Demand assessment of harm reduction among drug abuser taking Taichung Prison Yunlin and Chiayi Drug Abuser Treatment Center as an example

[[abstract]]Objectives: The purpose of this study is analysis of factors to acceptance of ?clean injection device exchange? and ?substitution therapy? and related factors on intravenous injected drug users. The possible models of damage reduction are also suggested. Method: The layer random sampling method is used for sample collection of intravenous injected drug user from Taichung prison, Yunlin and Chia-I rehabilitation institutes. Results: Although there are more than seventy five (77.2%) percent high risk participants think to participant the injection device exchange program is very helpful for reduction of HIV infection. However, around forty (43.1%) percent participants have more firm will. Around ninety (93%) percent participants are willing to join the substitution therapy. Conclusions: To implement the measures of harm reduction, first we need to comprehend the channels of drugs for intravenous injected users, and to enhance the companion and spouse factor to elevate the will of participation. This study suggests department of health, Executive Yuan, ROC, to focus on reducing the barrier of injection device purchase but exchange the devices. Meanwhile, to promote drug user group education by reducing the barrier for self-sponsored participants