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Mid-level Illicit Drug Supply in a Small English City: Sellers’ Perspectives and Experiences 英国一个小城市的中级毒品供应:卖主的视角与经验
4区 社会学 Q2 Social Sciences Pub Date : 2023-11-04 DOI: 10.1177/00220426231212887
Benjamin Pelling, Luke Anthony Turnock
This article examines the experiences of eight mid-level drug suppliers operating in a small English city, through use of qualitative interviews. Building on the literature relating to social supply and drift into ‘real dealing’, we explore whether the mid-market for non-‘street’ drugs in this locale follows a continuation of these norms, or whether features that are prominent in recent explorations of UK drug distribution relating to increasingly aggressive marketing, and organised criminal gangs moving into markets in provincial towns, are present in the city’s market. Analysis encompasses suppliers’ experiences of ‘drift’ into commercial supply, pull factors for market involvement, approaches to marketing and customer service, ethical concerns in supply, and finally perceptions of market violence. We observe that the market, while retaining many features of social supply, nonetheless shows evidence of issues relating to emergent norms of altered distribution, notably market violence linked to establishing ‘lines’ in new locales.
本文通过定性访谈的方法,考察了在英国一个小城市经营的八家中级药品供应商的经验。基于与社会供应和“真实交易”相关的文献,我们探讨了该地区非“街头”毒品的中端市场是否遵循这些规范的延续,或者最近在英国毒品分销方面的探索中突出的特征是否与日益激进的营销有关,以及有组织的犯罪团伙进入省级城镇的市场,在城市市场中存在。分析包括供应商“漂移”到商业供应的经验,市场参与的拉动因素,营销和客户服务的方法,供应中的道德问题,以及最后对市场暴力的看法。我们观察到,市场虽然保留了社会供应的许多特征,但仍然显示出与改变分配的新兴规范有关的问题,特别是与在新地区建立“线路”有关的市场暴力。
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引用次数: 0
Police Knowledge, Attitudes, and Beliefs About Opioid Addiction Treatment and Harm Reduction: A Survey of Illinois Officers 警察对阿片类药物成瘾治疗和减少危害的知识、态度和信念:对伊利诺伊州官员的调查
4区 社会学 Q2 Social Sciences Pub Date : 2023-11-03 DOI: 10.1177/00220426231212567
Jessica Reichert, Kaitlin F. Martins, Bruce Taylor, Brandon del Pozo
Police officers encounter individuals with opioid use disorder (OUD) during their routine work and are often called to the scene of overdoses. Despite this frequency, officer knowledge and attitudes about addiction, treatment, and harm reduction vary. Views held by officers, and the extent of their knowledge, can impact the decisions they make regarding people with OUD, yet our understanding of these factors is limited. Using stratified random sampling, we surveyed 248 officers from 27 Illinois police departments on their knowledge of addiction and the means to address it. We performed descriptive and regression analyses to examine differences based on officer characteristics. We found a high proportion of officers lacked knowledge of addiction, treatment, and harm reduction. Our findings suggest the need for police training to improve understanding of addiction. Community collaboration and coordination of resources may give officers the tools to better address OUD, reduce harm, and decrease overdose.
警察在日常工作中遇到有阿片类药物使用障碍(OUD)的人,经常被叫到过量用药的现场。尽管这种频率,官员的知识和态度成瘾,治疗和减少伤害各不相同。官员的观点和他们的知识程度会影响他们对OUD患者做出的决定,但我们对这些因素的了解有限。通过分层随机抽样,我们调查了来自伊利诺伊州27个警察局的248名警官,了解他们对成瘾的了解以及解决成瘾的方法。我们进行了描述性和回归分析,以检查基于军官特征的差异。我们发现,很大比例的官员缺乏成瘾、治疗和减少伤害的知识。我们的研究结果表明,需要对警察进行培训,以提高对成瘾的理解。社区合作和资源协调可以为警察提供更好地解决吸毒问题、减少伤害和减少吸毒过量的工具。
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引用次数: 0
Reviewing the Impact of the Opioid Overdose Epidemic on the Mental Wellbeing of First Responders 回顾阿片类药物过量流行对急救人员心理健康的影响
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-20 DOI: 10.1177/00220426231208109
Kellie O’Dare, Leah Atwell
The opioid overdose epidemic is a growing concern for first responders on the front lines. Yet, limited knowledge exists regarding the psychological impacts from repeated exposure to overdose events. Using a scoping review approach, authors searched scholarly databases for a combination of related keywords including first responders, mental health, and opioid epidemic. Twenty-three (23) peer reviewed articles met criteria for inclusion. Six (6) additional non-refereed reports were also included. Frequently cited concerns included increased/unmanageable workloads, burnout, compassion fatigue, safety, negative attitudes/cynicism, cumulative/repeated exposures, and frustration with lack of resources. Several resources described proactive measures to mitigate the consequences. One such measure is a Behavioral Health Access Program (BHAP), a comprehensive, specialized program designed to address the mental health needs of first responders. Opioid settlement funding should be utilized to support the development of BHAPs in all first responder organizations to mitigate the negative mental health impacts inflicted by the epidemic.
阿片类药物过量流行是一线急救人员日益关注的问题。然而,关于反复暴露于过量事件的心理影响的知识有限。使用范围审查方法,作者在学术数据库中搜索相关关键词的组合,包括急救人员、心理健康和阿片类药物流行。23篇同行评议文章符合纳入标准。另外六(6)份未经评审的报告也被包括在内。经常被提到的担忧包括工作量增加/无法管理、精疲力竭、同情疲劳、安全、消极态度/玩世不恭、累积/重复暴露,以及对缺乏资源的沮丧。一些资源描述了减轻后果的主动措施。其中一项措施是行为健康获取计划(BHAP),这是一个全面的、专门的计划,旨在解决第一响应者的心理健康需求。应利用阿片类药物解决方案资金,支持在所有第一反应组织中发展bhap,以减轻这一流行病对心理健康造成的负面影响。
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引用次数: 0
Perceived Risk of Weekly Marijuana Use Among Students Participating in the National Survey on Drug Use and Health 参加全国药物使用和健康调查的学生每周使用大麻的感知风险
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-18 DOI: 10.1177/00220426231207779
Michael S. Dunn, Madison A. Klump
This study sought to assess the relationship of risk perception of weekly marijuana use and the influence of parental, peer, and school factors as predictors among U.S. adolescents. Data for this study was derived from the 2020 National Survey on Drug Use and Health. Students who reported strong parental involvement/support, peer disapproval of marijuana use, low perception of peer use, and enjoyed school were more likely to report that using marijuana weekly was a risk behavior. Students who reported no lifetime alcohol or illicit drug use were more likely to view weekly marijuana use as a risk behavior. Differences were also observed for sex of respondent. This study further adds evidence of the influence of parental, peer, and school factors as effective strategies to control adolescent marijuana use. There is a need for multidimensional programs that target adolescents’ perceptions of risk of marijuana use, as well as targeting significant others.
本研究旨在评估美国青少年每周使用大麻的风险感知与父母、同伴和学校因素作为预测因素的影响之间的关系。这项研究的数据来自2020年全国药物使用和健康调查。那些报告强烈的父母参与/支持、同伴不赞成使用大麻、对同伴使用大麻的认知较低、享受学校生活的学生更有可能报告每周使用大麻是一种危险行为。报告称从未饮酒或使用非法药物的学生更有可能将每周吸食大麻视为一种危险行为。调查对象的性别也存在差异。这项研究进一步证明了父母、同伴和学校因素作为控制青少年大麻使用的有效策略的影响。有必要开展多维度的项目,针对青少年对大麻使用风险的认知,以及针对重要的其他人。
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引用次数: 0
Trends and Barriers of Medication Treatment for Opioid Use Disorders: A Systematic Review and Meta-Analysis 阿片类药物使用障碍药物治疗的趋势和障碍:系统回顾和荟萃分析
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-11 DOI: 10.1177/00220426231204841
Morica Hutchison, Beth S. Russell, Abigail Leander, Nathaniel Rickles, Derek Aguiar, Xiaomei S. Cong, Ofer Harel, Adrian V. Hernandez
Adherence to and retention in Medication Treatment for Opioid Use Disorders (MOUD) persist. We systematically reviewed trends of USA MOUD adherence, retention, and barriers from 2011–2021. Primary outcomes were adherence to and retention in MOUD, abstinence, adverse events, and treatment barriers. Effects of inverse variance random meta-analyses were examined using proportions and 95% CIs. 28 studies (102,318 patients), 78.1% male. Adherence was 56% across all studies, highest for methadone (73%). Retention by study design was heterogeneous: case series (57%), cohorts (47%), and RCTs (70%). The most common barriers were younger age, comorbid diagnoses, daily attendance, no insurance, and transportation. Abstinence was 72%, and adverse events was 5%. There was high heterogeneity in MOUD across drug types and study designs. Our findings extend the knowledge base of MOUD treatment to describe barriers that underpin the focus on retention in care above adherence given its focus to harm reduction principles.
阿片类药物使用障碍(mod)药物治疗的依从性和保留性持续存在。我们系统地回顾了2011-2021年美国mod依从性、保留率和障碍的趋势。主要结局是mod的坚持和保留、戒断、不良事件和治疗障碍。使用比例和95% ci检验反方差随机荟萃分析的效果。28项研究(102318例患者),78.1%为男性。所有研究的依从性为56%,美沙酮最高(73%)。研究设计的保留是异质的:病例系列(57%)、队列(47%)和随机对照试验(70%)。最常见的障碍是年龄较小、合并症诊断、每日就诊、无保险和交通。禁欲率为72%,不良事件发生率为5%。在不同的药物类型和研究设计中,mod具有高度的异质性。我们的研究结果扩展了mod治疗的知识基础,描述了基于减少伤害原则的坚持治疗而不是依从性的障碍。
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引用次数: 1
Entry Mechanisms into the Belgian Synthetic Drugs Market 进入比利时合成药物市场的机制
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-10 DOI: 10.1177/00220426231205523
Sophia De Seranno, Charlotte Colman
Organised crime groups prefer existing ties, such as family and friendship, to maximise trust. However, they might also win from a certain degree of heterogeneity. External individuals might add value in the form of skills, expertise or money. Accordingly, including suitable co-offenders is an important activity for the organised crime group. This article studies the entry mechanisms of individuals into the synthetic drugs market in Belgium, namely by gaining insight into the factors and mechanisms introducing people into this market. Interviews with 29 inmates detained for their involvement in the production and/or trafficking of synthetic drugs in Belgium revealed that: (1) poly drug supply markets exist in Belgium; (2) financial reasons to enter the market are common; and (3) there are six different entry mechanisms, in which trust is crucial, namely criminal family ties, criminal friends, drug use, earlier time in prison, outlaw motorcycle gang membership, and criminal professional ties.
有组织犯罪集团更喜欢现有的关系,如家庭和友谊,以最大化信任。然而,他们也可能从一定程度的异质性中获胜。外部个人可能会以技能、专业知识或金钱的形式增加价值。因此,纳入合适的共犯是有组织犯罪集团的一项重要活动。本文研究个人进入比利时合成药物市场的进入机制,即通过洞察人们进入这个市场的因素和机制。对29名在比利时因参与生产和/或贩运合成毒品而被拘留的囚犯的访谈显示:(1)比利时存在多种毒品供应市场;(2)进入市场的财务原因比较普遍;(3)有六种不同的进入机制,其中信任是至关重要的,即犯罪家庭关系、犯罪朋友、吸毒、较早入狱时间、非法摩托车团伙成员和犯罪职业关系。
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引用次数: 0
Factors Influencing Attitudes Towards Safer Supply Programs for People Who Use Drugs: Findings From an Atlantic Canadian Province 影响对吸毒者安全供应计划态度的因素:来自加拿大大西洋省的调查结果
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-05 DOI: 10.1177/00220426231205520
Adrienne N. Thornton, Amy L. MacQuarrie, Caroline Brunelle
Safer supply programs (SSPs) are harm reduction services where people who use drugs can access regulated pharmaceutical drugs (e.g., hydromorphone). Public attitudes, and factors that influence attitudes towards SSPs must be considered as they impact policy and funding decisions. A total of 384 participants were recruited from the community ( n = 160, 41.7%) and an Atlantic Canadian University ( n = 224, 58.3%) to complete an online survey. The majority of the sample was supportive of SSPs ( n = 316, 82.3%). Being of European origin, a younger age, identifying as female, displaying higher levels of Openness to Experience, and reporting less stigma towards people who use drugs were predictive of more positive attitudes towards SSPs. Openness to Experience mediated the relationship between stigma levels and attitudes towards SSPs. The findings of the current study suggest that when developing public awareness campaigns, considering the impact of demographic and psychological factors is important.
安全供应规划(ssp)是减少危害的服务,使吸毒者能够获得受管制的药品(例如氢吗啡酮)。公众的态度以及影响对可持续发展战略计划态度的因素影响到政策和供资决定,因此必须加以考虑。共从社区(n = 160, 41.7%)和加拿大大西洋大学(n = 224, 58.3%)招募384名参与者完成在线调查。大多数样本支持ssp (n = 316, 82.3%)。欧洲血统、年龄较年轻、自认为是女性、表现出更高水平的经验开放性、对吸毒者较少的耻辱感,预示着对ssp的态度更积极。对经验的开放性介导了耻感水平与对ssp的态度之间的关系。目前的研究结果表明,在开展公众意识运动时,考虑人口和心理因素的影响是很重要的。
{"title":"Factors Influencing Attitudes Towards Safer Supply Programs for People Who Use Drugs: Findings From an Atlantic Canadian Province","authors":"Adrienne N. Thornton, Amy L. MacQuarrie, Caroline Brunelle","doi":"10.1177/00220426231205520","DOIUrl":"https://doi.org/10.1177/00220426231205520","url":null,"abstract":"Safer supply programs (SSPs) are harm reduction services where people who use drugs can access regulated pharmaceutical drugs (e.g., hydromorphone). Public attitudes, and factors that influence attitudes towards SSPs must be considered as they impact policy and funding decisions. A total of 384 participants were recruited from the community ( n = 160, 41.7%) and an Atlantic Canadian University ( n = 224, 58.3%) to complete an online survey. The majority of the sample was supportive of SSPs ( n = 316, 82.3%). Being of European origin, a younger age, identifying as female, displaying higher levels of Openness to Experience, and reporting less stigma towards people who use drugs were predictive of more positive attitudes towards SSPs. Openness to Experience mediated the relationship between stigma levels and attitudes towards SSPs. The findings of the current study suggest that when developing public awareness campaigns, considering the impact of demographic and psychological factors is important.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135482286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Determinants of Shifting Attitudes on Drug Policy Reform in Maine 评估缅因州毒品政策改革态度转变的决定因素
4区 社会学 Q2 Social Sciences Pub Date : 2023-10-04 DOI: 10.1177/00220426231205797
Robert W. Glover, Karyn Sporer
There is growing recognition that our decades-long “war on drugs” has not only been a policy failure but has made our societal drug crisis worse. This is painfully evident in our response to the opioid epidemic. Efforts at comprehensive policy reform are likely to emerge first at the state and local levels. We collaborated with policy advocates and practitioners to study policy perspectives of registered Maine voters, and to investigate determinants of receptivity to drug policy reforms rooted in decriminalization and harm reduction. Our results suggest that while political ideology still impacts one’s perspective on these issues, increased exposure to those with substance use disorder reduces stigma, resulting in increasingly broad, bipartisan support for policy reform. We conclude with a discussion on how policymakers addressing overdose and substance use disorder at the state and local level should consider implementing and funding evidence-based alternative approaches such as decriminalization and harm reduction.
越来越多的人认识到,我们长达数十年的“禁毒战争”不仅是政策上的失败,而且使我们的社会毒品危机更加严重。这在我们对阿片类药物流行的反应中令人痛苦地显而易见。全面政策改革的努力可能首先出现在州和地方层面。我们与政策倡导者和实践者合作,研究缅因州注册选民的政策观点,并调查基于非刑事化和减少伤害的毒品政策改革的接受程度的决定因素。我们的研究结果表明,虽然政治意识形态仍然会影响一个人对这些问题的看法,但增加对物质使用障碍患者的接触会减少耻辱感,从而导致政策改革得到越来越广泛的两党支持。最后,我们讨论了政策制定者如何在州和地方层面解决药物过量和药物使用障碍问题,应考虑实施和资助基于证据的替代方法,如非刑事化和减少危害。
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引用次数: 0
Examining Gender Differences in the Relationship Between School Bonding and Opioid Misuse Among Justice-Involved Adolescents. 司法参与青少年学校关系与阿片类药物滥用关系的性别差异研究
IF 1.2 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2023-10-01 Epub Date: 2022-11-12 DOI: 10.1177/00220426221139423
Enya B Vroom, Micah E Johnson, Zahra Akbari, Zachary Frederick, Skye C Bristol

Justice-involved adolescents (JIAs) have an increased risk for opioid use disorder and overdose related to opioid misuse (OM). Consequences of untreated OM include recidivism and poor educational outcomes, which can be harsher for female JIA. Therefore, identifying relevant factors and settings that reduce the risk for OM is critical. Schools are a central institution in adolescent development. Drawing on social control theory, JIA with higher levels of school bonding was hypothesized to attenuate risk for OM. Cross-sectional data on 79,960 JIA from the Florida Department of Juvenile Justice were examined. Multivariate and stratified logistic regression analyses were employed. On average, for every one-unit increase in school bonding, JIA had 22%, female JIA had 23%, and male JIA had 22% lower odds of OM. Results suggest school bonding and the school context should be considered in treatment and how this setting may impact OM intervention outcomes among JIA.

参与司法的青少年(JIAs)发生阿片类药物使用障碍和与阿片类药物滥用(OM)相关的过量使用的风险增加。未经治疗的OM的后果包括再犯和不良的教育成果,这对女性JIA来说可能更严重。因此,确定降低OM风险的相关因素和环境至关重要。学校是青少年发展的中心机构。根据社会控制理论,我们假设具有较高学校联系水平的JIA可以降低OM的风险。对来自佛罗里达州少年司法部门的79,960名JIA的横断面数据进行了检查。采用多变量和分层逻辑回归分析。平均而言,每增加一个单位的学校关系,JIA的发生率降低22%,女性JIA的发生率降低23%,男性JIA的发生率降低22%。结果表明,在治疗中应考虑学校关系和学校环境,以及这种环境如何影响JIA的OM干预结果。
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引用次数: 0
Local Prohibitions on Marijuana Businesses With On-Site Consumption: Evidence from New York State 当地禁止现场吸食大麻的企业:来自纽约州的证据
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/00220426221138229
David M. Yaskewich
As several US states have legalized recreational marijuana over the past decade, local approval of commercial marijuana activities has faced opposition in a non-negligible share of communities. A common provision in state laws often grants local governments the authority to prohibit marijuana businesses from locating within their jurisdictions. This paper analyzed determinants of local government policies in New York State following the legalization of recreational marijuana in 2021. A key feature of New York’s law authorized municipal governments to pass an “opt-out” ordinance prohibiting marijuana retail stores, on-site consumption establishments, or both. Based on results from multilevel logistic regression models, the likelihood of allowing commercial marijuana activities was higher for local governments representing communities with larger Black populations, fewer evangelical Protestants, and lower levels of household income. While slightly more municipalities prohibited on-site consumption, determinants of opt-out decisions were similar for both retail and consumption businesses.
在过去十年中,随着美国几个州将娱乐性大麻合法化,当地对商业大麻活动的批准在不可忽视的社区中遭到了反对。州法律中的一项常见条款通常授予地方政府禁止大麻企业在其管辖范围内经营的权力。本文分析了2021年娱乐性大麻合法化后纽约州地方政府政策的决定因素。纽约法律的一个关键特征授权市政府通过一项“选择退出”法令,禁止大麻零售店、现场消费场所或两者兼而有之。根据多层次逻辑回归模型的结果,代表黑人人口较多、福音派新教徒较少、家庭收入水平较低的社区的地方政府允许商业大麻活动的可能性更高。虽然略多于城市禁止现场消费,但零售和消费企业选择退出决定的决定因素相似。
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引用次数: 0
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Journal of Drug Issues
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