解决美国过量使用流行病的真正需要什么?
Bianca D Rivera1, Samuel R Friedman2
1SUNY Downstate Health Sciences University School of Public Health, Brooklyn, NY, USA.
The International journal on drug policy
|May 10, 2024
概括
美国过量服用死亡人数正在上升,原因是深层次的社会和经济问题,而不仅仅是毒品政策. 结束危机需要广泛的社会运动来实现系统性变革,而不仅仅是孤立的干预.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 经济学 经济学 经济学
背景情况:
- 自1979年以来,美国的过量死亡率呈指数级增长.
- 现有的研究表明,根深蒂固的社会和经济结构是主要的驱动因素,超出了阿片类药物处方模式或合成阿片类药物.
研究的目的:
- 调查美国过量死亡率上升的根本原因.
- 确定必要的变化,以扭转过量死亡增加的趋势.
- 评估当前政策建议对过量危机的潜在影响.
主要方法:
- 利用路径依赖论证来分析美国政治,经济和公共卫生系统的作用.
- 检查当前减少危害,药物治疗,非犯罪化,合法化和经济发展战略的局限性.
主要成果:
- 美国的政治,经济和公共卫生系统已经导致并继续加剧过量危机.
- 建议的干预措施,如扩大降低危害,治疗能力,毒品非犯罪化/合法化,以及"绝望社区"倡议,不太可能在足以结束危机的规模上实施.
结论:
- 系统性变化是必要的,以解决过量危机.
- 药物过量率的显著改善需要大规模的社会运动,倡导广泛的社会变革.
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