Historique
Article de Périodique
Drug use risks in Portuguese rural vs urban environments: Harm reduction challenges in a progressive drug policy setting (2026)
Auteur(s) :
DE SOUSA PINTO, M. S. ;
PIRES, C. V. ;
DE CARVALHO, H. ;
PEREIRA, C. P. ;
DA SILVA, G. A. P. ;
DE JESUS GRILO CARAPINHA, L. ;
GONCALVES, F. O. ;
VALENTE, H.
Année
2026
Page(s) :
316-324
Langue(s) :
Anglais
Domaine :
Drogues illicites
Thésaurus géographique
PORTUGAL
Thésaurus mots-clés
MILIEU RURAL
;
MILIEU URBAIN
;
COMPARAISON
;
PRODUIT ILLICITE
;
FACTEUR DE RISQUE
;
POLITIQUE
;
INEGALITE
;
FACTEUR DE VULNERABILITE
;
ACCES AUX SOINS
;
ETUDE QUALITATIVE
;
FOCUS GROUP
;
ENVIRONNEMENT
;
VOIE D'ADMINISTRATION
;
PRIX
;
DIFFUSION DES PRODUITS
;
STIGMATISATION
;
REDUCTION DES RISQUES ET DES DOMMAGES
Résumé :
Portugal is commonly recognized as one of the best drug policy examples in the world. Nonetheless, contrasts between drug use risks in rural vs urban settings in the country is an understudied topic, even if its specific challenges are commonly affirmed, both by professionals and people who use drugs (PWUD). The aim of this study was to compare rural and urban environments concerning socio-sanitary services availability; illegal drugs availability; risk behaviors related to drug use; stigma associated with illicit drug use; and social support. Additionally, specific harm reduction challenges and recommendations for improvement were explored. A qualitative study with two focus groups involving people who use drugs, outreach workers and local decision-makers was conducted. Distinct scenarios and challenges in both settings were found: In large cities, a significantly higher specialized service coverage than in rural areas was described. In rural settings, a higher number of drug-related risks, higher levels of stigma and lower availability of human and material resources were mentioned, although being associated with higher levels of informal social support and more proximal relationships with harm reduction teams. This study emphasizes the need for a harm reduction paradigm strongly focused on environmental risk determinants, as much as in individual ones. [Author's abstract]
Affiliation :
FPCEUP - Faculty of Psychology and Education Sciences, University of Porto, Portugal.
FMUP - Faculty of Medicine, University of Porto, RISE-Health, Porto, Portugal.
CRIA -The Centre for Research in Anthropology, Lisbon, Portugal.
Kosmicare, Lisbon, Portugal.
Faculty of Education and Psychology, Research Center for Human Development (CEDH), Universidade Católica Portuguesa, Porto, Portugal.
Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences of the University of Porto, Porto, Portugal.
INED, School of Higher Education, Polytechnic Institute of Porto, Porto, Portugal.
Faculty of Psychology and Education Science, Center for Psychology at University of Porto (CPUP), Porto, Portugal.
FMUP - Faculty of Medicine, University of Porto, RISE-Health, Porto, Portugal.
CRIA -The Centre for Research in Anthropology, Lisbon, Portugal.
Kosmicare, Lisbon, Portugal.
Faculty of Education and Psychology, Research Center for Human Development (CEDH), Universidade Católica Portuguesa, Porto, Portugal.
Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences of the University of Porto, Porto, Portugal.
INED, School of Higher Education, Polytechnic Institute of Porto, Porto, Portugal.
Faculty of Psychology and Education Science, Center for Psychology at University of Porto (CPUP), Porto, Portugal.
Cote :
Abonnement