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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 丁志音(Chih-Yin Lew-Ting) | |
dc.contributor.author | Chia-Chen Chao | en |
dc.contributor.author | 趙家珍 | zh_TW |
dc.date.accessioned | 2021-06-15T04:02:16Z | - |
dc.date.available | 2011-03-12 | |
dc.date.copyright | 2010-03-12 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-02-21 | |
dc.identifier.citation | 1. 英文文獻
Agnew JA. Place and Politics: The Geographical Mediation of State and Society. Allen and Unwin, Boston, MA 1987. Brands J, Brands B, Marsh D. The expansion of methadone prescribing in Ontario, 1996-1998. ADDICT RES 2000;8:485-69. Dear M, Taylor SM. Not on Our Street: Community Attitudes Toward the Mentally Ill. Pion, London 1982. Dear M, Wilton R, Gaber AL, Takahashi L. Seeing people differently: the sociospatial construction of disability. Environ plann D 1997;15:455-80. Dear MJ, Wolch JR. Landscapes of Despair: From Deinstitutionalization to Homelessness. Princeton University Press, Princeton, NJ, 1987. Emmanuelli J, Desenclos JC. Harm reduction interventions, behaviours and associated health outcome in France, 1996-2003. Addiction 2005;11:1690-700. Gerry VS. AIDS and injecting drug use in the United Kingdom, 1987-1993: the policy response and the prevention of the epidemic. Soc Sci Med 1995;41:699-716. Gillman SL. Disease and Representation: Images of Illness from Madness to AIDS. Cornell University Press, Ithaca, NY 1988. Goffman E. Stigma: Notes on the Management of Spoiled Identy. Prentice-Hall, Englewood Cliffs 1963. Jones EE, Farina A, Hastorf AH, Markus H, Moller DT, Scott RA. Social Stigma: The Psychology of Marked Relationships. Freeman, New York 1984. Katz I. Stigma: A Social Psychological Analysis. Erlbaum, Hillsdale, NJ 1981. Sibley D. Geographies of Exclusion: Sociaty and Difference in the West. Routledge, London 1995. Lake RW. Rethinking NIMBY. J AM PLANN ASSOC 1993;59:87-93. Law RM, Takahashi LM. HIV, AIDS and human services: exploring public attitude in West Hollywood, California. HEALTH SOC CARE COMM 2008;8:90-108. Parsons J, Hickman M, Turnbull PJ, McSweeney T, Stimson GV, Judd A, Roberts K. Over a decade of syringe exchange: results from 1997 UK survey. Addiction 2002;97:845-50. Reid G, Kamarulzaman A, Sran SK. Malaysia and harm reduction: The challenges and responses. INT J DRUG POLICY 2007;18:136-40. Rhodes T, Platt L, Sarang A, Vlasov A, Mikhailova J, Monaghan G. Street policing, infection drug use and harm reduction in a Russian city: A qualitative study of police perspectives. J Urban Health 2006;83:911-25. Rosenbaum M. The demedicalization of methadone-maintenance. J PSYCHOACTIVE DRUGS 1995;27:145-9. Saimon AM, Thien HH, Kimber J, Kaldor JM, Macher L. Five years on: What are the community perceptions of drug-related public amenity following the establishment of the Sydney Medically Supervised Injecting Centre? INT J DRUG POLICY 2007;18:46-53. Sarang A, Stuikyte R, Bycov R. Implementation of harm reduction in Central and Eastern Europe and Central Asia. INT J DRUG POLICY 2007;18:129-35. Takahashi LM. The socio-spatial stigmatization of homelessness and HIV/AIDS: Toward an explanation of the NIMBY syndrome. Soc Sci Med 1997;45:903-14. Takahashi LM. Homlessness, AIDS, and Stigmatization. Clarendon Press Oxford, 1998. Tempalski B, Friedman R, Keem M, Cooper H, Friedman SR. NIMBY localism and national inequitable exclusion alliances: The case of syringe exchange programs in the United States. Geoforum 2007;38:1250-63. WHO. Evidence for action technical papers: Effectiveness of sterile needle and syringe programming in reducing HIV/AIDS among IDUs. 2004. WHO. Evidence for action technical papers: Effectiveness of drug dependence treatment in prevention of HIV among IDUs. 2006 Wodak A. Preventing the spread of HIV among Australian injecting drug-users. FORENSIC SCI INT 1993;62:83-7. Wodak A. Harm reduction: Australia as a case study. Bull N Y Acad Med 1995;72:339-47. Wolch J, Dear M. Malign Neglect: Homelessness in an American City. Jossy ass, San Francisco, CA 1993. 2. 中文文獻 中時電子報。減害計畫防治愛滋有成效 清潔針具、美沙冬降感染率。民96。http://fate.nownews.com/2007/04/07/327-2078350.htm 中央社。毒癮愛滋傳染風險減半 減害計畫成效顯著。民97。 http://www.wretch.cc/blog/harmreduce/9612192 自由電子報。台中公園設針具回收筒 民眾反彈。民96•http://www.libertytimes.com.tw/2007/new/jun/3/today-center5.htm 今日報。中和-戒毒門診不搬遷 擬動員抗議。民97•http://59.120.166.110/cgi-bin/big5/adullam/po00?q1=picdata&q22=471&q3=eb083 衛生署疾病管制局全球資訊網http://www.cdc.gov.tw/mp.asp?mp=1 愛滋虛擬博物館http://www.cdc.gov.tw/mp.asp?mp=220 衛生署疾病管制局「97年度愛滋防治替代療法補助計畫」。民97。 政院衛生署疾病管制局九十五年度科技研究發展計畫:台灣地區減害試辦計畫實施成效評估。蔡慈儀、鐘宛諭。 行政院衛生署疾病管制局九十五年度科技研究發展計畫:毒癮愛滋減害計畫整合型研究。陳宜民等人。 臺北縣政府城鄉發展局網站http://www.planning.tpc.gov.tw/ 鄭繼旺、徐國柱、劉志民、蔡志基:'三減'政策並行:香港地區戒毒富有成效。中國藥物依賴性雜誌 1996;5:54-8. 陳佳鼐:以美沙酮治療門診預防藥物成癮者之愛滋病病毒感染:香港經驗。中國藥物依賴性雜誌 2007,16:168-73. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/45040 | - |
dc.description.abstract | 從民國91年開始,HIV/AIDS的新感染者中,靜脈毒癮患者(Injection Drug Users, IDUs)的人數不斷增加,並且於民國94年新感染人數達到2381人,政府為了阻止IDUs中HIV/AIDS的高速傳染開辦了減害計畫(Harm Reduction Program),以清潔針具交換與替代療法做為主要的計畫內容。但計畫開辦以來,只有針對醫護人員以及IDUs做過評估,相較於鄰近減害計畫設施的民眾,雖然時有所聞對民眾對設施的抗議,但卻沒有針對該方面做過評估。
所以本研究針對台北縣C市的社區A進行社區田野訪問,用以了解社區對於減害計畫-替代療法機構的反應,再佐以田野訪問社區B的資料以及電訪全臺其他替代療法設施,得到社區對於替代療法機構抗拒的原因,再利用鄰避效應的概念分析原因,得到以下幾個結果:(1)臺灣在開辦計畫前沒有「減害」的概念,所以民眾對於該政策不了解;(2)減害計畫施政的不成熟,事前沒有對民眾做到告知、也沒有對設置地點做到評估;(3)IDUs受人反感的特質,包括美學、社會互動上被定位的角色、個人的有罪性、不可預測和危險性、實際危害,這五點造成民眾對於IDUs的抗拒;(4)沒有慎選替代療法機構的權屬別與合適的物理環境。 為了使減害計畫能夠順利地在臺灣推行,應該要落實減害計畫政策的推廣,使民眾得以了解政策的目的,而增加接受度。也必須對替代療法機構開辦地區進行地點與設施的評估,用來選擇適合的地點,才不會對民眾的生活造成困擾。並且建立適合的配套措施,將對社區的危害降到最低,而不是單方面地讓社區和替代療法機構妥協。最後希望能夠針對IDUs去烙印,讓民眾接受IDUs是需要幫助的族群,減少鄰避的現象,進而有助於減害計畫的推展。 | zh_TW |
dc.description.abstract | Introduction: In 2002, the number of injection drug users(IDUs) was on the rise among newly infected people in HIV/AIDS. In 2005, the number reached 2381. In order to prevent high-speed transmission of HIV/AIDS in IDUs, government of Taiwan started Harm Reduction Program(HR program) including sterile syringe and substitution treatment. In Taiwan the evaluation of the HR program was only on health care workers who participate in the implementation, and IDUs themselves. The people who lived in the neighborhood of the HR facility protested against the facility from time to time and to a different degree. Nevertheless, there is lack of research which investigates this phenomenon. This study therefore aims to examine the launch and evacuation of a facility for substitution treatment from a viewpoint of NIMBY (Not In My Back Yard).
Methods: Following a community-based case study design, this study chose Community A in Taipei County as the main research setting. Data were collected through interviewing community residents, opinion leaders, and the personnel of this facility. To a lesser intensity, the same research procedure was also applied to Community B. Additionally, a telephone survey was conducted to interview the personnel in other 74 methadone treatment facilities distributed in Taiwan area. Results: (1) The community residents’ awareness of overall HR and the underlying rationale behind this policy was very limited and poor, (2) the program was implemented prematurely without communicating with residents and assessing the possible community reactions beforehand, (3) devalued attributes of IDUs in the aspects of aesthetics, rules for social interaction, personal culpability, unpredictability and dangerous, and actual harm could arise confrontations and resistances by the community residents, and (4) substitution treatment facility, particularly one that served overflowed clientele, is not suitable located in a neighborhood like Community A, especially while the facility is very close to a primary school. Not only the clientele themselves but also the physical environment itself have caused the NIMBY effect. Conclusions: The survival or good implementation of a human service facility like substitution treatment center depends on the public’s understanding of the nature and objectives of the policy. Furthermore, it has to choose suitable location and surroundings, and provide necessary supporting measures to minimize the possible harm on the community. Finally but no less importantly, de-stigmatizing IDUs is the fundamental strategy to assure the sustainability of the facility which might be vacated from the community by the NIMBY conflict otherwise. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T04:02:16Z (GMT). No. of bitstreams: 1 ntu-99-R96845110-1.pdf: 1065859 bytes, checksum: 7ddc04b3e745059a037de088c7da11e4 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | 致 謝 i
中文摘要 ii 英文摘要 iii 內容目錄 v 表目錄 viii 圖目錄 viii 第壹章 緒論 1 第一節 研究緣起與動機 1 第二節 研究目的 2 第三節 研究問題 3 第四節 研究重要性 4 第貳章 文獻探討 5 第一節 減害計畫之替代療法 5 第二節 國外減害計畫實施情況 6 第三節 鄰避效應 9 第參章 研究方法 13 第一節 前驅研究 13 第二節 研究設計 13 第三節 研究對象 14 第四節 資料蒐集 15 第五節 資料分析 16 第六節 資料鋪陳與詮釋 16 第七節 研究倫理 17 第肆章 研究結果 18 第一節 研究社區 18 第二節 訪談對象 21 第三節 A社區 – 排斥與撤除 23 序曲 23 悄悄的開始 24 引爆的契機 25 問題的爆發 26 事件的落幕 38 事後的檢討 40 第四節 B社區 – 另一種安排 42 第五節 其他社區 – 仍能持續 44 第五章 討論 50 第一節 臺灣和國際上其他國家減害計畫的差異 50 第二節 施政的不成熟 52 第三節 靜脈毒癮患者受人反感的特質 54 第四節 替代療法機構的地點 58 第五節 適合的設置地點 61 第六節 研究特點與限制 64 第六章 結論與建議 65 第一節 研究結論 65 第二節 建議 66 參考文獻 69 附錄 73 | |
dc.language.iso | zh-TW | |
dc.title | 社區對減害計畫之美沙冬替代療法機構的反應:一個鄰避個案的探索 | zh_TW |
dc.title | Community’s Reaction to a Methadone Treatment Facility of Harm Reduction Program: Exploration of a NIMBY Case | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王永衛,李錦彪 | |
dc.subject.keyword | 減害計畫,替代療法,鄰避,烙印, | zh_TW |
dc.subject.keyword | Harm Reduction Program,Replacement therapy,substitution treatment,NIMBY,Stigma, | en |
dc.relation.page | 74 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2010-02-22 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 衛生政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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