Marques Ana Lucia Marinho, Couto Marcia
Doctora en Salud Colectiva. Terapeuta ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Doctora en Sociología. Posdoctora en Salud Colectiva. Profesora, Departamento de Medicina Preventiva y Programa de Pós-Graduación em Saúde Coletiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Salud Colect. 2020 Jul 17;16:e2517. doi: 10.18294/sc.2020.2517.
From the analysis of a specific conjuncture, "Cracolândia" in São Paulo, Brazil, and the "De Braços Abertos" program, this article discusses the complex relationships between drug use and the formulation of public policies directed to the care of users. In methodological terms, this work is based on the qualitative research by using semi-structured interviews with thirteen key informants. The empirical material was analyzed from the content thematic analysis and the intersectionality perspective, especially from the theoretical contributions of the "difference" category. The results point out that "differences" are marked by gender, race and social position in the society, reinforcing stigmas and their different impacts on social relations. This paper contributes to the debate on the need to formulate different approaches to the specific needs and demands of populations or social classification categories regarding drug public policy.
通过对巴西圣保罗的“克拉科兰迪亚”这一特定形势以及“张开双臂”项目的分析,本文探讨了药物使用与针对使用者护理的公共政策制定之间的复杂关系。从方法论角度来看,这项工作基于定性研究,通过对13名关键信息提供者进行半结构化访谈展开。实证材料从内容主题分析和交叉性视角进行分析,特别是借鉴了“差异”类别的理论贡献。结果指出,“差异”在社会中以性别、种族和社会地位为特征,强化了耻辱感及其对社会关系的不同影响。本文有助于就针对药物公共政策中不同人群或社会分类类别的特定需求和要求制定不同方法的必要性展开辩论。