Stigmatization of people with drug dependence in China: A community-based study in Hunan province
Stigmatization of people with drug dependence in China: A community-based study in Hunan province
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中国药物依赖者的污名化：湖南省的社区研究
DOI：
10.1016/j.drugalcdep.2013.10.015
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发表时间：
2014-01-01
影响因子：
4.2
通讯作者：
Hao, Wei
中科院分区：
文献类型：
--
作者：
Luo, Tao;Wang, Jing;Hao, Wei
背景：我国吸毒问题依然严重，已成为公共卫生和社会安全的重大威胁。自2008年新禁毒法颁布实施以来，社区成为戒毒的主要场所。然而，社区成员对吸毒障碍患者的态度尚不清楚。方法：对中国湖南省的两个社区的家庭受访者进行随机抽样调查。共有 848 人参与（回应率 83.7%）。受访者最初被问到一系列有关他们对挖掘依赖的了解的问题，然后被随机分配到 4 个小插图条件中的一个。三个小插图描述了符合诊断标准的不同类型的药物依赖，第四个小插图描述了“正常人”。结果：对药物依赖的了解不足是普遍现象。对吸毒成瘾者的消极态度普遍存在。大多数受访者认为吸毒成瘾是由于自身意志薄弱（82.0%）和享乐主义生活方式（81.3%）造成的，应作为违法行为予以处罚（80.4%）。绝大多数人将药物依赖者标记为瘾君子，认为他们具有不良特征，并表达了对社交距离的强烈渴望。缺乏知识和消极态度的社会人口预测因素很少。结论：中国的社区康复计划应考虑到药物依赖者普遍受到的耻辱。 (C) 2013 Elsevier Ireland Ltd. 保留所有权利。
Background: Drug abuse remains a serious problem in China, and has become a major threat to public health and social security. Since the issuance and enforcement of the new Anti-Drug law in 2008, the community has become the primary site for drug rehabilitation. However, the attitudes of members in community toward the people with drug use disorders are unclear.Methods: A random sample of household respondents was studied in two communities in Hunan province in China. A total of 848 individuals participated (response rate 83.7%). Respondents initially were asked a set of questions about their knowledge about dug dependence, and then were randomly assigned to 1 of 4 vignette conditions. Three vignettes described different type of drug dependence meeting diagnostic criteria, and the fourth depicted a "normal person."Results: Poor knowledge of drug dependence was common. Negative attitudes towards drug dependent people were widespread. Most respondents believed that drug dependence was caused by the person's own weak will (82.0%) and own hedonistic lifestyle (81.3%), and should be punished as illegal behavior (80.4%). The vast majority labeled the person with drug dependence as an addict, rated them as having undesirable characteristics, and expressed a strong desire for social distance. There were few socio-demographic predictors of both poor knowledge and negative attitudes.Conclusions: A community-based rehabilitation program in China should take into account the widespread stigmatization of people with drug dependence. (C) 2013 Elsevier Ireland Ltd. All rights reserved.