"Bed Bugs and Beyond": An ethnographic analysis of North America's first women-only supervised drug consumption site.
"Bed Bugs and Beyond": An ethnographic analysis of North America's first women-only supervised drug consumption site.
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DOI：
10.1016/j.drugpo.2020.102733
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发表时间：
2020-04
期刊：
影响因子：
--
通讯作者：
McNeil R
中科院分区：
文献类型：
--
作者：
Boyd J;Lavalley J;Czechaczek S;Mayer S;Kerr T;Maher L;McNeil R
在北美过量危机中，对妇女如何在减少伤害环境中受到不同影响的关注是突出的，减少伤害干预措施通常是“性别中立的”，因此未能解决系统的和日常的种族化和性别歧视、污名化和暴力，这些歧视、歧视和暴力延伸到服务环境中，限制了一些妇女的获得。这种动态凸显了北美第一个专门为女性（跨性别者和非二元性别者）开设的低门槛监督消费网站SisterSpace的重要性。这项研究探讨了妇女在这种独特的减少伤害干预中的生活经历。该研究于2017年5月至2018年6月进行，旨在探索温哥华市中心东区（加拿大吸毒过量危机的中心）姐妹空间的女性体验。数据包括超过100小时的人种学田野调查，包括与使用非法药物的结构脆弱妇女的非结构化对话，以及对从该网站招募的45名妇女的深入访谈。利用演绎和归纳方法在NVivo中分析数据。环境（非机构）、业务政策（没有男性；包容性）和环境（使用非法药物的结构上脆弱的妇女的多样性）构成了一个空间，使参与者暂时免于某些形式的耻辱和歧视、性别和社会暴力以及与毒品有关的危害，包括过量服用。SisterSpace在那些通常被定义为“越轨者”和“受害者”的人中培养了一种安全感和主观自主权（尽管在结构上受到限制），使人们能够通过性别视角分享经验。“姐妹空间”展示了倡议的价值和有效性，这些倡议涉及的社会结构因素往往超出了预防过量的狭隘焦点，并解释了构成此类倡议的复杂社会关系。在结构性不平等、刑事定罪和过量危机的背景下，姊妹空间代表了一种减少伤害的创新方法，它解释了混合性别服务无法解决的性别不平等情况，并与其他环境相关。
Attention to how women are differentially impacted within harm reduction environments is salient amidst North Americas overdose crisis harm reduction interventions are typically ‘gender-neutral’, thus failing to address the systemic and everyday racialized and gendered discrimination, stigma, and violence extending into service settings and limiting some women’s access. Such dynamics highlight the significance of North America’s first low-threshold supervised consumption site exclusively for women (transyender and non-binary inclusive), SisterSpace, in Vancouver, Canada. This study explores women’s lived experiences of this unique harm reduction intervention. Ethnographic research was conducted from May 2017 to June 2018 to explore women’s experiences with SisterSpace in Vancouver’s Downtown Eastside, an epicenter of Canada’s overdose crisis. Data include more than 100 hours of ethnographic fieldwork, including unstructured conversations with structurally vulnerable women who use illegal drugs, and in-depth interviews with 45 women recruited from this site. Data were analyzed in NVivo by drawing on deductive and inductive approaches. The setting (non-institutional), operational policies (no men; inclusive), and environment (diversity of structurally vulnerable women who use illegal drugs), constituted a space affording particioants a temporary reprieve from some forms of stigma and discrimination, gendered and social violence and drug-related harms, including overdose. SisterSpace fostered a sense of safety and subjective autonomy (though structurally constrained) among those often defined as ‘deviant’ and ‘victims’, enabling knowledge-sharing of experiences through a gendered lens. SisterSpace demonstrates the value and effectiveness of initiatives that engage with socio-structural factors beyond the often narrow focus of overdose prevention and that account for the complex social relations that constitute such initiatives. In the context of structural inequities, criminalization, and an overdose crisis, SisterSpace represents an innovative approach to harm reduction that accounts for situations of gender inequality not being met by mixed-gender services, with relevance to other settings.
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性别暴力和预防过量场所：加拿大温哥华过量流行期间的一项快速民族志研究。
DOI：
10.1111/add.14417
发表时间：
2018-12
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Boyd J;Collins AB;Mayer S;Maher L;Kerr T;McNeil R
通讯作者：
McNeil R
影响因子：
4.4
作者：
Boyd, Jade;Richardson, Lindsey;McNeil, Ryan
通讯作者：
McNeil, Ryan
影响因子：
4.8
作者：
Collins, Alexandra B.;Boyd, Jade;McNeil, Ryan
通讯作者：
McNeil, Ryan
影响因子：
4.4
作者：
Collins, Alexandra B.;Boyd, Jade;McNeil, Ryan
通讯作者：
McNeil, Ryan
影响因子：
4.4
作者：
Collins, Alexandra B.;Bluthenthal, Ricky N.;McNeil, Ryan
通讯作者：
McNeil, Ryan