Abstract
Drug addiction is not merely a personal health issue, but a profound social problem affected by stigma, exclusion and system inequality. The paper is a sociological inquiry into the phenomena of marginalization and social exclusion faced by the drug users in Churachandpur, Manipur, drawing upon the theoretical frames of Social Exclusion theory, Labeling theory and Structural Inequality theory. Using qualitative method and supplementing the argument with case narratives and extant literature, the research explores how the frequent stereotyping of drug users as criminal, immoral, and HIV-carrying persons led them to be discriminated in the family, community, workplace, healthcare settings and rehabilitation services. Findings reveal that stigma affects the healthcare, employment and social support opportunities of drug addicts leading them into cycle of addiction, poverty and social exclusion. The historical stigma of intravenous drug use in connection with the HIV-AIDS epidemic has further aggravated public animosity towards the affected groups and created further social barriers in the process of reintegration of recovering addicts into the social milieu. Findings of the study point out the negative impact of the punitive institutional measures on the reintegration and rehabilitations of drug addicts, and argues that drug addiction needs to be perceived as a matter of public health and social justice rather than moral perversion. Policy and program implications are proposed, focusing on inclusionary practices, harm reduction, community-based rehabilitation, and awareness campaigns to combat stigma, address structural barriers and ensure seamless social reintegration of recovering drug addicts.
References
1. Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination, and the health of illicit drug users. Drug and Alcohol Dependence, 88(2–3), 188–196. https://doi.org/10.1016/j.drugalcdep.2006.10.014
2. Adams, Z. M., Ginapp, C. M., Price, C. R., Qin, Y., Madden, L. M., Yonkers, K. A., & Meyer, J. P. (2021). “A good mother”: Impact of motherhood identity on women's substance use and engage-ment in treatment across the lifespan. Journal of Substance Abuse Treatment, 130, 108474.
https://doi.org/10.1016/j.jsat.2021.108474
3. Alexander, M. (2010). The new Jim Crow: Mass incarceration in the age of colorblindness. The New Press.
4. Chakrapani, V., Newman, P. A., Shunmugam, M., & Dubrow, R. (2011). Social-structural contexts of needle and syringe sharing behaviours of HIV-positive injecting drug users in Manipur, India: A mixed methods investigation. Harm Reduction Journal, 8, 9. https://doi.org/10.1186/1477-7517-8-9
5. Corrigan, P. W., Kuwabara, S. A., & O’Shaughnessy, J. (2009). The public stigma of mental illness and drug addiction: Findings from a stratified random sample. Journal of Social Work, 9(2),139-147. https://doi.org/10.1177/1468017308101818
6. Don C. Des Jarlais, Samuel R. Friedman, & Thomas P. Ward. (1993). Harm reduction: A public health response to the AIDS epidemic among injecting drug users. Annual Review of Public Health, 14, 413–450.
https://doi.org/10.1146/anurev.pu.14.050193.002213
7. Goffman, E. (1963). Stigma: Notes on the manage-ment of spoiled identity. Prentice-Hall.
8. Heijdra Suasnabar, J. M., & Walters, B. H. (2020). Community-based psychosocial substance use disorder interventions in low- and middle-income countries: A narrative literature review. Interna-tional Journal of Mental Health Systems, 14, 74. https://doi.org/10.1186/s13033-020-00405-3
9. Human Rights Watch. (2016). Every 25 seconds: The human toll of criminalizing drug use in the United States. Human Rights Watch.
10. Lee, N., & Boeri, M. (2017). Managing stigma: Women drug users and recovery services. Fusio, 1(2),65–94.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6103317/
11. McLaughlin, K. A., Costello, E. J., Leblanc, W., Sampson, N. A., & Kessler, R. C. (2012). Socioeco-nomic status and adolescent mental disorders. American Journal of Public Health, 102(9),1742–1750. https://doi.org/10.2105/AJPH.2011.300477
12. Murthy, P. (2008). Women and drug use in India: Substance, women and high-risk assessment study. United Nations Office on Drugs and Crime; Minis-try of Social Justice and Empowerment; United Nations Development Fund for Women.
https://www.unodc.org/documents/southasia/reports/UNODC_Book_Women_and_Drug_Use_in_India_2008.pdf
13. National AIDS Control Organization. (2012). An-nual report 2011–12. Ministry of Health and Fami-ly Welfare, Government of India.
14. Chaturvedi, H. K., Phukan, R. K., & Mahanta, J. (2003). The Association of Selected Sociodemo-graphic Factors and Differences in Patterns of Sub-stance Use: A Pilot Study in Selected Areas of Northeast India. Substance Use & Misuse, 38(9), 1305–1322. https://doi.org/10.1081/JA-120018488
15. Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. The Lancet, 369(9569), 1302–1313.
https://doi.org/10.1016/S0140-6736(07)60368-7
16. Room, R. (2005). Stigma, social inequality and alcohol and drug use. Drug and Alcohol Review, 24(2), 143–155.
https://doi.org/10.1080/09595230500102434
17. Singer, M. (2008). Drugging the poor: Legal and illegal drugs and social inequality. Waveland Press.
18. United Nations Office on Drugs and Crime. (2018). International standards for the treatment of drug use disorders: Revised edition. https://www.unodc.org
19. World Health Organization. (2001). The world health report 2001: Mental health: New under-standing, new hope. World Health Organization.
https://iris.who.int/bitstream/handle/10665/42390/WHR_2001.pdf
20. World Health Organization. (2004). Neuroscience of psychoactive substance use and dependence. World Health Organization.

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