Gendered violence and overdose prevention sites: a rapid ethnographic study during an overdose epidemic in Vancouver, Canada.
Gendered violence and overdose prevention sites: a rapid ethnographic study during an overdose epidemic in Vancouver, Canada.
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性别暴力和预防过量场所：加拿大温哥华过量流行期间的一项快速民族志研究。
DOI：
10.1111/add.14417
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发表时间：
2018-12
期刊：
影响因子：
--
通讯作者：
McNeil R
中科院分区：
文献类型：
--
作者：
Boyd J;Collins AB;Mayer S;Maher L;Kerr T;McNeil R
北美过量用药的流行越来越多地是由芬太尼和掺芬太尼的药物造成的。包括低阈值模式（称为过量预防站点；OPS）在内的监管消费站点目前正在美国进行辩论，并在加拿大实施。尽管有证据表明，性别暴力和种族暴力影响了吸毒妇女获得减少伤害的机会，但这一点尚未就项目事务处和吸毒过量流行病进行审查。本研究探讨了北美过量用药中心之一温哥华市中心东区过量用药、性别和种族暴力的重叠流行如何影响被边缘化的WWUD经历OPS。使用快速人种志实地调查进行定性分析。数据收集包括185小时的自然观察和深度访谈；使用NVivo对数据进行主题分析。35 .世界妇女联合会从三名项目事务处参与者关于项目事务处和突发公共卫生事件的经验中征聘人员。在管制较少的药物使用环境中，与芬太尼掺假药物的使用相关的中毒的迅速发作和严重程度不仅增加了WWUD对过量死亡的脆弱性，而且还增加了暴力。与会者认为，与管制较少的环境相比，OPS是更安全的吸毒场所，辅助注射和注射伙伴关系的适应对于增加WWUD中OPS的使用至关重要。同侪注射打破了性别权力关系，使妇女能够更多地控制自己的药物使用，但是，与会者指出，项目厅也是性别和种族化的空间，危及了一些妇女的使用。尽管加拿大温哥华的吸毒妇女似乎觉得过量预防站点（OPS）解决了因过量流行而恶化的日常暴力形式，但OPS仍然是“男性空间”，可能危及妇女的使用。
North America’s overdose epidemic is increasingly driven by fentanyl and fentanyl-adulterated drugs. Supervised consumption sites, including low-threshold models (termed Overdose Prevention Sites; OPS), are now being debated in the United States and implemented in Canada. Despite evidence that gendered and racialized violence shape access to harm reduction among women who use drugs (WWUD), this has not been examined in relation to OPS and amidst the overdose epidemic. This study explores how overlapping epidemics of overdose and gendered and racialized violence in Vancouver’s Downtown Eastside, one of North America’s overdose epicenters, impacts how marginalized WWUD experience OPS. Qualitative analysis using rapid ethnographic fieldwork. Data collection included 185 hours of naturalistic observation and in-depth interviews; data were analyzed thematically using NVivo. Vancouver, Canada 35 WWUD recruited from three OPS Participants’ experiences of OPS and the public health emergency. The rapid onset and severity of intoxication associated with the use of fentanyl-adulterated drugs in less regulated drug use settings not only amplified WWUD’s vulnerability to overdose death but also violence. Participants characterized OPS as safer spaces to consume drugs in contrast to less regulated settings, and accommodation of assisted injections and injecting partnerships was critical to increasing OPS access among WWUD. Peer administered injections disrupted gendered power relations to allow women increased control over their drug use, however, participants indicated that OPS were also gendered and racialized spaces that jeopardized some women’s access. Although women who use drugs in Vancouver, Canada appear to feel that Overdose Prevention Sites (OPS) address forms of everyday violence made worse by the overdose epidemic, OPS remain ‘masculine spaces’ that can jeopardize women’s access.
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DOI：
10.1093/jurban/jtg137
发表时间：
2003-03-01
影响因子：
6.6
作者：
Evans, JL;Hahn, JA;Moss, AR
通讯作者：
Moss, AR
影响因子：
4.4
作者：
Fairbairn N;Small W;Van Borek N;Wood E;Kerr T
通讯作者：
Kerr T
影响因子：
4.4
作者：
Bungay, Vicky;Johnson, Joy L.;Boyd, Susan
通讯作者：
Boyd, Susan
DOI：
10.1080/13691058.2014.888480
发表时间：
2014
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Bingham B;Leo D;Zhang R;Montaner J;Shannon K
通讯作者：
Shannon K
影响因子：
4.2
作者：
Bryant, Joanne;Brener, Loren;Treloar, Carla
通讯作者：
Treloar, Carla