Syndemic Connections: Overdose Death Crisis, Gender-Based Violence and COVID-19

IF 1.7 Q2 SOCIOLOGY Societies Pub Date : 2024-09-16 DOI:10.3390/soc14090185
Ana M. Ning
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Abstract

This article will use syndemic theory to identify and analyze overlapping health and social conditions, focusing specifically on how gender-based violence is systemically interconnected with contemporary public health issues. The overdose death crisis that continues to afflict Canadian populations is not an isolated health issue. Across Canada, it is intertwined with mental health, HIV/AIDS, COVID-19 and structural violence—the chronic and systemic disadvantages affecting those living in poverty and oppressive circumstances. Opioid use is an often-avoidant coping strategy for many experiencing the effects of trauma, relentless fear, pain, ill health and social exclusion. In particular, Indigenous and non-Indigenous women’s experiences with opioid addiction are entangled with encounters with gender based-violence, poverty and chronic ailments within structurally imposed processes and stressors shaped by a history of colonialism, ruptured lifeways and Western ways of knowing and doing, leading to disproportionate harms and occurrences of illness. While biomedical models of comorbidity and mortality approach substance misuse, gender-based violence and major infectious diseases such as HIV/AIDS and COVID-19 as distinct yet compounding realities, this article argues that these conditions are synergistically interrelated via the critical/reflexive lens of syndemic frameworks. Through secondary research using academic, media and policy sources from the past decade in Canada, complemented by prior ethnographic research, the synergistic connections among opioid addiction, gender-based violence and the effects of the COVID pandemic on diverse women will be shown to be driven by socio-structural determinants of health including poverty, intergenerational trauma, the legacy of colonialism and Western optics. Together, they embody a contemporary Canadian syndemic necessitating coordinated responses.
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流行病的联系:吸毒过量死亡危机、性别暴力和 COVID-19
本文将利用综合症理论来识别和分析相互重叠的健康和社会状况,并特别关注基于性别的暴力如何与当代公共健康问题系统地相互关联。持续困扰加拿大人的吸毒过量致死危机并不是一个孤立的健康问题。在整个加拿大,它与精神健康、艾滋病毒/艾滋病、COVID-19 和结构性暴力--影响那些生活在贫困和压迫环境中的人的长期和系统性不利因素--交织在一起。对于许多遭受创伤、无尽恐惧、痛苦、健康不佳和社会排斥影响的人来说,使用阿片类药物往往是一种无法避免的应对策略。特别是,土著和非土著妇女的阿片类药物成瘾经历与基于性别的暴力、贫困和慢性疾病的遭遇纠缠在一起,这些都是由殖民主义历史、破裂的生活方式以及西方的认知和行为方式所形成的结构性强加过程和压力因素,导致了不成比例的伤害和疾病的发生。虽然生物医学模式将药物滥用、性别暴力和重大传染病(如艾滋病毒/艾滋病和 COVID-19)视为不同但又相互复合的现实问题,但本文认为,通过综合症框架的批判/反思视角,这些问题是相互关联的。通过使用加拿大过去十年的学术、媒体和政策资料进行二手研究,并辅以先前的人种学研究,本文将证明阿片类药物成瘾、性别暴力和 COVID 流行病对不同妇女的影响之间的协同联系是由健康的社会结构决定因素(包括贫困、代际创伤、殖民主义遗产和西方视角)驱动的。它们共同体现了当代加拿大的综合症,需要采取协调一致的应对措施。
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来源期刊
Societies
Societies SOCIOLOGY-
CiteScore
3.10
自引率
9.50%
发文量
150
审稿时长
11 weeks
期刊最新文献
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