Crack and the political economy of social suffering

Crack and the political economy of social suffering
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DOI:
10.1080/1606635021000021322
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发表时间:
2003-01-01
影响因子:
2.9
通讯作者:
Bourgois, P
Bourgois, P
中科院分区:
医学3区
文献类型:
--
作者:
Bourgois, P

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对美国和加拿大通过参与者观察方法记录的可卡因、快克和海洛因流行情况进行比较,发现不同弱势群体的滥用模式截然不同。政治、经济和文化力量,而不是药理学,决定了毒品流行的轨迹。美国内城事实上的种族隔离及其相关的监狱工业综合体在20世纪80年代末和90年代初催生了大规模的可卡因吸烟流行病。加拿大的警察镇压公共政策与中央集权、家长式的社会服务相矛盾,这是该国特别是在土著和讲法语的城市人口中造成特别具有破坏性的静脉注射可卡因流行病的原因。美国因其禁毒战争的失败而遭受医源性后果。海洛因和可卡因从未如此纯净或便宜,尽管美国在镇压方面投入了大量公共资源,付出了巨大的人道主义代价。
A comparison of cocaine, crack and heroin epidemics documented through participant-observation methods in the United States and Canada reveals dramatically distinct patterns of abuse across differentially vulnerable population groups. Political economic and cultural forces, rather than pharmacology shape the trajectory of drug epidemics. The de facto apartheid of the U.S. inner city and its associated prison industrial complex spawned the massive epidemic of crack smoking in the late 1980s and early 1990s. A contradictory Canadian public policy of police repression combined with centralized, paternalistic social services explains that country's particularly destructive intravenous cocaine epidemic, particularly among its aboriginal and francophone urbanized populations. The United States suffers from the iatrogenic consequences of its failed war on drugs. Heroin and cocaine have never been purer or cheaper despite the massive investment of U.S. public resources in repression at great humanitarian cost.