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Addressing the 'Risk Environment' for Injection Drug Users: The Mysterious Case of the Missing Cop
Scott Burris Temple University - James E. Beasley School of Law Martin Donoghoe World Health Organization Kim Blankenship Yale University - School of Medicine Susan Sherman U.S. Department of Labor Jon S. Vernick Johns Hopkins University - Bloomberg School of Public Health Patricia Case Harvard University - Harvard Medical School Zita Lazzarini University of Connecticut Health Center Steve Koester University of Colorado at Denver - Health Sciences Center Milbank Quarterly, Vol. 82, pp. 125-156 Abstract: Ecological models of the determinants of health and the consequent importance of structural interventions have been widely accepted. Operationalizing these models in research and practice has been challenging. Examining the role of criminal law enforcement in the "risk environment" of injection drug users (IDUs) provides an opportunity to apply structural thinking to the health problems associated with drug use. This paper reviews international evidence that laws and law enforcement practices influence IDU risk. It argues that more research is needed at four levels - laws; management of law enforcement agencies; knowledge, attitudes, beliefs and practices of front-line officers; and attitudes and experiences of IDUs - and that such research can be the basis of interventions within law enforcement to enhance IDU health.
Keywords: Injection Drug Use, Structural Interventions, Social Determinants of Health, Law Enforcement, Criminal Law Accepted Paper SeriesDate posted: October 20, 2006 ; Last revised: April 16, 2007Suggested CitationContact Information
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