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药丸买卖:枪击受害者的高风险止痛管理。

The pill hustle: risky pain management for a gunshot victim.

机构信息

University of Toronto, Toronto, ON, Canada M5S 2J4.

出版信息

Soc Sci Med. 2013 Dec;99:162-8. doi: 10.1016/j.socscimed.2013.08.032. Epub 2013 Sep 5.

DOI:10.1016/j.socscimed.2013.08.032
PMID:24060097
Abstract

How do gunshot victims manage pain without health care? This paper examines this question through ethnographic data of a single gunshot victim who self-medicated with Percocet. The observations for this paper were collected in Philadelphia between January of 2010 and October of 2011, and were part of a larger ethnographic study that included 40 gunshot victims recruited from an outpatient trauma clinic. Although this victim was able to manage his pain, he ultimately became addicted to Percocet and became entangled in the personal stress and conflicts of his pill hustlers. His story shows how health care insecurity can funnel victims of gun violence into increasingly risky ventures to find pain relief. The findings from this study show the pressing need to expand rehabilitative care to all gunshot victims.

摘要

枪击受害者在没有医疗保健的情况下如何止痛?本文通过对一名自行服用 Percocet 止痛的枪击受害者的民族志数据来探讨这个问题。本文的观察结果是在 2010 年 1 月至 2011 年 10 月期间在费城收集的,是一项更大的民族志研究的一部分,该研究包括从一家门诊创伤诊所招募的 40 名枪击受害者。尽管这名受害者能够控制自己的疼痛,但他最终还是对 Percocet 上瘾了,并陷入了他的毒品贩子的个人压力和冲突之中。他的故事表明,医疗保健的不安全如何将枪支暴力的受害者推向寻找缓解疼痛的风险越来越大的冒险行为。这项研究的结果表明,迫切需要将康复护理扩大到所有枪击受害者。

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