In the United States, the rising prevalence of opioid addiction has led to an increase in opioid-related overdose deaths and transmission of infectious disease. This resulted in the declaration of a national public health emergency and the need for harm reduction strategies such as syringe exchange. Florida has seen increases in blood-borne diseases and fatal/nonfatal opioid overdoses, yet harm reduction policy integration has been historically limited. To inform policy change, this study explores the perspectives of community members in Manatee County, Florida, on harm reduction services. Six focus groups were conducted with findings centralized around three emergent themes related to the implementation of a syringe exchange program: (a) awareness and acceptability; (b) facilitating factors; and (c) perceived barriers. The results of this qualitative research helped to inform the successful adoption of a local syringe exchange ordinance. Recommendations for community education and engagement regarding harm reduction policy are discussed.

中文翻译：

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社区对减少危害的看法及其对注射器更换政策的影响

在美国，阿片类药物成瘾率的上升导致与阿片类药物相关的过量死亡和传染病传播增加。这导致宣布国家突发公共卫生事件，并需要采取注射器交换等减少危害的策略。佛罗里达州的血源性疾病和致命/非致命阿片类药物过量使用有所增加，但减少危害政策的整合历来受到限制。为了告知政策变化，本研究探讨了佛罗里达州海牛县社区成员对减少危害服务的看法。开展了六个焦点小组，调查结果集中在与注射器交换计划实施相关的三个新兴主题：(a) 意识和可接受性；(b) 便利因素；(c) 感知障碍。这项定性研究的结果有助于为当地注射器交换条例的成功采用提供信息。讨论了关于减少伤害政策的社区教育和参与的建议。