Division of Global Public Health, University of California San Diego, United States; Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada.
Int J Drug Policy. 2018 Jan;51:160-164. doi: 10.1016/j.drugpo.2017.06.012. Epub 2017 Jul 19.
The prevention of drug use is one of the primary goals of the War on Drugs. However, despite investment in high-profile interventions such as social marketing campaigns and enforcement-based deterrence, these efforts have generally failed. With the emergence of novel policy frameworks to control and regulate drug use, a window of opportunity exists to test approaches to drug prevention that take into account existing evidence and the rights of individuals who use drugs. Specifically, there is a growing consensus that entry into drug use is a socially-defined event that individuals experience within particular socio-structural contexts. This understanding, coupled with a distinction between the value of preventing problematic drug use rather than all drug use, provides a useful framework within which to develop effective and rights-based approaches to drug prevention.
预防药物滥用是禁毒战争的主要目标之一。然而，尽管在社会营销活动和基于执法的威慑等引人注目的干预措施上投入了大量资金，但这些努力总体上都失败了。随着新型药物管制和监管政策框架的出现，现在有机会测试预防药物滥用的方法，这些方法需要考虑到现有证据和药物使用者的权利。具体来说，越来越多的人达成共识，即药物使用的开始是一种社会定义的事件，个人在特定的社会结构背景中经历这种事件。这种理解，加上区分预防有问题的药物使用与所有药物使用的价值，为制定有效和基于权利的药物预防方法提供了一个有用的框架。
