Women's health and use of crack cocaine in context: Structural and 'everyday' violence
Women's health and use of crack cocaine in context: Structural and 'everyday' violence
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DOI：
10.1016/j.drugpo.2009.12.008
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发表时间：
2010-07-01
影响因子：
4.4
通讯作者：
Boyd, Susan
中科院分区：
文献类型：
--
作者：
Bungay, Vicky;Johnson, Joy L.;Boyd, Susan
背景：越来越多的公共卫生证据表明，使用强效可卡因并参与街头活动的妇女会经历严重的健康问题，并且在获得减少伤害和其他健康相关服务方面更加孤立。与此同时，人们越来越认识到结构性暴力和“日常”暴力是影响吸毒妇女健康的重要因素。很少有研究探讨这些社会过程如何影响使用强效可卡因的女性。方法：以结构性暴力和日常暴力以及交叉性的理论结构为基础，进行了一项批判性的民族志研究，以探索加拿大西部市中心社区中妇女使用强效可卡因的情况。数据收集包括基线调查（n = 126）、参与观察和实地记录、非正式访谈（n = 53）和深入访谈（n = 13）。 结果：根据主题和理论分析，确定了两个相互关联的主题，反映了妇女使用快克、贫困、歧视、种族主义、性别权力关系以及法律政策和实践之间的相互关系：（a）医疗保健的背景；结论：结构性不平等和“日常”暴力对吸食可卡因的女性造成危险的损害。如果我们要减少街头吸食强效可卡因的妇女所遭受的巨大痛苦，就迫切需要采取干预措施来减少这些不平等现象。 (C) 2010 Elsevier B.V. 保留所有权利。
Background: There is increasing public health evidence that women who use crack cocaine and are street-involved experience significant health problems and are more isolated with regards to accessing harm reduction and other health-related services. Simultaneously, there is growing acknowledgement that structural and 'everyday' violence are significant factors influencing the health of women who use illegal drugs. Little research has examined how these social processes play out for women who use crack cocaine.Methods: A critical ethnography informed by the theoretical constructs of structural and everyday violence and intersectionality was undertaken to explore women's use of crack cocaine within an inner-city neighbourhood in Western Canada. Data collection included baseline survey (n = 126), participant observation and field notes, informal interviews (n = 53), and in-depth interviews (n = 13).Results: Based on thematic and theoretical analysis two interrelated themes were identified that reflected the interrelationships between women's use of crack, poverty, discrimination, racism, gendered relations of power, and legal policies and practices: (a) the context of health care; and (b) the smoking context.Conclusions: Structural inequities and 'everyday' violence are perilously damaging for women who use crack. Interventions to reduce these inequities are urgently needed if we are to reduce the significant suffering of women who are street-involved and use crack cocaine. (C) 2010 Elsevier B.V. All rights reserved.