Nicole Amorim, Brito Irma, Fátima Guerra, Rute Lopes, Miguel Ricou
Parental perspectives on Children's lifestyles: A Path for school health promotion
Heliyon
structural harm reduction approach care people use drugs pwud incorporates services resources eg naloxone sterile syringes conceptualized previous research harm reduction also relational encompassing patientprovider relationship nonjudgmental respectful patients autonomy little known health care workers hcw knowledge attitudes towards harm reduction beyond structural strategies whose availability legality vary across geographical settings operationalize relational harm reduction characterized employed hiv care settings nearly half patients diagnosed substance use disorder qualitatively explored hcws knowledge use harm reduction via individual indepth interviews study sample included three hiv clinics one birmingham alabama al two pittsburgh pennsylvania pa conducted individual interviews n 23 health care workers via zoom using semistructured interview guide probe questions around health care workers attitudes towards experiences providing care pwh use drugs knowledge attitudes towards relational structural harm reduction data analyzed dedoose using thematic analysis qualitative analyses revealed two primary themes continuum relational harm reduction practice limited harm reduction training nearly hcws n 19 83 described patient interaction expressed sentiment corresponded principles relational harm reduction yet half participants n 14 61 used language describe pwh use drugs stigmatizing described interaction antithetical principles relational harm reduction five hcws birmingham unaware term harm reduction hcws harm reduction training learning harm reduction webinarsconferences job findings suggest relational harm reduction hiv care settings practiced along continuum range behaviors exist even within individual hcws eg used stigmatizing terms addict also described patient interactions reflected patients autonomy given harm reduction typically described structural approach broader definition harm reduction dependent policydependent resources needed