Pub Date : 2023-09-01Epub Date: 2023-06-22DOI: 10.1177/00914509231183147
Marilou Gagnon, Alayna Payne, Zach Walsh, Adrian Guta, Carol Strike
Community-based models of cannabis cultivation, distribution, and consumption-such as cannabis clubs-have been documented across Europe, North America, South America, and New Zealand since the 1990s. For the most part, these models have a history of operating outside existing legislation and regulations. Jurisdictions that have legalized cannabis have approached community-based models in opposite ways (eliminate vs. regulate). Canada legalizing cannabis has resulted in more stringent enforcement and concerted efforts to close these models despite documented health and social benefits. This paper presents a case study of the Victoria Cannabis Buyers Club (VCBC) and its consumption space-The Box. We conducted a survey of VCBC members to explore four domains: demographics, cannabis consumption, access to and use of The Box, and the impact of its temporary closure due to COVID-19. From the survey data (n = 104), descriptive statistics were generated and three conceptual avenues were identified. The majority of respondents were 40 years old and older and identified as White (European descent) cisgendered men and women. The majority reported an income of $40,000 or less and a housing status that prevented them from smoking. Close to 75% of our sample consumed cannabis multidaily for therapeutic purposes primarily, but also for a mix of recreation, social, spiritual, and traditional healing purposes. Smoking was the preferred mode of consumption. Respondents accessed The Box daily or weekly. Reasons and benefits for using The Box fell into three categories: public health, harm reduction, and wellness perspectives. Conceptually, we found that The Box acted as a therapeutic space and offered a much-needed consumption space for smokers. We also identified a need to unpack the concept of safety. Overall, the survey reinforces the need for an equity-informed approach to community-based models and cannabis consumption spaces in Canada.
{"title":"\"The Box Has Become an Indispensable Part of My Life\": A Case Study of Victoria Cannabis Buyers Club and its Consumption Space.","authors":"Marilou Gagnon, Alayna Payne, Zach Walsh, Adrian Guta, Carol Strike","doi":"10.1177/00914509231183147","DOIUrl":"10.1177/00914509231183147","url":null,"abstract":"<p><p>Community-based models of cannabis cultivation, distribution, and consumption-such as cannabis clubs-have been documented across Europe, North America, South America, and New Zealand since the 1990s. For the most part, these models have a history of operating outside existing legislation and regulations. Jurisdictions that have legalized cannabis have approached community-based models in opposite ways (eliminate vs. regulate). Canada legalizing cannabis has resulted in more stringent enforcement and concerted efforts to close these models despite documented health and social benefits. This paper presents a case study of the Victoria Cannabis Buyers Club (VCBC) and its consumption space-The Box. We conducted a survey of VCBC members to explore four domains: demographics, cannabis consumption, access to and use of The Box, and the impact of its temporary closure due to COVID-19. From the survey data (<i>n</i> = 104), descriptive statistics were generated and three conceptual avenues were identified. The majority of respondents were 40 years old and older and identified as White (European descent) cisgendered men and women. The majority reported an income of $40,000 or less and a housing status that prevented them from smoking. Close to 75% of our sample consumed cannabis multidaily for therapeutic purposes primarily, but also for a mix of recreation, social, spiritual, and traditional healing purposes. Smoking was the preferred mode of consumption. Respondents accessed The Box daily or weekly. Reasons and benefits for using The Box fell into three categories: public health, harm reduction, and wellness perspectives. Conceptually, we found that The Box acted as a therapeutic space and offered a much-needed consumption space for smokers. We also identified a need to unpack the concept of safety. Overall, the survey reinforces the need for an equity-informed approach to community-based models and cannabis consumption spaces in Canada.</p>","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 3","pages":"426-450"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10286540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-25DOI: 10.1177/00914509231189934
James Morgan, T. Bennett
While existing research has tended to focus on specific drug user groups, the current paper explores how people who use heroin might move between such groups over time. Building on previous research that has identified types of heroin-using lifestyles, we investigate the nature and extent of lifestyle transitions from one type to another. In doing so, we examine the implications that lifestyle transitions might have for drug use as well as harm-reduction strategies and treatment. The research was based on a sample of 51 people who use heroin interviewed for a study into persistent heroin use, 38 of whom provided data relating to transitions between heroin-using lifestyles. Participants in the study explained changes in their lifestyles through three distinct narrative themes: grabbing onto ‘hooks for change’, ‘taking an opportunity’, and ‘losing control’. The findings also show how, through case studies, the nature and implications of lifestyle transitions can be wide ranging. While such explanations for change have been identified in criminological and substance use literature, they have not, to our knowledge, been used to understand changes within heroin-using careers. Further theoretical work to develop these concepts and advance understanding of persistent heroin use is encouraged, as is using these concepts to inform policy and practice.
{"title":"The Nature and Implications of Lifestyle Transitions for Persistent Heroin Use","authors":"James Morgan, T. Bennett","doi":"10.1177/00914509231189934","DOIUrl":"https://doi.org/10.1177/00914509231189934","url":null,"abstract":"While existing research has tended to focus on specific drug user groups, the current paper explores how people who use heroin might move between such groups over time. Building on previous research that has identified types of heroin-using lifestyles, we investigate the nature and extent of lifestyle transitions from one type to another. In doing so, we examine the implications that lifestyle transitions might have for drug use as well as harm-reduction strategies and treatment. The research was based on a sample of 51 people who use heroin interviewed for a study into persistent heroin use, 38 of whom provided data relating to transitions between heroin-using lifestyles. Participants in the study explained changes in their lifestyles through three distinct narrative themes: grabbing onto ‘hooks for change’, ‘taking an opportunity’, and ‘losing control’. The findings also show how, through case studies, the nature and implications of lifestyle transitions can be wide ranging. While such explanations for change have been identified in criminological and substance use literature, they have not, to our knowledge, been used to understand changes within heroin-using careers. Further theoretical work to develop these concepts and advance understanding of persistent heroin use is encouraged, as is using these concepts to inform policy and practice.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45467261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-12DOI: 10.1177/00914509231179226
Benjamin Scher, S. Neufeld, Amanda Butler, M. Bonn, Naomi Zakimi, Jack Farrell, A. Greer
Introduction In light of North America's persisting drug toxicity crisis, alternative drug policy approaches such as decriminalization, legalization, regulation, and safer supply have increasingly come to the forefront of drug policy discourse. The views of people who use drugs toward drug policy and drug law reform in the Canadian context are essential, yet largely missing from the conversation. The aim of this study was to capture the opinions, ideas, and attitudes of people who use drugs toward Canadian drug laws and potential future alternatives. Methods This paper was developed as part of the Canadian Drug Laws Project, a cross-jurisdictional qualitative study conducted in British Columbia, Canada between July and September 2020. The qualitative data are from 24 semi-structured interviews with a diverse sample of people who use illegal drugs. Interviews were recorded, transcribed, coded, and analyzed thematically by the research team. Results Two main themes and corresponding sub-themes are presented: (1) The experience of stigma as a consequence of criminalization; (2) The perceived benefits of drug law reform. Participants spoke in-depth about their experiences living within a criminalized drug policy context and offered suggestions for new pathways forward. Their perspectives illuminate how Canada's drug laws may shape public attitudes toward people who use drugs and the consequent manifestations of structural, social, and self-stigma experienced by people who use drugs. Conclusion Participants openly and profoundly believed that current drug laws produced and propagated the public attitudes and structural inequities experienced by people who use drugs in Canada. This matters, not only because our findings highlight the fact that people who use drugs experience stigma in tangible and clearly impactful ways, but it also suggests that the criminlilization of drugs shapes the experience of structural, social, and self stigma. Finally, participants believed that efforts to destigmatize people who use drugs would be ineffectual without the enactment of more robust forms of drug law reform such as the decriminalization of illegal drugs.
{"title":"“Criminalization Causes the Stigma”: Perspectives From People Who Use Drugs","authors":"Benjamin Scher, S. Neufeld, Amanda Butler, M. Bonn, Naomi Zakimi, Jack Farrell, A. Greer","doi":"10.1177/00914509231179226","DOIUrl":"https://doi.org/10.1177/00914509231179226","url":null,"abstract":"Introduction In light of North America's persisting drug toxicity crisis, alternative drug policy approaches such as decriminalization, legalization, regulation, and safer supply have increasingly come to the forefront of drug policy discourse. The views of people who use drugs toward drug policy and drug law reform in the Canadian context are essential, yet largely missing from the conversation. The aim of this study was to capture the opinions, ideas, and attitudes of people who use drugs toward Canadian drug laws and potential future alternatives. Methods This paper was developed as part of the Canadian Drug Laws Project, a cross-jurisdictional qualitative study conducted in British Columbia, Canada between July and September 2020. The qualitative data are from 24 semi-structured interviews with a diverse sample of people who use illegal drugs. Interviews were recorded, transcribed, coded, and analyzed thematically by the research team. Results Two main themes and corresponding sub-themes are presented: (1) The experience of stigma as a consequence of criminalization; (2) The perceived benefits of drug law reform. Participants spoke in-depth about their experiences living within a criminalized drug policy context and offered suggestions for new pathways forward. Their perspectives illuminate how Canada's drug laws may shape public attitudes toward people who use drugs and the consequent manifestations of structural, social, and self-stigma experienced by people who use drugs. Conclusion Participants openly and profoundly believed that current drug laws produced and propagated the public attitudes and structural inequities experienced by people who use drugs in Canada. This matters, not only because our findings highlight the fact that people who use drugs experience stigma in tangible and clearly impactful ways, but it also suggests that the criminlilization of drugs shapes the experience of structural, social, and self stigma. Finally, participants believed that efforts to destigmatize people who use drugs would be ineffectual without the enactment of more robust forms of drug law reform such as the decriminalization of illegal drugs.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"402 - 425"},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41896132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/00914509231161173
{"title":"Corrigendum to “‘There’s No Sense to It’: A Posthumanist Ethnography of Agency in Methamphetamine Recovery”","authors":"","doi":"10.1177/00914509231161173","DOIUrl":"https://doi.org/10.1177/00914509231161173","url":null,"abstract":"","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"294 - 294"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43268628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/00914509231178937
G. Dertadian, J. Rance
This article explores the differential coverage of drug overdose death in three major Australian newspapers between 2015 and 2020. It outlines the number of articles, the types of voices, and emotional collectives drawn on in three types of overdose death stories: those related to injecting drug use, pharmaceuticals (largely opioids), and those that occurred at music festivals. Our analysis finds that in each newspaper festival deaths are reported on more than other types of overdose stories, even though deaths in the other categories represent significantly larger loss of life. Beyond the number of articles written about each type of overdose, our analysis pays attention to emotional collectives, such as pity, surprise, and grief, and how these constitute the overdose victim. We argue that the differential media treatment of overdose deaths—depending on substance involved, social circumstance—is intimately (if implicitly) linked to a differential valuing of human life. We explore the way people who die of an overdose exist on a spectrum, from those who are visible and valued subjects in media coverage (the grievable), to those who are abject and already lost (the ungrievable). Finally, our analysis finds that proximity to White and middle-class culture structures the way the lives of overdose victims are (re)produced as lives worth grieving in media coverage.
{"title":"Lives Worth Grieving: Differential Coverage of Overdose Deaths in Australian News Media (2015–2020)","authors":"G. Dertadian, J. Rance","doi":"10.1177/00914509231178937","DOIUrl":"https://doi.org/10.1177/00914509231178937","url":null,"abstract":"This article explores the differential coverage of drug overdose death in three major Australian newspapers between 2015 and 2020. It outlines the number of articles, the types of voices, and emotional collectives drawn on in three types of overdose death stories: those related to injecting drug use, pharmaceuticals (largely opioids), and those that occurred at music festivals. Our analysis finds that in each newspaper festival deaths are reported on more than other types of overdose stories, even though deaths in the other categories represent significantly larger loss of life. Beyond the number of articles written about each type of overdose, our analysis pays attention to emotional collectives, such as pity, surprise, and grief, and how these constitute the overdose victim. We argue that the differential media treatment of overdose deaths—depending on substance involved, social circumstance—is intimately (if implicitly) linked to a differential valuing of human life. We explore the way people who die of an overdose exist on a spectrum, from those who are visible and valued subjects in media coverage (the grievable), to those who are abject and already lost (the ungrievable). Finally, our analysis finds that proximity to White and middle-class culture structures the way the lives of overdose victims are (re)produced as lives worth grieving in media coverage.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"361 - 380"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47738751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-30DOI: 10.1177/00914509231178940
Robin van der Sanden, C. Wilkins, M. Rychert, M. Barratt
Background Existing studies have highlighted the potential for increased drug market risks from buying drugs via social media involving strangers, such as receiving adulterated drugs or being robbed. However, social supply-driven social media drug markets may also offer enhanced social dealing and harm reduction opportunities. Aim To explore how social media platform features that enable expanded social networking may also support safer social drug dealing and other harm-reduction behaviors. Method Thematic analysis of anonymous online interviews with 33 people who buy and sell drugs via social media in New Zealand. Results Participants (median age 24; 22 male, 10 female, 1 gender diverse) accessing drugs via social media mostly utilized established social networks. These personal networks offered many benefits commonly associated with social media drug trading (i.e., safer and secure drug purchasing). Benefits included reducing the risk of receiving adulterated substances and being victimized. Social media affordances, which participants used to expand their everyday social networks, could also increase participants’ ability to leverage a broader social drug supply network and access related harm reduction benefits. Some participants used darknet markets to buy drugs, which they then resold to “friends” via social media platforms, facilitating supply channels that were largely “separated” from local physical drug markets and associated problems of fraud, violence, and organized crime. Conclusion Social media drug markets offer a range of harm reduction benefits that contribute to a lower-risk local drug market. We suggest this may reflect a closer alignment between social media platform affordances and their adaptation to social supply drug trading.
{"title":"Social Supply and the Potential for Harm Reduction in Social Media Drug Markets","authors":"Robin van der Sanden, C. Wilkins, M. Rychert, M. Barratt","doi":"10.1177/00914509231178940","DOIUrl":"https://doi.org/10.1177/00914509231178940","url":null,"abstract":"Background Existing studies have highlighted the potential for increased drug market risks from buying drugs via social media involving strangers, such as receiving adulterated drugs or being robbed. However, social supply-driven social media drug markets may also offer enhanced social dealing and harm reduction opportunities. Aim To explore how social media platform features that enable expanded social networking may also support safer social drug dealing and other harm-reduction behaviors. Method Thematic analysis of anonymous online interviews with 33 people who buy and sell drugs via social media in New Zealand. Results Participants (median age 24; 22 male, 10 female, 1 gender diverse) accessing drugs via social media mostly utilized established social networks. These personal networks offered many benefits commonly associated with social media drug trading (i.e., safer and secure drug purchasing). Benefits included reducing the risk of receiving adulterated substances and being victimized. Social media affordances, which participants used to expand their everyday social networks, could also increase participants’ ability to leverage a broader social drug supply network and access related harm reduction benefits. Some participants used darknet markets to buy drugs, which they then resold to “friends” via social media platforms, facilitating supply channels that were largely “separated” from local physical drug markets and associated problems of fraud, violence, and organized crime. Conclusion Social media drug markets offer a range of harm reduction benefits that contribute to a lower-risk local drug market. We suggest this may reflect a closer alignment between social media platform affordances and their adaptation to social supply drug trading.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"381 - 401"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47458951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-22DOI: 10.1177/00914509231173435
F. Scheibein, M. Van Hout, S. Henriques, J. Wells
Online drug use pornography has been freely available through websites on the open internet for at least 7 years. Surprisingly there is almost no exploration of its nature, character or impacts on both performers and those engaging with this type of content within the research literature. Nor is it an issue that has engaged health care providers and other statutory and non-statutory agencies even though it may have implications within their respective domains. A preliminary scoping of the online environment is used to propose a theoretical framework that combines Goffman's performance theory with that of Turner and Schechner's positioning of ritual theory within performance theory, Butler's concept of performativity online and Luppichi's concept of the ‘technoself’. Utilising the proposed theoretical framework, it is postulated that the presence, performance and engagement of online drug use pornography is a social boundary testing and possibly breaking performance centred on iterative relationships between performer and consumers of this content.
{"title":"Virtually Hidden: A Theoretical Framework for Understanding and Conceptualising Online Drug Use Pornography","authors":"F. Scheibein, M. Van Hout, S. Henriques, J. Wells","doi":"10.1177/00914509231173435","DOIUrl":"https://doi.org/10.1177/00914509231173435","url":null,"abstract":"Online drug use pornography has been freely available through websites on the open internet for at least 7 years. Surprisingly there is almost no exploration of its nature, character or impacts on both performers and those engaging with this type of content within the research literature. Nor is it an issue that has engaged health care providers and other statutory and non-statutory agencies even though it may have implications within their respective domains. A preliminary scoping of the online environment is used to propose a theoretical framework that combines Goffman's performance theory with that of Turner and Schechner's positioning of ritual theory within performance theory, Butler's concept of performativity online and Luppichi's concept of the ‘technoself’. Utilising the proposed theoretical framework, it is postulated that the presence, performance and engagement of online drug use pornography is a social boundary testing and possibly breaking performance centred on iterative relationships between performer and consumers of this content.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"350 - 360"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46008054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.1177/00914509231170773
D. Lee, Raffaello Antonino
Background: The current UK based study aimed to explore the experiences of individuals attending online mutual aid groups for alcohol use, while their face-to-face groups were suspended during the COVID-19 pandemic. Emerging evidence suggests that the pandemic and concomitant isolation is associated with elevated mental health problems. Furthermore, historical community-wide crises are associated with increases in alcohol consumption. Due to the paucity of qualitative research on the subjective experience of online mutual aid groups, an interpretative phenomenological analysis was undertaken to explore group members’ experiences. Methods: A sample of six eligible members of online alcohol mutual aid groups were recruited and completed semi-structured interviews during the COVID-19 pandemic between October 2020 and February 2021. Interpretative phenomenological analysis was used to identify key themes and evidenced with salient quotations. Results: The superordinate theme developing an understanding of the differences between face-to-face and online group proceedings was identified, which is presented and unpacked with evidential quotes. Conclusion: The study explicates group members’ perceived differences between online and face-to-face experiences. Some participants valued the increased control and anonymity of online groups, while others missed the profound intimate connection that face-to-face groups fostered. It is recommended that future provision is informed by service-user voice to develop an attunement with the subjectivity of mutual aid group members’ experiences.
{"title":"Are We Losing Connection? Lived Experience of Online Mutual Aid Groups During the COVID-19 Pandemic","authors":"D. Lee, Raffaello Antonino","doi":"10.1177/00914509231170773","DOIUrl":"https://doi.org/10.1177/00914509231170773","url":null,"abstract":"Background: The current UK based study aimed to explore the experiences of individuals attending online mutual aid groups for alcohol use, while their face-to-face groups were suspended during the COVID-19 pandemic. Emerging evidence suggests that the pandemic and concomitant isolation is associated with elevated mental health problems. Furthermore, historical community-wide crises are associated with increases in alcohol consumption. Due to the paucity of qualitative research on the subjective experience of online mutual aid groups, an interpretative phenomenological analysis was undertaken to explore group members’ experiences. Methods: A sample of six eligible members of online alcohol mutual aid groups were recruited and completed semi-structured interviews during the COVID-19 pandemic between October 2020 and February 2021. Interpretative phenomenological analysis was used to identify key themes and evidenced with salient quotations. Results: The superordinate theme developing an understanding of the differences between face-to-face and online group proceedings was identified, which is presented and unpacked with evidential quotes. Conclusion: The study explicates group members’ perceived differences between online and face-to-face experiences. Some participants valued the increased control and anonymity of online groups, while others missed the profound intimate connection that face-to-face groups fostered. It is recommended that future provision is informed by service-user voice to develop an attunement with the subjectivity of mutual aid group members’ experiences.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"328 - 349"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45310176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-12DOI: 10.1177/00914509231164764
Kristin Hanoa, Kristin Buvik, Bengt Karlsson
Drug overdose is an important public health problem. Despite well-known risk factors and various preventive measures, the overdose mortality rate has increased substantially in several countries worldwide over the past decade. There is therefore a need to understand overdoses on the basis of how people who inject drugs (PWID) perceive and experience risk. Based on qualitative interviews with 80 PWID recruited from low-threshold settings in Norway, this study explores the complex lived experiences and perceptions of overdose. The qualitative approach is sensitive towards lived experiences and provides new understandings of overdoses. The analysis revealed three types of accounts concerning perceived overdose risk. First, interviewees described death as natural and not frightening, based on perceptions of death as universal, a part of their high-risk lifestyle and their previous overdose experiences. Second, they presented accounts of how they perceived others to be at greater risk of overdose than themselves, in respect of experience, skills and tolerance. Finally, interviewees described an indifference towards death, on a continuum between the wish to live and death as relief from various life challenges. This study illustrates how PWID inhabit drug-using environments which entail a high-risk lifestyle. Faced with these risks, the interviewees presented stories which may serve several functions, such as neutralizing feelings of risk and stigma and gaining a sense of agency and control. They also created symbolic boundaries in order to form positive perceptions of self, by distancing themselves from other stereotypical people who use drugs. The participants additionally expressed an indifference towards overdose death. This may entail that avoiding death, the main rationale of overdose interventions, is viewed with indifference by some PWID. This is important for understanding the complexity of overdose mortality and should be reflected in future harm-reduction initiatives.
{"title":"Death Holds No Fear: Overdose Risk Perceptions Among People Who Inject Drugs","authors":"Kristin Hanoa, Kristin Buvik, Bengt Karlsson","doi":"10.1177/00914509231164764","DOIUrl":"https://doi.org/10.1177/00914509231164764","url":null,"abstract":"Drug overdose is an important public health problem. Despite well-known risk factors and various preventive measures, the overdose mortality rate has increased substantially in several countries worldwide over the past decade. There is therefore a need to understand overdoses on the basis of how people who inject drugs (PWID) perceive and experience risk. Based on qualitative interviews with 80 PWID recruited from low-threshold settings in Norway, this study explores the complex lived experiences and perceptions of overdose. The qualitative approach is sensitive towards lived experiences and provides new understandings of overdoses. The analysis revealed three types of accounts concerning perceived overdose risk. First, interviewees described death as natural and not frightening, based on perceptions of death as universal, a part of their high-risk lifestyle and their previous overdose experiences. Second, they presented accounts of how they perceived others to be at greater risk of overdose than themselves, in respect of experience, skills and tolerance. Finally, interviewees described an indifference towards death, on a continuum between the wish to live and death as relief from various life challenges. This study illustrates how PWID inhabit drug-using environments which entail a high-risk lifestyle. Faced with these risks, the interviewees presented stories which may serve several functions, such as neutralizing feelings of risk and stigma and gaining a sense of agency and control. They also created symbolic boundaries in order to form positive perceptions of self, by distancing themselves from other stereotypical people who use drugs. The participants additionally expressed an indifference towards overdose death. This may entail that avoiding death, the main rationale of overdose interventions, is viewed with indifference by some PWID. This is important for understanding the complexity of overdose mortality and should be reflected in future harm-reduction initiatives.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"312 - 327"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45605222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-27DOI: 10.1177/00914509231161802
Tebogo B. Sebeelo
The onset of COVID-19 resulted in the adoption of various measures such as lockdowns and alcohol bans. These interventions were new and unprecedented in the way they impacted drinking experiences across various contexts. The impact of COVID-19 lockdowns and other alcohol restrictions in non-Western contexts remains unknown. Little is known about how the strict prohibition of COVID-19 lockdowns impacted drinkers. Using grounded theory methods from an alcohol study based in Botswana with drinkers (n = 20), this paper investigated the impact of lockdowns and alcohol bans in Botswana. Key themes from the data relate to support for alcohol bans, opposition to bans, and adjusting drinking practices. Drinking at home due to COVID-19 lockdowns led to shifts in drinking practices. The paper draws attention toward the need to understand how the COVID-19 pandemic might impact drinking experiences in developing countries. Study findings point toward the complex ways in which the COVID-19 pandemic and its alcohol restrictions may shape drinking experiences in home contexts. More importantly, the paper highlights the importance of home-drinking as a focal area for research in non-Western contexts.
{"title":"Contested Terrains? The Politics of Alcohol Bans, Drinking Contexts, and COVID-19 in Botswana","authors":"Tebogo B. Sebeelo","doi":"10.1177/00914509231161802","DOIUrl":"https://doi.org/10.1177/00914509231161802","url":null,"abstract":"The onset of COVID-19 resulted in the adoption of various measures such as lockdowns and alcohol bans. These interventions were new and unprecedented in the way they impacted drinking experiences across various contexts. The impact of COVID-19 lockdowns and other alcohol restrictions in non-Western contexts remains unknown. Little is known about how the strict prohibition of COVID-19 lockdowns impacted drinkers. Using grounded theory methods from an alcohol study based in Botswana with drinkers (n = 20), this paper investigated the impact of lockdowns and alcohol bans in Botswana. Key themes from the data relate to support for alcohol bans, opposition to bans, and adjusting drinking practices. Drinking at home due to COVID-19 lockdowns led to shifts in drinking practices. The paper draws attention toward the need to understand how the COVID-19 pandemic might impact drinking experiences in developing countries. Study findings point toward the complex ways in which the COVID-19 pandemic and its alcohol restrictions may shape drinking experiences in home contexts. More importantly, the paper highlights the importance of home-drinking as a focal area for research in non-Western contexts.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"50 1","pages":"299 - 311"},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43346460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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