efter att läkarkåren ansåg att underhåll av missbruk i flera fall kan vara nödvändigt. Metadonbehandling och sprututbytesprojekt är två exempel på Harm reduction relaterade insatser. Grunderna för metadonbehandlingen utvecklades i USA av Marie Nyswander och Vincent Dole och lanserades 1966 i Sverige av professor Lars Gunne, aktiv vid Ulleråkers sjukhus i Uppsala. Läkemedelsassisterad behandling är dokumenterat effektiv och visar goda resultat som t.ex. en ökad livskvalitet. Den svenska narkotikapolitiken har genom historiens gång haft inslag av både repressiv, liberal, och restriktiv karaktär, och även kombinationer av dessa. Idag bedriver Sverige en restriktiv narkotikapolitik där inslag av Harm reduciton relaterade insatser accepteras allt mer genom den nya lagstiftningen angående läkemedelsassisterad behandling(2005) och sprututbytesverksamhet(2006). Genom en kvalitativ enkätstudie baserad på sju enkätintervjuer via e-post och en personlig halvstrukturerad intervju är syftet i denna studie att undersöka om ny lagstiftning av Harm reduction karaktär kan ses som ett tecken på förändring inom den svenska narkotikapolitiken. Genom en teoretisk överblick innehållande relevanta teorier önskar studien även att öka förståelsen för missbrukssituationen hos läsaren. Resultatet har inte varit helt entydigt och generalisering av materialet är svårt eftersom studien varit av kvalitativ art. Dock kan en förändring i synen på och inställningen till exempelvis underhållsbehandlingar urskiljas. Det finns även en frustration bland respondenterna över att verksamheter ute i landet inte lever upp till sina åtaganden och att individer med beroende- och missbruksproblematik prioriteras bort. Trots att direktiven är tydliga kan i dagsläget ca hälften av alla landsting inte hålla vårdgarantin för den berörda patientgruppen, detta visar en granskning Socialstyrelsen genomfört. Behandlingen skall vara lättillgänglig, något som uppenbarligen inte efterlevs.

Drug abusers in Taiwan are infected with HIV(Human Immunodeficiency Virus) seriously day by day in recent years. In view of this, since Aug.1,2005, C.D.C.(Center for Disease Control, R.O.C.(Taiwan)) has promoted Harm Reduction Program for drug abuse patients in control of spurting question of drug abuse/AIDS overflowing. We adopt the analysis frame of social marketing in this research to inspect the promotion of Harm Reduction Program at present government. Through questionnaire survey, we in death understand their contact situation and views of Harm Reduction Program from the mass population and the stakeholders(drug abusers). We visit 311 effective samples of opium-smoking prisoners(as drug group) to find out 84.9%(258) respondents has participated the declaration of health education of Harm Reduction Program during serving a sentence, 91.6%(282) has received information through newspaper, TV, broadcast, and brochure during serving a sentence, 89%(277) has got impression on C.D.C. slogans of ¡§Injecting drug, infecting AIDS¡¨, and the measure of offering needle and syringes exchange, methadone maintenance treatment, health education, and transferring/consulting service has accorded with the demand of drug abusers. In addition, we visit 289 effective samples of the public (as general group) to find out only 12.5% (36 ) respondents has participated the declaration of health education of Harm Reduction Program during in the past year, 53.5%(153) has received information through newspaper, TV, broadcast, and brochure during in the past year, and 55%(159) has got impression on C.D.C. slogans of ¡§Injecting drug, infecting AIDS¡¨. Both the public and opium-smoking prisoners have affirmed the promotion of Harm Reduction Program, and most has identified with the importance of the execution of Harm Reduction Program. We also find out 34%(99) respondents of the public has regarded famous actor as anti-drug spokesman can bring his attention and identification mostly, and moreover, 41%(128) respondents of opium-smoking prisoners has believed the declaration of acting as an example to others by the drug abstinence successfully is convincing most.