"这只是今天周围的东西":实质过渡中的社会和上下文实用主义
Adams L Sibley1, David C Colston2,3, Elizabeth Joniak-Grant2
1Injury Prevention Research Center, University of North Carolina at Chapel Hill, 725 MLK Blvd, Chapel Hill, North Carolina, 27599, USA. asibley@unc.edu.
Harm reduction journal
|November 27, 2025
概括
人们转向新的药物或组合是出于社会联系和实际原因,而不仅仅是生理效应. 了解这些因素是解决过量疫情的关键.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 药物使用研究研究.
背景情况:
- 目前的药物过量流行主要是由多种药物使用驱动的.
- 研究往往忽视了物质启动和过渡的社会和环境背景.
- 社会认知理论为理解这些复杂因素提供了一个框架.
研究的目的:
- 描述影响物质启动,过渡和组合的因素.
- 探索超越直接生理效应的社会和环境影响.
主要方法:
- 与使用毒品的人进行了30次半结构面试.
- 利用视觉时间线活动来探索物质使用史.
- 采用分阶段分析方法,包括结构编码和反思性主题分析.
主要成果:
- 实质转型被概念化为对环境约束和机遇的务实反应.
- 社会因素包括促进人与人之间的亲密关系,与网络规范保持一致,并应对药物的可用性.
- 诸如当地可用性,可访问性和财务可持续性等物质限制影响了过渡.
结论:
- 物质转变服务于社会和实际功能,不仅仅是寻求增强生理效应.
- 干预措施应解决结构性障碍,促进安全,负担得起和可访问的供应,以减少风险.
- 了解社会和实际驱动因素对于有效的公共卫生战略至关重要.
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