Thandi Manpreet Kaur Gill, Browne Annette J
School of Nursing University of British Columbia Vancouver British Columbia Canada.
Nurs Open. 2019 Sep 18;6(4):1299-1306. doi: 10.1002/nop2.339. eCollection 2019 Oct.
The purposes of this paper are (a) to critically analyse the social context of substance use among older adults and (b) to offer strategies for nurses and other health care providers to support the health of older adults experiencing problematic substance use.
Discussion paper.
This analysis is informed by two theoretical lenses: an intersectional lens in examining the various factors influencing health and health care access; and a social justice lens, focusing on promoting health equity for older populations.
As a result of various social and sociopolitical factors, key issues are likely to arise for older adults experiencing problematic substance use including health and social inequities, stigma, and discrimination, all of which can result in serious negative health outcomes. Health care providers can help mitigate these effects by (a) promoting harm reduction principles; (b) participating in social justice actions; and (c) engaging in contextual assessments of substance use.
本文的目的是（a）批判性地分析老年人物质使用的社会背景，以及（b）为护士和其他医疗保健提供者提供策略，以支持有物质使用问题的老年人的健康。
讨论文件。
本分析基于两个理论视角：一个是交叉视角，用于审视影响健康和医疗保健可及性的各种因素；另一个是社会正义视角，侧重于促进老年人群体的健康公平。
由于各种社会和社会政治因素，有物质使用问题的老年人可能会出现关键问题，包括健康和社会不平等、耻辱感和歧视，所有这些都可能导致严重的负面健康后果。医疗保健提供者可以通过以下方式帮助减轻这些影响：（a）促进减少伤害原则；（b）参与社会正义行动；以及（c）对物质使用进行情境评估。
