Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, NE1 4LP, UK.
Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, NE1 4LP, UK.
Health Place. 2024 Nov;90:103346. doi: 10.1016/j.healthplace.2024.103346. Epub 2024 Sep 8.
The rise in mortality in high-income countries from drug, suicide, and alcohol specific causes, referred to collectively as 'deaths of despair', has received growing interest from researchers. In both the US and UK, mortality rates from deaths of despair are higher in deprived, deindustrialised communities. In this qualitative study, we sought to learn how stakeholders working with vulnerable populations in Middlesbrough, a deindustrialised town in North East England with above average mortality from deaths of despair, understand and explain the prevalence of deaths from these causes in their area. Participants identified a number of structural and socio-cultural determinants that they believe drive deaths of despair in their community, including the effects of austerity, deindustrialisation, communal identity, and collective trauma; we argue that these determinants are themselves a product of structural violence.
高收入国家因药物、自杀和酒精等特定原因导致的死亡率上升，这些原因被统称为“绝望致死”，越来越引起研究人员的关注。在美国和英国，贫困、去工业化社区的绝望致死死亡率更高。在这项定性研究中，我们试图了解在米德尔斯堡工作的利益相关者（米德尔斯堡是英格兰东北部一个去工业化的城镇，其因绝望致死的死亡率高于平均水平）如何理解和解释其所在地区这些原因导致的死亡人数普遍较高的问题。参与者确定了一些他们认为导致其社区出现绝望致死的结构性和社会文化决定因素，包括紧缩政策、去工业化、社区认同和集体创伤的影响；我们认为，这些决定因素本身就是结构性暴力的产物。
