Understanding the Opioid Epidemic as an Environmental Injustice

IF 4.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Jerel M. Ezell PhD, MPH
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Abstract

The conceptual link between racial disparities in opioid use–related deaths and environmental justice, a valuable socioecologic paradigm for contextualizing how racial vulnerabilities are ecologically forged, has not been duly explored. Exploring and filling this gap, this article highlights four primary ways through which racial disparities in opioid use manifest as a matter of environmental (in)justice, namely in terms of (1) distributive justice (elevated availability and criminalization of opioids in racially minoritized communities), (2) capability justice (limited access to or uptake of mental health treatment, buprenorphine providers, and harm reduction resources in said communities), (3) recognitional justice (disproportionate placement of eyesore treatment and harm reduction sites in said communities), and (4) procedural justice (biocolonial exploitation and commodification of Indigenous plants and Chinese/Asian opium). In delineating the various modes of community and individual-level deprivation that are implicated, this article arrives at a socioecologic model focused on characterizing and addressing the environmental injustice perpetrated through opioid distribution, use, and management in racially minoritized spaces.
理解阿片类药物流行是一种环境不公正。
阿片类药物使用相关死亡的种族差异与环境正义之间的概念联系,这是一个有价值的社会生态范式,可以说明种族脆弱性是如何在生态上形成的,但尚未得到适当的探讨。通过社会生态分析,本文强调了阿片类药物使用中的种族差异作为环境正义问题的四种主要方式,即1)分配正义(阿片类药物在种族少数群体社区的可用性和刑事化程度提高),2)能力正义(有限的心理健康治疗,丁丙诺啡提供者和减少危害资源),3)承认正义(不相称地放置“碍眼”的治疗和减少伤害的地点),以及4)程序正义(生物殖民剥削和土著植物和中国/亚洲鸦片的商品化)。在描述所涉及的社区和个人层面的各种剥夺模式时,本文得出了一个社会生态模型,该模型侧重于背景化和解决与种族少数群体中阿片类药物滥用相关的环境不公正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Preventive Medicine
American Journal of Preventive Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.60
自引率
1.80%
发文量
395
审稿时长
32 days
期刊介绍: The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health. Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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