Faculty of Health Sciences, Simon Fraser University, Canada; British Columbia Centre on Substance Use, Canada.
Department of Preventive Medicine, Keck School of Medicine, University of Southern California, United States.
Int J Drug Policy. 2018 May;55:77-79. doi: 10.1016/j.drugpo.2018.02.013. Epub 2018 Mar 20.
Language has significant implications for how we view and respond to public health issues. Conventional moralistic messaging around drug use stigmatizes people who use drugs and inhibits the implementation of evidence-based harm reduction interventions that do not condemn drug use. However, within the context of the unprecedented North American opioid overdose crisis, we argue that shifting conventional moral messaging around overdose prevention and response strategies is key to supporting the rapid roll-out of evidence-based harm reduction interventions. Reframing overdose prevention to highlight the imperative to address the ongoing public health emergency is an important first step in implementing urgently needed response strategies.
语言对我们如何看待和应对公共卫生问题有重大影响。传统的针对吸毒的道德说教使吸毒者受到污名化,并阻碍了不谴责吸毒的基于证据的减少伤害干预措施的实施。然而,在北美的阿片类药物过量危机前所未有的情况下,我们认为,改变传统的关于预防和应对策略的道德说教是支持快速推出基于证据的减少伤害干预措施的关键。重新调整预防过量用药的框架,强调解决持续公共卫生紧急情况的必要性,是实施急需的应对策略的重要第一步。