The Epidemic as Stigma: The Bioethics of Opioids

被引：44

作者：

Buchman, Daniel Z. ^{[1
,2
,3
,4
]}

Leece, Pamela ^{[5
,6
,7
]}

Orkin, Aaron ^{[8
,9
]}

机构：

[1] Univ Hlth Network, Toronto, ON, Canada

[2] Krembil Res Inst, Toronto, ON, Canada

[3] Joint Ctr Bioeth, Toronto, ON, Canada

[4] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[5] Publ Hlth Ontario, Toronto, ON, Canada

[6] Univ Toronto, Dalla Lana Sch Publ Hlth, Dept Family & Community Med, Toronto, ON, Canada

[7] Womens Coll Hosp, Subst Use Serv, Toronto, ON, Canada

[8] Mt Sinai Hosp, Schwartz Reisman Emergency Med Inst, Toronto, ON, Canada

[9] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

来源：

JOURNAL OF LAW MEDICINE & ETHICS | 2017年 / 45卷 / 04期

关键词：

SUBSTANCE USE DISORDERS; PUBLIC-HEALTH; UNITED-STATES; CHRONIC PAIN; NALOXONE DISTRIBUTION; NONMALIGNANT PAIN; POPULATION HEALTH; OVERDOSE DEATHS; ADDICTION; DRUG;

D O I：

10.1177/1073110517750600

中图分类号：

B82 [伦理学（道德学）];

学科分类号：

摘要：

In this paper, we claim that we can only seek to eradicate the stigma associated with the contemporary opioid overdose epidemic when we understand how opioid stigma and the epidemic have co-evolved. Rather than conceptualizing stigma as a parallel social process alongside the epidemiologically and physiologically defined harms of the epidemic, we argue that the stigmatized history of opioids and their use defines the epidemic. We conclude by offering recommendations for disrupting the burden of opioid stigma.

引用

页码：607 / 620

页数：14

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