“无论哪种方式，他们都会使用。所以，你可能也会：“对美国舆论新闻媒体中减少伤害形象的批判性话语分析

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-04-11 DOI:10.1016/j.drugpo.2025.104801

Hannah A. Carlon, Hanna M. Hebden, Nina C. Christie, Felicia R. Tuchman, David I.K. Moniz-Lewis, Cassandra L. Boness, Katie Witkiewitz, Margo C. Hurlocker

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引用次数: 0

摘要

背景：在美国，阿片类药物过量死亡人数五年来首次下降。这些减少的部分原因是减少伤害服务的可得性增加，但这些服务的执行情况仍然很差。新闻媒体对问题的描述塑造了公众的情绪以及对政策和实践中服务的接受程度。本研究的目的是：(1)内容分析美国舆论新闻媒体描述对减少伤害的语言的总体态度和污名化；(2)批判性地分析有关污名和减少伤害支持的文章的话语。方法纳入2023年5月至2024年4月期间发表的美国17份报纸上关于减少危害的39篇评论文章。目标分析内容包括对减少伤害和污名化语言的态度。结果大多数文章持积极态度(32/39；82.1%)，只有5/39篇（12.8%）是负面的；两个是平衡的。超过一半(22/39；56.4%)包括污名化语言。批评性话语分析显示，支持减少伤害的文章是由几条线索联系在一起的：减少伤害的战略是基于证据的，不会增加犯罪，减少耻辱和系统性压迫，需要改变政策来改善实施。在反对减少伤害的文章中，论述包括：将阿片类药物的使用和减少伤害描述为促进物质使用的歧视性陈规定型观念，将阿片类药物的使用与犯罪等同起来，以及驳斥受惩罚性药物政策影响的系统性不公正。当代美国舆论新闻媒体主要呈现支持减少伤害的话语，但经常使用污名化的语言。

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“Either way, they will use. And so, probably, would you:” A critical discourse analysis of harm reduction portrayal in United States opinion news media

Background

Opioid overdose deaths are declining in the United States for the first time in over five years. These reductions are partially attributed to increasing availability of harm reduction services, but services remain poorly implemented. The framing of issues in news media shapes public sentiment and uptake of services in policy and practice. The aims of this study were to: (1) content analyze United States opinion news media to describe overall attitudes towards and stigmatizing language about harm reduction; and (2) critically analyze discourses underlying articles with respect to stigma and harm reduction support.

Methods

Thirty-nine opinion articles across 17 United States newspapers on harm reduction published between May 2023 and April 2024 were included. Targeted analyzed content included attitudes toward harm reduction and stigmatizing language.

Results

Most articles had positive attitudes (32/39; 82.1 %), only 5/39 articles (12.8 %) were negative; two were balanced. Over half (22/39; 56.4 %) included stigmatizing language. Critical discourse analysis revealed pro-harm reduction articles were tied together by several threads: harm reduction strategies are evidence-based, do not increase crime, decrease stigma and systemic oppression, and policy change is needed to improve implementation. Among anti-harm reduction articles, discourses included: discriminatory stereotypes to portray opioid use and harm reduction depicted as enabling substance use, equating opioid use with crime, and dismissing systemic injustices influenced by punitive drug policy.

Conclusions

Contemporary United States opinion news media predominantly presents pro-harm reduction discourse, but often use stigmatizing language.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.