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Strong Control and Weak Service: Enforcing Drug Treatment in China 强管制与弱服务:中国的戒毒执法
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-02-02 DOI: 10.1177/00220426241231710
Jize Jiang, Apei Song
The proliferation of drug treatment services, crafted under harm reduction and evidence-based principles, is touted as a benevolent approach for drug offenders, foregrounding their rehabilitation and reintegration into the community, and embodying the ideal of penal welfare. Despite extant studies on the functional effectiveness on recidivism among drug offenders, little research has situated the operational significance of drug treatment programs within a broader project of the Chinese state’s efforts to govern a rapidly modernizing society. To bridge this gap, this study examines the implementation of drug treatment in the Chinese justice system by unravelling the processes and logics that assemble strong control and weak service in practice. The analysis suggests that Chinese drug treatment programs both reflect and reinforce the state-centric logic of the Chinese approach to social governance, functioning to enhance the state’s legitimacy and strengthen its capacity for social control. We contend that when state interests and political ideologies are prioritized over drug offenders’ recovery, concerns and needs of drug offenders are downplayed and the rehabilitative effectiveness of those programs is diminished. Future research and policy implications for ameliorating drug treatment programs are also addressed.
在减低伤害和循证原则的指导下,戒毒治疗服务不断涌现,被吹捧为对毒品犯罪者的一种善举,强调他们的康复和重新融入社会,体现了刑罚福利的理想。尽管目前已有关于戒毒项目对毒品犯罪者再犯的功能效果的研究,但很少有研究将戒毒项目的操作意义置于中国政府努力治理快速现代化社会的更广泛项目中。为了弥补这一空白,本研究通过揭示强控制与弱服务在实践中的组合过程与逻辑,考察了戒毒治疗在中国司法系统中的实施情况。分析表明,中国的戒毒项目反映并强化了中国社会治理方式中以国家为中心的逻辑,其功能在于提高国家的合法性并加强其社会控制能力。我们认为,当国家利益和政治意识形态优先于毒品犯罪者的康复时,毒品犯罪者的关切和需求就会被淡化,这些项目的康复效果也会被削弱。我们还探讨了未来研究和政策对改善戒毒计划的影响。
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引用次数: 0
A Feasibility and Acceptability Study Using Ecological Momentary Assessment to Evaluate Drug Use Patterns Among Midwestern People Who Use Drugs 利用生态瞬间评估来评价中西部吸毒者吸毒模式的可行性和可接受性研究
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-02-02 DOI: 10.1177/00220426241231723
Kimberly A. Tyler, Anika R. Eisenbraun, P. Habecker, Bilal Khan
We use a unique platform called the Open Dynamic Interaction Network (ODIN) app, to collect fine grained, daily data from participants. Our results graphically depict the feasibility of using the ODIN app with people who use drugs (PWUD) in the Great Plains. During fall 2022-spring 2023, 100 participants (53% female), using an Android smartphone with the ODIN app installed, were asked up to 22 questions per day on substance use, stress, and social support over 30 days. The mean overall daily response rates to the ecological momentary assessment questions using the ODIN app was 82%. Overall, 82% of participants reported that the ODIN app was “somewhat” or “very easy” to use. Our graphical depictions highlight, for example, that response rates do not typically drop off until the third block of questions. These findings have methodological significance for those who work with PWUD and other hard to reach populations.
我们使用一个名为 "开放式动态互动网络"(ODIN)应用程序的独特平台,从参与者那里收集精细的日常数据。我们的研究结果以图表的形式描述了在大平原地区吸毒者(PWUD)中使用 ODIN 应用程序的可行性。2022 年秋季至 2023 年春季期间,100 名参与者(53% 为女性)使用安装了 ODIN 应用程序的安卓智能手机,在 30 天内每天被问及多达 22 个关于药物使用、压力和社会支持的问题。使用 ODIN 应用程序对生态即时评估问题的平均每日回复率为 82%。总体而言,82% 的参与者表示 ODIN 应用程序 "比较 "或 "非常 "容易使用。例如,我们的图表显示,回答率在第三组问题之前通常不会下降。这些发现对于那些与残疾人和其他难以接触的人群打交道的人来说具有重要的方法论意义。
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引用次数: 0
Strong Control and Weak Service: Enforcing Drug Treatment in China 强管制与弱服务:中国的戒毒执法
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-02-02 DOI: 10.1177/00220426241231710
Jize Jiang, Apei Song
The proliferation of drug treatment services, crafted under harm reduction and evidence-based principles, is touted as a benevolent approach for drug offenders, foregrounding their rehabilitation and reintegration into the community, and embodying the ideal of penal welfare. Despite extant studies on the functional effectiveness on recidivism among drug offenders, little research has situated the operational significance of drug treatment programs within a broader project of the Chinese state’s efforts to govern a rapidly modernizing society. To bridge this gap, this study examines the implementation of drug treatment in the Chinese justice system by unravelling the processes and logics that assemble strong control and weak service in practice. The analysis suggests that Chinese drug treatment programs both reflect and reinforce the state-centric logic of the Chinese approach to social governance, functioning to enhance the state’s legitimacy and strengthen its capacity for social control. We contend that when state interests and political ideologies are prioritized over drug offenders’ recovery, concerns and needs of drug offenders are downplayed and the rehabilitative effectiveness of those programs is diminished. Future research and policy implications for ameliorating drug treatment programs are also addressed.
在减低伤害和循证原则的指导下,戒毒治疗服务如雨后春笋般涌现,这些服务被吹捧为对毒品犯罪者的仁慈之举,强调他们的康复和重新融入社会,体现了刑罚福利的理想。尽管目前已有关于戒毒项目对毒品犯罪者再犯的功能效果的研究,但很少有研究将戒毒项目的运作意义置于中国国家治理快速现代化社会的更广泛项目中。为了弥补这一空白,本研究通过揭示实践中强控制和弱服务的组合过程和逻辑,考察了戒毒治疗在中国司法系统中的实施情况。分析表明,中国的戒毒项目反映并强化了中国社会治理方式中以国家为中心的逻辑,其功能在于提高国家的合法性并加强其社会控制能力。我们认为,当国家利益和政治意识形态优先于毒品犯罪者的康复时,毒品犯罪者的关切和需求就会被淡化,这些项目的康复效果也会被削弱。我们还探讨了未来研究和政策对改善戒毒计划的影响。
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引用次数: 0
Context of Substance Use: Harm Reduction and Safer Supply 物质使用的背景:减少危害和更安全的供应
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-01-31 DOI: 10.1177/00220426241231499
Marlene Haines, Patrick O’Byrne
Canada continues to be in the midst of an ongoing unregulated drug poisoning crisis, with over 40,000 opioid-related deaths since 2016. To develop a better understanding of the context of drug use, we interviewed safer supply program participants in Ottawa, Canada. Data collection included semi-structured interviews which were analyzed thematically. Overall, 2 major themes arose, which included 1) the historical and ongoing effects of trauma, and 2) a cycle of drug use that overwhelmed them. From this, a framework was created which depicts the context of substance use. Our research reinforced the importance of considering the historical and ongoing effects of trauma on the lives of people who use drugs when developing harm reduction and substance use programs. Further, participants found safer supply programs to be useful in disrupting a cycle of drug use they felt trapped in and allowed them a sense of autonomy regarding their drug use.
加拿大仍处于持续的无管制药物中毒危机之中,自 2016 年以来,与阿片类药物相关的死亡人数已超过 40,000 人。为了更好地了解毒品使用的背景,我们在加拿大渥太华采访了更安全供应计划的参与者。数据收集包括半结构化访谈,并对访谈内容进行了专题分析。总体而言,产生了两大主题,其中包括:1)历史和持续的创伤影响;2)使他们不堪重负的吸毒循环。由此,我们建立了一个描述药物使用背景的框架。我们的研究强调了在制定减少危害和药物使用计划时,考虑历史创伤和持续创伤对吸毒者生活影响的重要性。此外,参与者还发现,更安全的供应计划有助于打破他们深陷其中的吸毒循环,让他们对自己的吸毒行为有一种自主感。
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引用次数: 0
Pilot Testing an Asynchronous Online Harm Reduction and Pharmacotherapy Stigma Reduction Training for Substance Use Treatment Professionals 针对药物使用治疗专业人员的异步在线减低伤害和药物治疗污名化培训试点测试
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-01-05 DOI: 10.1177/00220426231226223
Sandra H. Sulzer, Suzanne Prevedel, T. Barrett, Margo Mekjian, Mindy Vincent, Felicia Frabis, Cris Meier, Claire Warnick Shiverdecker, Maren Wright Voss, Paula J. Cook, Erin Fanning Madden
Harm reduction and pharmacotherapy approaches to addressing substance use disorder are evidence-based practices for reducing adverse health outcomes. However, professional stigma toward these approaches impedes implementation. In this pilot study, professionals working in substance use treatment services received a 4-hour asynchronous online harm reduction and pharmacotherapy training. Pre- and post-training surveys used Likert-scale questions to assess attitudes and planned actions. Four of the 23 survey items demonstrated a significant change in pre- to post-attitudes and planned actions relating to harm reduction or pharmacotherapy. These items included less attitudinal stigma towards: methadone and buprenorphine ( p = .021), overdose prevention sites/“drug consumption facilities” ( p = .025), and naloxone distribution ( p = .017), as well as lower intent to primarily promote abstinence-based interventions ( p = .007). This study demonstrated that online asynchronous educational interventions show promise for reducing stigmatizing attitudes towards evidence-based practices among substance use treatment professionals.
减少危害和药物疗法是解决药物使用障碍的循证方法,可减少不良健康后果。然而,专业人士对这些方法的成见阻碍了这些方法的实施。在这项试点研究中,从事药物使用治疗服务的专业人员接受了 4 小时的异步在线减低伤害和药物治疗培训。培训前后的调查使用李克特量表问题来评估态度和计划采取的行动。在 23 个调查项目中,有 4 个项目表明,培训前与培训后在减低伤害或药物治疗方面的态度和计划行动发生了显著变化。这些项目包括对美沙酮和丁丙诺啡(p = .021)、预防用药过量场所/"药物消费设施"(p = .025)和纳洛酮分发(p = .017)的态度成见减少,以及主要推广基于禁欲的干预措施的意愿降低(p = .007)。这项研究表明,在线异步教育干预有望减少药物使用治疗专业人员对循证实践的轻蔑态度。
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引用次数: 0
Who is in, for How Long and What for. Exploring the Social Dimension of Cannabis Social Clubs in Barcelona, 2017-2020 谁参加、参加多久、为了什么?探索 2017-2020 年巴塞罗那大麻社交俱乐部的社会维度
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-01-04 DOI: 10.1177/00220426231226222
Anna Obradors-Pineda, José Carlos Bouso, Joan Colom, Jakob Manthey
Analyzing the activity data of 2007 Cannabis Social Clubs (CSCs) members in Barcelona between 2017 and 2020 we describe the demographics, the amounts of cannabis collected (.46 g/day amongst men; .37 for woman) and the relationships established with the CSCs: frequency of procurement (every 15.4 days for woman; 11.6 days for men); and membership length (mean 657.3 days). An 80% of members were men (mean 36.1 years old). Women, older adults, and those registered as medical users had generally longer memberships than the average despite the frequencies and the amounts procured by them tended to be lower compared to young recreational male members. The daily amount used rose from an estimated general average of .44 g, to an estimated 1.41–4.76 g collected by a 5% of CSC members. Beyond providing small amounts of cannabis, CSCs are mainly used as socializing spaces for people who use cannabis.
通过分析巴塞罗那 2007 名大麻社交俱乐部(CSCs)成员在 2017 年至 2020 年期间的活动数据,我们描述了他们的人口统计学特征、大麻收集量(男性为 0.46 克/天;女性为 0.37 克/天)以及与 CSCs 建立的关系:购买频率(女性为每 15.4 天一次;男性为每 11.6 天一次);以及成员资格时间(平均 657.3 天)。80% 的会员为男性(平均 36.1 岁)。女性、老年人和登记为医疗用户的会员的会员资格时间普遍长于平均水平,尽管与年轻的娱乐男性会员相比,他们的频率和购买量往往较低。每日使用量从估计的一般平均 0.44 克上升到 5%的社区服务中心成员估计收集的 1.41-4.76 克。除了提供少量大麻外,社区服务中心主要被用作吸食大麻者的社交场所。
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引用次数: 0
Daily Cannabis Use: Do Impulsivity and Sensation Seeking Predict Negative Cannabis Related Consequences? 日常使用大麻:冲动和寻求感觉是否能预测与大麻相关的负面后果?
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-01-04 DOI: 10.1177/00220426231226221
Jamie E. Parnes, Alexander J. Tyskiewicz, Mark A. Prince, Bradley T. Conner
Cannabis use can result in negative cannabis-related consequences (NCRC), particularly among individuals high in impulsivity and sensation seeking. Continued research is necessary to determine if these associations generalize to community adults with daily legal cannabis use. We hypothesized that impulsivity and sensation seeking would positively predict NCRC. Community adults ( N = 51) participated in a study measuring personality, cannabis use, and related outcomes, as part of a larger study. Two multiple regression models predicting NCRC were conducted: one for impulsivity facets and one for sensation seeking facets. Positive urgency was significantly negatively associated with NCRC. Risk seeking was significantly positively associated with NCRC. All other personality facets were not significantly associated with NCRC. Associations between some personality facets and NCRC may differ among adults with daily legal cannabis use. Future research should continue to explore unique personality associations related to NCRC among individuals with daily use.
吸食大麻会导致与大麻有关的负面后果(NCRC),特别是在冲动性和寻求感觉性较高的人群中。有必要继续开展研究,以确定这些关联是否适用于每天合法吸食大麻的社区成年人。我们的假设是,冲动和寻求感觉会对 NCRC 产生积极的预测作用。作为一项大型研究的一部分,社区成年人(N = 51)参加了一项测量人格、大麻使用情况和相关结果的研究。该研究建立了两个预测 NCRC 的多元回归模型:一个是冲动方面的模型,另一个是寻求感觉方面的模型。积极紧迫感与 NCRC 呈显著负相关。寻求风险与 NCRC 呈显著正相关。所有其他性格特征与 NCRC 的关系都不明显。在每天合法吸食大麻的成年人中,某些性格特征与 NCRC 之间的关系可能有所不同。未来的研究应继续探索日常使用大麻的个人中与 NCRC 相关的独特人格关联。
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引用次数: 0
Screening Incarcerated Women for Opioid Use Disorder. 筛查被监禁妇女阿片类药物使用障碍
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-01-01 Epub Date: 2023-01-09 DOI: 10.1177/00220426231151595
Michele Staton, Martha Tillson, Mary M Levi, Matthew Webster, Carrie Oser, Carl Leukefeld

The overall aim of the present study is to examine the utility of the DSM OUD Checklist and the NM-ASSIST screening tools to identify symptoms consistent with OUD among incarcerated women in county jails. This study contributes to the existing literature because research on screening and assessment approaches for incarcerated women has been limited. The focus of the current study is to describe the screening procedures and study recruitment for a larger parent study focused on increasing treatment linkages. Study findings indicate a positive correlation between indicators of OUD using the two screening tools, as well as a high degree of correlation between street opioid misuse and other high-risk drug indicators (overdose and injection practices). These findings underscore the importance of outreach, screening, and intervention in real-world settings, including jails, in order to increase access to OUD treatment among this vulnerable sample of women.

本研究的总体目的是检验DSM OUD检查表和NM-ASSIST筛查工具在县监狱中被监禁妇女中识别与OUD一致症状的效用。这项研究有助于现有文献,因为对被监禁妇女的筛查和评估方法的研究有限。本研究的重点是描述一项更大规模的父母研究的筛查程序和研究招募,重点是增加治疗联系。研究结果表明,使用这两种筛查工具的OUD指标之间存在正相关性,街头阿片类药物滥用与其他高风险药物指标(过量用药和注射实践)之间也存在高度相关性。这些发现强调了在包括监狱在内的现实环境中进行外联、筛查和干预的重要性,以增加这一弱势女性样本获得OUD治疗的机会。
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引用次数: 3
Drug Legalization and Decriminalization Beliefs Among Individuals with and without a History of Substance Use 有吸毒史和无吸毒史者的毒品合法化和非刑罪化信念
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-11-20 DOI: 10.1177/00220426231216086
Brandon Park, Alexis S. Hammond, Kelly E. Dunn, Eric C. Strain, Cecilia L. Bergeria
Drug legalization and decriminalization policy has changed in recent years. This study examined attitudes regarding drug legalization and decriminalization among persons who use substances, a perspective that can provide a unique view on legalization/decriminalization. A nationwide sample of 515 adults with and without substance use were surveyed online to assess opinions on drug legalization and decriminalization. Legalization/decriminalization beliefs were rated on an 11-point scale (0, “strongly disagree”; 10, “strongly agree”) and compared across demographic and drug use characteristics. Among persons with lived experiences in substance use, direct use of certain substances such as opioids or stimulants appears to be associated with low levels of support for legalization and modest support for decriminalization. Individuals with cannabis use largely supported cannabis legalization and decriminalization. Reasons behind ratings by persons with opioid and cocaine use should be further evaluated. Evolving social acceptance of illicit drug use may shift attitudes over time.
近年来,毒品合法化和非刑罪化政策发生了变化。本研究考察了毒品使用者对毒品合法化和非刑罪化的态度,这一视角可以为毒品合法化/非刑罪化提供独特的视角。我们在全国范围内抽样调查了 515 名使用或不使用毒品的成年人,以评估他们对毒品合法化和非刑罪化的看法。对毒品合法化/非刑罪化的看法进行了 11 级评分(0 分代表 "非常不同意";10 分代表 "非常同意"),并对不同的人口统计学特征和毒品使用特征进行了比较。在有药物使用生活经历的人中,直接使用某些药物(如阿片类或兴奋剂)似乎与对合法化的低度支持和对非刑罪化的适度支持有关。使用大麻的人基本上支持大麻合法化和非刑罪化。应进一步评估使用类阿片和可卡因的人作出评价的原因。随着时间的推移,社会对非法药物使用的接受程度可能会改变人们的态度。
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引用次数: 0
Why Do University Students Smoke Tobacco? French Validity of Brief Wisconsin Inventory of Smoking Dependence Motives Among (non-) Daily Smokers and Associations With Psychological Variables 大学生为什么吸烟?威斯康星吸烟依赖动机简明量表在(非)日常吸烟者中的法式有效性及其与心理变量的关联
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-11-16 DOI: 10.1177/00220426231214461
Maxime Mauduy, Nicolas Mauny, Hélène Beaunieux, J. Mange
This study investigates the validity of the Brief Wisconsin Inventory of Smoking Dependence Motives (B-WISDM) among French daily and non-daily university student smokers. Measurement models, measurement invariances, and concurrent and convergent validity with psychosocial and psychopathological variables were tested. Results (1) confirmed the B-WISDM dimensionality in 11 first-order intercorrelated factors; (2) showed its measurement invariance for the types of smokers; (3) showed that tobacco dependence is only and positively predicted by primary dependence motives, which confirm that they are core components of tobacco dependence; and (4) highlighted specific associations between smoking motives and psychological variables, such as smoking identity and perceived behavioral control with some primary dependence motives, social goads with social norms, and weight control with eating disorders. Thus, external validity of the B-WISDM is extended to non-daily smokers. Specific associations of B-WISDM with smoking-related psychological potentially make it a very useful diagnostic tool to support smokers toward quitting.
本研究调查了威斯康星州吸烟依赖动机简明量表(B-WISDM)在法国日常和非日常大学生吸烟者中的有效性。对测量模型、测量不变量以及与社会心理和精神病理学变量的并发和收敛效度进行了测试。结果(1)证实了B-WISDM的11个一阶相互关联因子的维度性;(2)显示了其对吸烟者类型的测量不变性;(3)显示烟草依赖仅由初级依赖动机正向预测,这证实了初级依赖动机是烟草依赖的核心组成部分;(4)强调了吸烟动机与心理变量之间的特定关联,如吸烟认同和感知行为控制与某些初级依赖动机、社会诱因与社会规范、体重控制与饮食失调。因此,B-WISDM 的外部有效性已扩展到非日常吸烟者。B-WISDM与吸烟相关心理的特定关联可能使其成为一个非常有用的诊断工具,帮助吸烟者戒烟。
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引用次数: 0
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Journal of Drug Issues
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