عنوان انگلیسی مقاله:
Stigma and disaster risk reduction among vulnerable groups: Considering people receiving opioid substitution treatment
ترجمه فارسی عنوان مقاله:
اثار بیماری روانی و کاهش خطر بلایا در بین گروه های آسیب پذیر: در نظر گرفتن افرادی که تحت درمان جایگزینی مواد مخدر قرار می گیرند
Sciencedirect - Elsevier - International Journal of Disaster Risk Reduction, 48 (2020) 101588. doi:10.1016/j.ijdrr.2020.101588
Denise Blake a,*, Sheridan Pooley b, Antonia Lyons c
This work explores the ways in which stigma influences how people engage with disaster risk reduction. It
specifically addresses the experiences and perceptions of stigma for people who receive Opioid Substitution
Treatment (OST), a successful harm reduction strategy that reduces illicit drug use, risk of overdose and criminal
activity. Unfortunately, while receiving OST people endure stigma because of their perceived or assumed history
of drug use, which positions them as socially deviant and unacceptable. During a disaster or emergency, forms of
social stigma from health and emergency management personnel have implications for access to treatment such
as OST. Drawing on semi-structured interviews with 21 people receiving OST from services in four major cities in
Aotearoa New Zealand, an interpretive analysis was applied to better understand how stigma matters to their
lived experience. Four key themes, namely “Experiences of stigma”, “Discrimination from health professionals”,
and “Disasters and emergency management” and “Support within disaster contexts” were identified in their talk.
We conclude that it is vital that medications and other necessary treatments are made accessible to those who
need them to maintain health and wellbeing. It is important to be aware that stigmatising beliefs manifest in
disaster-response settings which have consequences for people who are already more vulnerable than others.
Therefore we suggest that appropriate education and training be provided.
Keywords: Stigma | Opioid substitution treatment | OST | Vulnerability | Disaster | Risk reduction | Preparedness