Abstract：
Until recently, most syringe services programs (SSPs) in the United States operated in metropolitan areas. This study explores how SSP implementers at rural health departments in Kentucky secured support for SSP operations. In late 2020, we conducted in-depth, semi-structured interviews with 18 people involved with rural SSP implementation in Kentucky. Participants were asked to reflect on their experiences building support for SSP operations among rural health department staff and community members. Participants reported that attitudes and beliefs about SSP implementation among rural health department staff shifted quickly following engagement in educational activities and interaction with SSP clients. Participants explained that successful SSP implementation at rural health departments required sustained educational activities among community members and authorizing authorities. Future work should explore how rural communities may advocate for low-threshold and evidence-based policies that support the provision of harm reduction services.
摘要：
直到最近,美国大多数注射器服务项目(SSP)在大都市地区运作。这项研究探讨了肯塔基州农村卫生部门的SSP实施者如何获得对SSP操作的支持。在2020年底，我们进行了深入的研究，对肯塔基州农村SSP实施的18人进行了半结构化访谈。要求参与者反思他们在农村卫生部门工作人员和社区成员中为SSP运营提供支持的经验。参与者报告说，在参与教育活动和与SSP客户互动之后，农村卫生部门工作人员对SSP实施的态度和信念迅速发生了变化。与会者解释说，农村卫生部门成功实施SSP需要社区成员和授权当局进行持续的教育活动。未来的工作应探索农村社区如何倡导低门槛和循证政策，以支持提供减少伤害服务。
