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在法律中消除结构性成瘾污名:系统性变革的政策。

Dismantling structural addiction stigma in law: Policies for systematic change.

机构信息

Department of Family Medicine.

Center for Bioethics and Humanities.

出版信息

Fam Syst Health. 2022 Jun;40(2):288-290. doi: 10.1037/fsh0000714.

DOI:10.1037/fsh0000714
PMID:35666900
Abstract

Stigma is an under-recognized health malady that is both rampant for vulnerable communities and difficult to measure for researchers. Stigma has enormous and compounding negative health impacts, associated with lower education levels, employment and income, and poorer control of chronic conditions and illness. When stigma is embedded in the systems that govern daily life, it is considered structural stigma. Structural stigma in law has a particularly potent impact on the health and recovery of patients with substance use disorder (SUD) and addiction. Stigmatizing laws against individuals with addiction have a powerful role in downstream health, including opportunities for employment, access to health insurance, self-stereotyping, and reduced willingness to access recovery resources. Understanding and dismantling structural stigma in law, therefore, is a necessary component in comprehensively addressing SUD and addiction in collaboration with other evidence-based interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

污名是一种未被充分认识的健康疾病,在弱势群体中普遍存在,且难以被研究人员测量。污名对健康有巨大且累积的负面影响,与较低的教育水平、就业和收入以及对慢性疾病和疾病的控制较差有关。当污名嵌入管理日常生活的系统中时,它被认为是结构性污名。法律中的结构性污名对患有物质使用障碍(SUD)和成瘾的患者的健康和康复有特别大的影响。针对成瘾者的污名化法律在下游健康方面发挥着强大的作用,包括就业机会、获得健康保险、自我定型和减少寻求康复资源的意愿。因此,理解和消除法律中的结构性污名是与其他基于证据的干预措施合作全面解决 SUD 和成瘾问题的必要组成部分。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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