Homes of substance: Drugs and the making of home/lessness for 2S/LGBTQ+ youth

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-09-18 DOI:10.1016/j.socscimed.2024.117352
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Abstract

Two-Spirit, lesbian, gay, bisexual, transgender, queer, and other sexual minority (2S/LGBTQ+) youth between the ages of 14 and 29 experience inequities in homelessness and substance use. Research in this area has explored substance use as a determinant of homelessness and/or as a coping mechanism, yet far less attention has been directed to the potentially generative role of drugs in this marginalizing context. This community-based photovoice study leverages data from 61 semi-structured interviews with 32 2S/LGBTQ+ youth experiencing homelessness and unstable housing to examine how drugs shape their practices and contexts of homemaking. Analysis followed a reflexive thematic approach and was informed theoretically by perspectives on home- and place-making, a momentum-stagnation analytical frame, and a narcofeminist ethics of care. This framing centred attention on the possibilities of what drugs can do for 2S/LGBTQ+ youth in terms of shaping selves, homes, and worlds while homeless. We inductively derived three themes: (i) chasing comforts, (ii) striking down stagnation, and (iii) producing precarity. 2S/LGBTQ+ youth consumed substances in chasing comforts including warmth, relief, and a sense of clarity and being more at ease within the context of homelessness and social and material inequity. Their substance use was also a means for striking down stagnation and engendering momentum as they worked to carve out better homes and futures for themselves. Youth frequently drew attention to the temporality and limits of these benefits, however, cautioning that drugs could also turn to producing new forms of precarity that limited what they expected and experienced as possible with respect to their homemaking projects. Findings highlight the generative potential of drugs in the making of home/lessness and provide critical direction for policy and service delivery, including for supports to further consider and attend to the social contexts, meanings, and effects of 2S/LGBTQ+ youths’ substance use in connection with homelessness.

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物质之家:毒品与 2S/LGBTQ+ 青年的家/无家可归问题
年龄在 14 岁至 29 岁之间的双灵青年、女同性恋、男同性恋、双性恋、变性人、同性恋者和其他性少数群体(2S/LGBTQ+)在无家可归和药物使用方面经历着不平等。该领域的研究已将药物使用作为无家可归的决定因素和/或应对机制进行了探讨,但对毒品在这一边缘化背景下可能产生的作用的关注却少得多。这项以社区为基础的摄影记录研究利用对 32 名无家可归和住房不稳定的 2S/LGBTQ+ 青年进行的 61 次半结构式访谈的数据,研究毒品如何影响他们的行为和家庭环境。分析采用了一种反思性主题方法,并从理论上借鉴了有关家园和场所营造的观点、动力-停滞分析框架以及非女性主义关怀伦理。这一框架将注意力集中在毒品对无家可归的 2S/LGBTQ+ 青年塑造自我、家园和世界的可能性上。我们归纳出三个主题:(i) 追逐舒适,(ii) 打击停滞,(iii) 制造不稳定。2S/LGBTQ+ 青年在无家可归以及社会和物质不平等的背景下,为了追逐舒适而消费药物,包括温暖、解脱、清晰感和自在感。在他们努力为自己创造更美好的家园和未来的过程中,使用药物也是一种消除停滞、激发动力的手段。然而,青年们经常提请注意这些好处的时间性和局限性,告诫毒品也可能产生新形式的不稳定性,从而限制了他们对自己的家园建设项目的预期和体验。研究结果凸显了毒品在营造家园/无家可归中的潜在作用,并为政策和服务提供提供了重要的方向,包括支持进一步考虑和关注 2S/LGBTQ+ 青少年在无家可归的情况下使用毒品的社会背景、意义和影响。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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