The 'dop' system, alcohol abuse and social control amongst farm workers in South Africa: a public health challenge
The 'dop' system, alcohol abuse and social control amongst farm workers in South Africa: a public health challenge
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DOI：
10.1016/s0277-9536(98)00445-6
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发表时间：
1999-05-01
影响因子：
5.4
通讯作者：
London, L
中科院分区：
文献类型：
--
作者：
London, L
南非的许多农场工人继续在种族隔离政策遗留下来的不利条件下生活和工作。尽管有官方禁止，但为工人提供酒精作为就业福利的安排（称为“dop”制度）似乎仍然存在。尽管目前只有少数农场积极实行兴奋剂制度，但历史上大规模饮酒制度化的影响是广泛的。大量饮酒不仅直接损害农场工人及其家人的健康，而且使他们面临各种社会和环境危害。一起农药中毒事件就说明了这一点，其中 24 名工人因饮用被氨基甲酸酯类杀虫剂涕灭威污染的葡萄酒而中毒。该案例说明了 (i) 南非农场持续应用 dop 制度，以及 (ii) 社会因素与农场工人接触化学品之间的相互作用。公众对“有色人种”酗酒的自然倾向的看法与维持毒品制度和加强旨在对农村农场工人及其家庭进行社会控制的制度有很大关系。 dop 制度对南非公共卫生当局构成了重大挑战，南非公共卫生当局负责重组卫生服务，以在初级卫生保健框架内满足边缘农业社区的人权和健康需求。 (C) 1999 Elsevier Science Ltd. 保留所有权利。
Many farm workers in South Africa continue to live and work under adverse conditions that are the legacy of apartheid policies. Despite its official prohibition, the arrangement by which workers are given alcohol as a benefit of employment, known as the 'dop' system, appears to persist. Even though it is a minority of farms that currently actively practice the dop system, the ramifications of the historical institutionalisation of massive alcohol consumption are widespread. Heavy alcohol consumption is not only directly injurious to the health of farm workers and their families, but places them at risk to various social and environmental hazards. This is illustrated in a case of pesticide poisoning in which 24 workers were poisoned when given wine contaminated with the carbamate insecticide aldicarb. The case illustrates (i) the ongoing application of the dop system on farms in South Africa and (ii) the interaction between social factors and chemical exposures amongst farm workers. Public perceptions about the natural tendencies of 'coloured' people to drink heavily have much to do with perpetuating the dop system, and reinforcing a system geared towards the social control of rural farm workers and their families. The dop system poses a major challenge to the public health authorities in South Africa who are charged with the task of restructuring health services to address the human rights and health needs of marginal farming communities within a primary health care framework. (C) 1999 Elsevier Science Ltd. All rights reserved.