'I guess my own fancy screwed me over': transitions in drug use and the context of choice among young people entrenched in an open drug scene.

'I guess my own fancy screwed me over': transitions in drug use and the context of choice among young people entrenched in an open drug scene.
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DOI:
10.1186/1471-2458-10-126
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发表时间:
2010-03-12
期刊:
影响因子:
4.5
通讯作者:
Kerr T
Kerr T
中科院分区:
医学2区
文献类型:
--
作者:
Fast D;Small W;Krüsi A;Wood E;Kerr T

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人们越来越有兴趣描述青年吸毒者经历的更广泛的风险轨迹-也就是说,描述青年经历的与对风险和危害的不断发展的理解有关的吸毒转变的顺序。这项研究试图在加拿大温哥华当地毒品场景的背景下,审查年轻人对其吸毒演变的看法。对从被称为“高危青年研究”(阿里斯)的年轻吸毒者队列中招募的38名个体进行了半结构化定性访谈,并辅以正在进行的人种学实地调查(例如,观察和与青年的非正式对话)。对访谈进行了逐字记录,并进行了专题分析。大多数年轻人将过去的过渡事件描述为非特殊的,主要是出于好奇心而做出的“一时冲动”的决定。与此同时,与会者的反思表明,毒品场景根深蒂固的社会、结构和物质背景在形成这些决定和过渡经历方面发挥着强大的作用。重要的是,随着年轻人在当地毒品问题上越来越根深蒂固,吸毒过渡似乎构成了与日常生活经验越来越相关(甚至是“不可避免的”)的选择。这些研究结果的影响,为青年发展有意义的干预措施进行了讨论。
There is growing interest in describing the broader risk trajectories experienced by young people who use drugs - that is, in describing the sequences of drug use transitions experienced by youth in relation to evolving understandings of risk and harm. This study sought to examine young people's perspectives regarding the evolution of their drug use in the context of a local drug scene in Vancouver, Canada. Semi-structured qualitative interviews with 38 individuals recruited from a cohort of young drug users known as the At-risk Youth Study (ARYS) were supplemented by ongoing ethnographic fieldwork (e.g., observations and informal conversations with youth) conducted within the same cohort population. Interviews were transcribed verbatim and a thematic analysis was conducted. The majority of youth characterized past transition events as non-exceptional, largely 'spur-of-the-moment' decisions motivated by evolving feelings of curiosity. At the same time, participants' reflections indicated that the social, structural and material contexts of drug scene entrenchment play a powerful role in shaping these decisions and transition experiences. Importantly, as young people become increasingly entrenched in the local drug scene, drug use transitions seem to constitute increasingly relevant (and even 'inevitable') choices congruent with everyday lived experience. The implications of these findings for the development of meaningful interventions for youth are discussed.
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