地理自恋和安大略省的阿片类药物危机
1NOSM University, Sudbury, ON, Canada. egroot@nosm.ca.
概括
安大略省北部面临严重的阿片类药物危机,死亡率是全省平均水平的两倍. 这场危机是由与该地区核心内陆经济相关的社会排斥和经济边缘化驱动的.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 农村卫生 农村卫生
背景情况:
- 安大略省北部是一个庞大而人口稀少的地区,与阿片类药物相关的死亡率不成比例地高,超过全省平均水平的两倍.
- 北安大略省的社会经济结构,以城市核心与内陆边缘关系为特征,促进了社会排斥和经济边缘化.
- 脱工业化,不稳定的就业,有限的医疗保健准入和普遍的与工作有关的疼痛等因素加剧了该地区与阿片类药物相关的死亡风险.
研究的目的:
- 为了突出阿片类药物危机在安大略省北部的重大影响.
- 检查社会排斥和城市核心-内陆动态在加剧阿片类药物相关危害中的作用.
- 为了强调研究,政策和干预重点的差异,这主要是忽视了安大略省北部,有利于安大略省南部.
主要方法:
- 本研究分析了有关北安大略省阿片类药物危机的现有数据和研究.
- 它研究了该地区健康和物质使用的社会经济决定因素.
- 该分析考虑了城市核心与内陆边缘关系对健康结果的影响.
主要成果:
- 安大略省北部的阿片类药物相关死亡率是该省的两倍多.
- 由于该地区的经济结构,社会排斥是吸毒的重要预测因素,并导致与阿片类药物相关的死亡率增加.
- 尽管存在严重的不平等,但研究和政策干预在很大程度上忽视了安大略省北部,而是专注于安大略省南部.
结论:
- 安大略省北部的阿片类药物危机非常严重,并由独特的社会经济因素驱动,包括社会排斥和经济边缘化.
- 城市核心与内陆的关系对该地区与阿片类药物相关的死亡率风险增加作出了重大贡献.
- 迫切需要转移研究,政策和干预努力,以解决北安大略在阿片类药物危机背景下面临的具体挑战和不平等.
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