The everyday violence of hepatitis C among young women who inject drugs in San Francisco
The everyday violence of hepatitis C among young women who inject drugs in San Francisco
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DOI：
10.17730/humo.63.3.h1phxbhrb7m4mlv0
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发表时间：
2004-09-01
影响因子：
0.8
通讯作者：
Moss, A
中科院分区：
文献类型：
--
作者：
Bourgois, P;Prince, B;Moss, A
对结构性、日常性和象征性暴力的性别轮廓的理论理解表明，年轻的吸毒妇女特别容易受到注射毒品引起的传染病的影响，特别是丙型肝炎。在旧金山弗朗西斯科海特阿什伯里社区对海洛因和快速注射者进行的参与性观察表明，在街头青年毒品文化的常识中，对妇女的极端暴力行为是正常的。身体、性和情感暴力，以及创收的实用主义，包括街头吸毒者道德经济中的毒品和资源共享，迫使大多数无家可归的年轻妇女与老年男子建立关系。这些关系通常是虐待性的，在经济上寄生于妇女。性客体化和关于爱情和道德价值的父权制浪漫话语导致卷入其中的男女以及许多旨在帮助或控制药物滥用者的公共服务和研究项目对性别权力不平等的错误认识。尽管定量和定性方法之间存在深刻的认识论，理论和后勤鸿沟，但应用公共卫生研究及其所告知的干预措施可以受益于理论和跨方法论关注社会权力背景如何塑造传染病的传播并促进弱势群体不成比例的社会痛苦水平。
A theoretical understanding of the gendered contours of structural, everyday, and symbolic violence suggests that young addicted women are particularly vulnerable to the infectious diseases caused by injection drug use-especially hepatitis C. Participant observation among heroin and speed injectors in San Francisco's Haight Ashbury neighborhood reveals that extreme levels of violence against women are normalized in the common sense of street-based youth drug culture. Physical, sexual, and emotional violence, as well as the pragmatics of income generation, including drug and resource sharing in the moral economy of street addicts, oblige most young homeless women to enter into relationships with older men. These relationships are usually abusive and economically parasitical to the women. Sexual objectification and a patriarchal romantic discourse of love and moral worth lead to the misrecognition of gender-power inequities by both the men and women who are embroiled in them, as well as by many of the public services and research projects designed to help or control substance abusers. Despite deep epistemological, theoretical, and logistical gulfs between quantitative and qualitative methods, applied public health research and the interventions they inform can benefit from the insights provided by a theoretical and cross-methodological focus on how social power contexts shape the spread of infectious disease and promote disproportional levels of social suffering in vulnerable populations.