Mora-Ríos Jazmín, Ortega-Ortega Miriam, Medina-Mora Maria Elena
a National Institute of Psychiatry Ramón de la Fuente Muñiz , Mexico City , Mexico.
b Master Program in Health Sciences, National Autonomous University of Mexico , Mexico City , Mexico.
Subst Use Misuse. 2017 Apr 16;52(5):594-603. doi: 10.1080/10826084.2016.1245744. Epub 2016 Dec 27.
Social rejection of drug use is greater than that directed at other psychiatric conditions, like depression and anxiety, which may lead to social exclusion of substance users and prevent them from seeking and receiving treatment.
The objective of this study is to investigate the stigma and discrimination related to addiction in treatment centers in Mexico City.
Data are from a broad mixed methods study. The present study is a qualitative analysis of 35 in-depth interviews of drug users, family members, and providers, using guidelines for the exploration of experiences of stigma and discrimination related to substance abuse. A thematic analysis was carried out using specialized software (Atlas.ti 6.2.23).
The common practices of stigma and discrimination (e.g., judging, mockery, inappropriate comments, overprotection, and hostile looks), were identified in participant testimonies. The narratives provide evidence of varied conditions of social and gender inequality, as well as experience of violence and abuse, that refer to a structural context of discrimination surrounding addiction, and that constitute obstacles to treatment.
The findings allow for a description of the stigmatization process surrounding addiction as a shared problem that requires the implementation of coordinated treatment strategies. They also suggest the need for more comprehensive policies of inclusion, based on human rights, which favor prevention and treatment.
社会对吸毒的排斥比对其他精神疾病（如抑郁症和焦虑症）的排斥更为严重，这可能导致吸毒者被社会排斥，并阻碍他们寻求和接受治疗。
本研究的目的是调查墨西哥城治疗中心与成瘾相关的耻辱感和歧视。
数据来自一项广泛的混合方法研究。本研究是对35名吸毒者、家庭成员和提供者进行的深入访谈的定性分析，使用了探索与药物滥用相关的耻辱感和歧视经历的指南。使用专门软件（Atlas.ti 6.2.23）进行了主题分析。
在参与者的证词中发现了耻辱感和歧视的常见做法（如评判、嘲笑、不恰当评论、过度保护和敌意眼神）。这些叙述提供了社会和性别不平等的各种情况以及暴力和虐待经历的证据，这些都涉及成瘾周围的歧视性结构背景，并构成治疗的障碍。
研究结果有助于将成瘾周围的污名化过程描述为一个共同问题，需要实施协调的治疗策略。研究结果还表明，需要基于人权制定更全面的包容政策，以促进预防和治疗。
