Women on the Edge: Opioids, Benzodiazepines, and the Social Anxieties Surrounding Women's Reproduction in the U.S. "Opioid Epidemic".
Women on the Edge: Opioids, Benzodiazepines, and the Social Anxieties Surrounding Women's Reproduction in the U.S. "Opioid Epidemic".
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DOI：
10.1177/0091450917740359
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发表时间：
2017-12-01
影响因子：
--
通讯作者：
Knight, Kelly R
中科院分区：
文献类型：
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作者：
Knight, Kelly R
目前的“类阿片流行病”提供了一个机会，可以查明对吸毒的长期社会焦虑，同时开辟了关于吸毒流行病如何以及为什么变得性别化的新的调查途径。本文反思了向美国女性开出阿片类药物和苯二氮卓类药物的相互交织的现象，以探讨性别、种族和阶级如何影响有关生殖和育儿的社会焦虑。关于妇女与“阿片类药物流行病”之间的关系，有多种论述。“流行病学报告将白色妇女的过早死亡归因于阿片类药物和抗焦虑药物的致命组合。美国国家药物滥用研究所报告说，“每25分钟就有一个婴儿出生时患有阿片类药物戒断症”，导致婴儿住院费用高昂，并可能出现母婴分离和其他形式的产后家庭裁决。初级保健提供者不愿意区分慢性非癌症疼痛的诊断，从焦虑的女性患者。综合起来，这些论述提出了一个问题：我们到底在担心什么？我比较和对比了两个焦虑的妇女对阿片类药物的叙述，以提出更大的结构性问题，怀孕，养育子女和药物使用，并询问公众的叙述，阿片类药物的妇女威胁美国家庭和阻挠美国梦。
The current "opioid epidemic" provides an opportunity to identify age-old social anxieties about drug use while opening up new lines of inquiry about how and why drug use epidemics become gendered. This paper reflects on the intertwined phenomena of opioid and benzodiazepine prescribing to U.S. women to examine how gender, race, and class inform social anxieties about reproduction and parenting. Multiple discourses abound about the relationship between women and the "opioid epidemic." Epidemiological reports attribute premature death among White women to the deadly combination of opioids and antianxiety medications. The National Institute on Drug Abuse reports that "every 25 minutes a baby is born suffering from opioid withdrawal," leading to costly hospital stays for infants and the potential for mother-child separation and other forms of family adjudication postpartum. Primary care providers are reluctant to distinguish diagnoses of chronic noncancer pain from anxiety among their female patients. Taken together, these discourses beg the question: What exactly are we worried about? I compare and contrast the narratives of two anxious women on opioids to raise larger structural questions about pregnancy, parenting, and drug use and to interrogate the public narrative that women on opioids threaten the American family and thwart the American Dream.