Thinking about Social Determinants of Health through the Relationality of Work and Drug Use
Thinking about Social Determinants of Health through the Relationality of Work and Drug Use
复制标题
通过工作与吸毒之间的关系思考健康的社会决定因素
DOI：
10.1111/maq.12690
复制
发表时间：
2022
影响因子：
2.2
通讯作者：
Parsons, Michelle Anne
中科院分区：
文献类型：
--
作者：
Parsons, Michelle Anne
公共卫生经常将吸毒和吸毒成瘾视为对生产性公民身份，特别是正规就业的破坏和对立。人类学家展示了毒品使用是如何在特定的制度、社会和政治经济背景下出现的。这种对背景的关注表明，吸毒和工作之间的关系可能不像流行病学模型那样稳定，工作和吸毒之间的关系是多重的。这些结果是基于2018年和2019年对16名在亚利桑那州北方一家住宅设施接受成瘾治疗的人进行的深入访谈。在某些情况下，吸毒和酗酒导致失业。在其他情况下，吸毒和酗酒使工作更有可能。工作和吸毒之间的纠葛随着时间的推移而波动。健康的社会决定因素是相互关联的，是更大群体的一部分，是动态的。
Public health often frames drug use and addiction as destructive and antithetical to productive citizenship, particularly formal employment. Anthropologists show how drug use emerges in specific institutional, social, and political economic contexts. This attention to context suggests that the relationship between drug use and work may not be as stable as epidemiology models it. There is a multiplicity to the relationality of work and drug use. These results are based on in‐depth interviews conducted in 2018 and 2019 with 16 individuals undergoing addiction treatment at a residential facility in northern Arizona. In some cases, drug and alcohol use led to losing work. In other cases, drug and alcohol use made work more possible. The entanglements between work and drug use fluctuated through time. Social determinants of health are relationally brought into being, part of larger assemblages, and dynamic.