THE DEVELOPMENTAL CYCLE OF A DRUG EPIDEMIC - THE COCAINE SMOKING EPIDEMIC OF 1981-1991

THE DEVELOPMENTAL CYCLE OF A DRUG EPIDEMIC - THE COCAINE SMOKING EPIDEMIC OF 1981-1991
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DOI:
10.1080/02791072.1992.10471658
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发表时间:
1992-10-01
影响因子:
2.8
通讯作者:
HAMID, A
HAMID, A
中科院分区:
医学4区
文献类型:
--
作者:
HAMID, A

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尽管美国人经历过许多毒品流行病,其中大多数在发病后10年内就结束了,但他们仍然认为,吸食可卡因(在1984年以快克可卡因的流行形式出现)的使用将在整个20世纪90年代呈指数级增长,除非大力打击。然而,在1991年,快克的使用似乎在下降,甚至在它最根深蒂固的市中心社区,这种下降更多地是由于自然控制而不是禁毒战争。毒品流行病的周期性以及其通过固定阶段的发展再次得到肯定。 1981年至1991年的可卡因吸烟流行(包括快克)提供了对它进行全面研究的机会。在这篇文章中,认识到药物流行病的发展周期的优点,其中最重要的是关注未来。在药物流行病发展周期的最后阶段,剩余的滥用者起着关键作用。如果得到人道的对待,他们可能会对未来的毒品用途:起到威慑作用。然而,他们对当前的毒品使用感到沮丧,但却受到更广泛的社会的冷漠对待,他们可能会引发下一次流行病。
Although Americans have experienced many drug epidemics, the majority of which have ended within ten years of onset, they nevertheless believed that the use of smokable cocaine, which took the popular form of crack cocaine in 1984, would grow exponentially throughout the 1990s unless it was vigorously combated. However, in 1991 it appears that crack use is in decline even in the inner-city neighborhoods where it had been most entrenched, and that the decline is due more to natural controls than to the War on Drugs. The cyclical nature of drug epidemics, as well as their progression through regular stages, was again affirmed. The cocaine-smoking epidemic of 1981-1991 (which included crack) afforded the opportunity to research it in its entirety. In this article, the advantages of recognizing the developmental cycles of drug epidemics are outlined, the most important of which concerns the future. In the terminal stage of the developmental cycle of a drug epidemic, remaining abusers play a pivotal role. If humanely treated, they may serve as deterrents to future drug use: frustrated in current drug use, however, yet insensitively treated by the wider society, they may author the next epidemic.