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The Everyday Violence of Hepatitis C Among Young Women Who Inject Drugs in San Francisco

机译：旧金山注射毒品的年轻女性中丙型肝炎的日常暴力行为

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摘要

A theoretical understanding of the gendered contours of structural, everyday and symbolic violence suggests that young addicted women are particularly vulnerable to the infectious diseases caused by injection drug use—especially hepatitis C. Participant-observation fieldwork among heroin and speed addicts in San Francisco’s Haight Ashbury neighborhood reveals that extreme levels of violence against women are normalized in the common sense of street-youth drug culture. Physical, sexual and emotional violence, as well as the pragmatics of income generation, including drug and resource sharing in the moral economy of street addicts, oblige most young homeless women to enter into relationships with older men. These relationships are usually abusive and economically parasitical to the women. Sexual objectification and a patriarchal romantic discourse of love and moral worth leads to the misrecognition of gender power inequities by both the men and women who are embroiled in them, as well as by many of the public services and research projects designed to help or control substance abusers. Despite deep epistemological, theoretical and logistical gulfs between quantitative and qualitative methods, applied public health research and the interventions they inform can benefit from the insights provided by a theoretical and cross-methodological focus on how social power contexts shape the spread of infectious disease and promote disproportional levels of social suffering in vulnerable populations.
机译：对结构性，日常暴力和象征性暴力的性别轮廓的理论理解表明，成瘾的年轻女性特别容易受到注射吸毒引起的传染病的侵害，尤其是丙型肝炎。旧金山海特·阿什伯里的海洛因和速成瘾者的参与观察实地调查邻里关系表明，在街头青年毒品文化的常识中，对妇女的极端暴力行为已经正常化。身体，性和情感上的暴力，以及务实的收入来源，包括街头成瘾者道德经济中的毒品和资源共享，迫使大多数年轻的无家可归妇女与老年男人建立关系。这些关系通常是辱骂妇女的，在经济上是寄生的。性的客体化和重男轻女的爱与道德价值浪漫主义话语，导致被卷入其中的男人和女人以及许多旨在帮助或控制物质的公共服务和研究项目误认性别权力不平等。滥用者。尽管定量和定性方法之间存在深刻的认识论，理论和后勤鸿沟，但应用公共卫生研究及其所提供的干预措施仍可从理论和跨方法论重点对社会力量背景如何影响传染病蔓延和促进传播的见解中受益。弱势群体的社会苦难比例过高。

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