Fraser Suzanne
National Centre in HIV Social Research, Sydney, NSW 2052, Australia.
Health (London). 2004 Apr;8(2):199-221. doi: 10.1177/1363459304041070.
Health promotion materials on hepatitis C prevention and safe injecting enjoin injecting drug users to produce ethical selves through relatively rigid social and hygiene-related conduct. This article examines a sample of safe injecting and hepatitis C prevention health promotion materials, and interview data gathered from injecting drug users, to consider the ways in which the notion of individual responsibility functions within them. I argue that the primacy of the individual in western culture is indeed reflected in hepatitis C and safe injecting materials and, that for a range of reasons, injecting drug users also make use of notions of individual responsibility. The article concludes by considering the social and health implications of this individualist approach to injecting drug use and health promotion, and by suggesting ways in which effective materials which do not focus solely on the individual can be created.
关于丙型肝炎预防和安全注射的健康促进材料,要求注射吸毒者通过相对严格的社会及卫生相关行为塑造有道德的自我。本文研究了一系列安全注射和丙型肝炎预防健康促进材料样本,以及从注射吸毒者那里收集的访谈数据,以探讨个人责任观念在这些材料中的运作方式。我认为西方文化中个人的首要地位确实在丙型肝炎和安全注射材料中有所体现,并且由于一系列原因,注射吸毒者也会利用个人责任观念。文章最后考虑了这种个人主义方法对注射吸毒和健康促进的社会及健康影响,并提出了如何制作不单纯关注个人的有效材料的建议。