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Nuancing Drug Harms: Exploring the Context of Substance Use Among Street-Involved Women in Uyo, Nigeria 细微的药物危害:探索在乌约,尼日利亚街头参与妇女物质使用的背景
Q3 SUBSTANCE ABUSE Pub Date : 2022-09-21 DOI: 10.1177/00914509221127444
Ediomo-ubong E. Nelson
Recent studies on women’s substance use have emphasized the role of structural and environmental contexts in shaping substance use patterns and harms, but the dynamics constitutive of specific substance use contexts are seldom unpacked. This study works with Cameron Duff’s elaboration of context as an assemblage of space, embodiment and practice to explore the contextual dynamics that mediate substance use practices among socially marginalized women. In-depth interviews were used to gather data from a purposive sample of street-involved women who use drugs (n = 16) in Uyo, Nigeria. Data revealed that substance use was mediated by actors, social norms and processes within social networks developed in street environments. The women used substances to achieve particular affective states such as pleasure, stress relief and coping with trauma. Social network dynamics combined with the use of drugs to manage trauma and social stress, within a wider context of social and material deprivations, to foster substance use practices that created risk for harm. Drug harms were not inherent to the substance use experience or incidental to benefits and pleasures. Instead, they were unintended, but inevitable, outcomes of the embodied practices of beneficial substance use. On the other hand, corporeal techniques of controlled drug use served to minimize drug harms. Findings indicate a need to address the contextual dynamics that influence harmful patterns of substance use, and to leverage the harm reducing potentials of controlled use practices.
最近关于妇女物质使用的研究强调了结构和环境背景在形成物质使用模式和危害方面的作用,但具体物质使用背景的动态构成很少被解开。本研究结合Cameron Duff对语境作为空间、体现和实践的集合的阐述,探讨了在社会边缘女性中调解物质使用行为的语境动力学。深度访谈是用来收集数据从一个有目的的样本参与街头吸毒妇女(n = 16)在Uyo,尼日利亚。数据显示,街头环境中形成的社会网络中的行为者、社会规范和过程调节了物质使用。这些女性使用药物来达到特定的情感状态,如愉悦、缓解压力和应对创伤。在更广泛的社会和物质剥夺背景下,社会网络动态与药物使用相结合,以管理创伤和社会压力,促进产生伤害风险的物质使用行为。毒品的危害不是物质使用经验所固有的,也不是附带的利益和快乐。相反,它们是无意识的,但不可避免的,是有益物质使用具体实践的结果。另一方面,管制药物使用的有形技术有助于尽量减少药物危害。调查结果表明,需要处理影响有害物质使用模式的背景动态,并利用受控使用做法的减少危害潜力。
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引用次数: 1
Established Tables and Emergent Huddles: Exploring the Processes of Participation Associated With the Policy Changes to Opioid Pharmacotherapy Treatment in Australia in the Context of COVID-19 既定表格和紧急集合:探索新冠肺炎背景下澳大利亚阿片类药物治疗政策变化的参与过程
Q3 SUBSTANCE ABUSE Pub Date : 2022-09-08 DOI: 10.1177/00914509221123001
R. Mellor, M. Kearnes, K. Lancaster, L. McLauchlan, A. Ritter
In this paper we document and analyze emergent participatory processes in drug policy, focusing on the relations between established modes of engagement and emergent participatory formats. We do this through analysis of a case example, attending to policy changes to opioid pharmacotherapy treatment in the context of COVID-19 in Australia. Semistructured interviews (n = 22) were undertaken between August 2020 and March 2021 with people closely involved in the recent policy changes and discussions surrounding opioid pharmacotherapy treatment in Australia. The analysis of the interview accounts followed work which has forged relational, co-productionist and materialist understandings of participation. Two figures of participation were encountered in the interview accounts: the tables of participation and the huddles of participation. The tables seemingly represented a standardized set of bureaucratic mechanisms for the inclusion of the “voices” of people who use drugs. The huddles emerged as a responsive and less coherent set of ad hoc participatory collectives in the context of rapid policy changes during COVID-19. Instead of viewing emergence as distinct from existing participatory formats, emergence was conceptualized ecologically in this article—that is in relation to established forms of participation. As the institutionally mandated tables served the basis for the emergent huddles of participation in this case study, it demonstrates that even the most foreclosed participatory structures can adapt and be responsive to evolving situations of need, perhaps also in ordinary times and not just in emergency conditions.
在本文中,我们记录并分析了毒品政策中的紧急参与过程,重点关注既定参与模式和紧急参与形式之间的关系。我们通过分析一个案例来做到这一点,关注澳大利亚新冠肺炎背景下阿片类药物治疗的政策变化。在2020年8月至2021年3月期间,对密切参与澳大利亚最近围绕阿片类药物治疗的政策变化和讨论的人进行了半结构化访谈(n=22)。对访谈叙述的分析是在工作之后进行的,这些工作形成了对参与的关系主义、合作主义和唯物主义理解。访谈记录中出现了两个参与数字:参与表格和参与分组。这些表格似乎代表了一套标准化的官僚机制,用于纳入吸毒者的“声音”。在新冠肺炎期间,在政策迅速变化的背景下,这些会议是一组反应灵敏、不太协调的特设参与集体。本文没有将涌现视为与现有的参与形式不同,而是从生态学角度对涌现进行了概念化——这与既定的参与形式有关。由于制度规定的表格为本案例研究中出现的参与群体奠定了基础,它表明,即使是最不受约束的参与结构也可以适应不断变化的需求情况,并对其做出反应,也许在平时也是如此,而不仅仅是在紧急情况下。
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引用次数: 0
Fault/Lines: New Directions in Critical Drug Scholarship Inspired by the Work of David Moore and Colleagues 错/线:受David Moore及其同事工作的启发,批判药物研究的新方向
Q3 SUBSTANCE ABUSE Pub Date : 2022-09-01 DOI: 10.1177/00914509221112730
Kate Seear, Kylie Valentine
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引用次数: 1
Psychedelic Forum Member Preferences for Carer Experience and Consumption Behavior: Can “Trip Sitters” Help Inform Psychedelic Harm Reduction Services? 精神病论坛成员对护理体验和消费行为的偏好:“旅行保姆”能帮助告知减少精神病危害的服务吗?
Q3 SUBSTANCE ABUSE Pub Date : 2022-08-29 DOI: 10.1177/00914509221121420
Liam B. Engel, S. Thal, S. Bright
Background: There is limited research on the provision of harm reduction services to people who use psychedelics. Little is known about provision of care to people consuming psychedelics outside of clinical trials. Methods: We investigated how people who used psychedelics discussed their preferences for care (or “trip sitting”) on two online forums: The Shroomery and DMT Nexus. A thematic analysis of the discussion was conducted to better understand consumer preferences for harm reduction services and resources. Results: We identified two key themes: experience and remote sitting. Forum participants valued trip sitters who had experienced psychedelic and other non-ordinary states of consciousness, who had knowledge of the health and medical industry, psychedelic literature and/or had previously cared for other psychedelic consumers. Forum participants also identified the value of consuming a psychedelic without somebody who was in their physical proximity, through communicating their plans to a remote trip sitter. The use of online tools was identified as a way to maximize the benefit of privacy while retaining carer benefits. Conclusion: Demand for trip sitters with lived psychedelic experience is likely influenced by stigma and empathy. Trip sitters who could relate to the effects of psychedelics assisted consumers in avoiding stigma while vulnerable under the effects of psychedelics. As such, psychedelic harm reduction services should be delivered by peers to ensure care maximizes the benefits of empathy. Psychedelic harm reduction services should consider how remote workers could be employed. There is a clear demand for remote psychedelic care services and to our knowledge this has not yet been explored.
背景:关于为使用迷幻药的人提供减少伤害服务的研究有限。人们对在临床试验之外为服用迷幻药的人提供护理知之甚少。方法:我们调查了使用迷幻药的人如何在两个在线论坛上讨论他们对护理(或“坐着旅行”)的偏好:Shroomery和DMT Nexus。对讨论进行了专题分析,以更好地了解消费者对减少伤害服务和资源的偏好。结果:我们确定了两个关键主题:体验和远程坐。论坛参与者重视那些经历过迷幻和其他非普通意识状态的旅行保姆,他们了解健康和医疗行业、迷幻文学和/或以前照顾过其他迷幻消费者。论坛参与者还通过向远程旅行保姆传达他们的计划,确定了在没有人在他们身体附近的情况下服用迷幻药的价值。使用在线工具被认为是一种在保留护理人员利益的同时最大限度地提高隐私利益的方式。结论:对有过迷幻生活经历的旅行保姆的需求可能受到污名和同理心的影响。可能与迷幻药影响有关的旅行保姆帮助消费者避免耻辱,同时在迷幻药的影响下易受伤害。因此,同龄人应该提供减少迷幻伤害的服务,以确保护理最大限度地发挥同理心的好处。减少精神病危害服务机构应考虑如何雇用远程工作者。人们对远程迷幻护理服务有着明确的需求,据我们所知,这一点尚未得到探索。
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引用次数: 3
Part of Culture or Toxic Substance? Realities in Transition in Australian and Canadian Alcohol Policy Documents 是文化的一部分还是有毒物质?澳大利亚和加拿大酒精政策文件中的转型现实
Q3 SUBSTANCE ABUSE Pub Date : 2022-06-30 DOI: 10.1177/00914509221109667
H. Keane, D. Moore, K. Graham
This article analyzes alcohol policy documents through the framework of ontological politics developed by science and technology studies theorists John Law and Annemarie Mol. Specifically, it analyzes seven Australian and Canadian documents from 2006 to 2020, focusing on different enactments of alcohol as a harm-producing substance that requires regulation. The article identifies and discusses two co-existing realities of alcohol enacted in these documents: (1) alcohol as part of culture, with benefits and harms manageable through the promotion of moderation; and (2) alcohol as an inherently harmful and toxic substance whatever its pattern of use. The enactment of alcohol as a toxic substance is supported by recent scientific knowledge, in particular the link between drinking and cancer. This second reality of alcohol as toxic is more prominent in the more recent documents; in particular, a transition from one dominant reality to another is clearly apparent in the changes from the 2006–2009 Australian national alcohol strategy to the 2019–2028 strategy. Changes in the dominant reality of alcohol enable or at least support certain policy initiatives while making others less possible and defensible. Focusing on the single reality of alcohol as inherently harmful to health and wellbeing reduces the options for preventing alcohol-related harms.
本文通过科学技术研究理论家John Law和Annemarie Mol提出的本体论政治框架来分析酒精政策文件。具体而言,它分析了2006年至2020年期间澳大利亚和加拿大的七份文件,重点关注酒精作为一种需要监管的有害物质的不同立法。本文确定并讨论了这些文件中规定的两种酒精共存的现实:(1)酒精是文化的一部分,通过促进适度饮酒可以控制其利弊;(2)无论其使用方式如何,酒精本身就是有害和有毒的物质。最近的科学知识,特别是饮酒与癌症之间的联系,支持了将酒精列为有毒物质的说法。酒精有毒的第二个事实在最近的文献中更为突出;特别是,从2006-2009年澳大利亚国家酒精战略到2019-2028年战略的变化中,从一种主导现实向另一种主导现实的转变非常明显。酒精主导现实的变化使某些政策倡议成为可能,或至少支持这些政策倡议,同时使其他政策倡议变得不太可能和难以辩护。只关注酒精本身对健康和福祉有害这一单一现实,减少了预防酒精相关危害的选择。
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引用次数: 2
This is not Only a Question, But Also an Invitation; Are Infectious Disease Specialists "Choosing Wisely"? 这不仅是一个问题,也是一个邀请;传染病专家是否在 "明智选择"?
Q3 SUBSTANCE ABUSE Pub Date : 2022-06-13 eCollection Date: 2022-06-01 DOI: 10.36519/idcm.2022.151
Oğuz Abdullah Uyaroğlu, Ömrüm Uzun
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引用次数: 0
Local Prohibitions on Marijuana: Factors Associated With Bans on Medical and Recreational Businesses 地方对大麻的禁令:与禁止医疗和娱乐业务相关的因素
Q3 SUBSTANCE ABUSE Pub Date : 2022-06-07 DOI: 10.1177/00914509221105285
David M. Yaskewich
Marijuana legalization in U.S. states has introduced new regulatory processes, which allow for some degree of local authority. A common provision in state laws has provided a local option, which enables municipalities to prohibit commercial cannabis facilities within their borders. This paper examined potential determinants of prohibition decisions, with an emphasis on community and local government characteristics. Using a multivariate logistic regression model, determinants of local decisions to prohibit cannabis businesses in Michigan were analyzed. A unique feature of Michigan’s approach to legalization included separate local options to opt into medical marijuana and opt out of recreational marijuana. The results found that both community and local government characteristics explain variation in prohibitions on marijuana businesses. In general, local governments were more tolerant of marijuana businesses in areas with lower densities of senior citizens and higher densities of Black residents. However, the effects of some determinants varied based on whether the decision was to allow medical or recreational marijuana. Higher income areas were more likely to opt out of recreational marijuana, but they were no different from other areas on the likelihood of opting into medical marijuana. Prohibition decisions also were affected by local government characteristics, such as the number of members on city council, female representation, and having a council-manager form of government.
美国各州的大麻合法化引入了新的监管程序,允许一定程度的地方权力。州法律中的一项共同条款提供了地方选择,使市政当局能够在其境内禁止商业大麻设施。本文研究了禁令决定的潜在决定因素,重点是社区和地方政府的特点。使用多元逻辑回归模型,分析了密歇根州禁止大麻业务的地方决策的决定因素。密歇根州大麻合法化的一个独特之处在于,当地可以选择使用医用大麻,也可以选择不使用娱乐性大麻。结果发现,社区和地方政府的特点都可以解释大麻生意禁令的变化。总体而言,在老年人密度较低、黑人居民密度较高的地区,地方政府对大麻企业的容忍度更高。然而,一些决定因素的影响因决定是允许医用大麻还是娱乐大麻而异。高收入地区更有可能选择不使用娱乐性大麻,但他们选择使用医用大麻的可能性与其他地区没有什么不同。禁酒令的决定也受到地方政府特点的影响,例如市议会成员的数量、女性代表以及政府的理事会-管理者形式。
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引用次数: 1
Young People Who Use Drugs Views Toward the Power and Authority of Police Officers. 吸毒青年对警察权力和权威的看法
IF 2.3 Q3 SUBSTANCE ABUSE Pub Date : 2022-06-01 Epub Date: 2021-11-15 DOI: 10.1177/00914509211058989
Alissa Greer, Marion Selfridge, Tara Marie Watson, Scott Macdonald, Bernie Pauly

Many young people who use drugs are structurally vulnerable to policing powers given the ongoing criminalization of drug possession. Police authority limits and the expression of that authority may play a significant role in police encounters among young people who use drugs. This qualitative study explores the views of young people who use drugs toward police power and authority in their recent encounters with police officers. Interviews were conducted with 38 young people who recently used illegal drugs in British Columbia, Canada. We found five interrelated themes related to perceptions of police authority: (1) skepticism and distrust toward authority; (2) paternalism and authority over drug use; (3) officer use of force; (4) police as power-hungry; and (5) officers above the law. Participants described police authority as limitless, unpredictable, untethered, easily abused, and lacking accountability. Participants feared holding police officers accountable to power abuses in a criminal justice system that they saw as stacked against them. Moving forward, institutional reforms may consider and account for the expression, limits, and use of police authority among young people who use drugs and other structurally vulnerable communities.

鉴于目前对持有毒品的刑事定罪,许多使用毒品的年轻人在结构上容易受到警察权力的影响。警察权力的限制和这种权力的表达可能在警察与吸毒青年的接触中发挥重要作用。这项定性研究探讨了吸毒的年轻人在最近与警察的接触中对警察权力和权威的看法。在加拿大不列颠哥伦比亚省,对38名最近使用非法毒品的年轻人进行了采访。我们发现了与警察权威认知相关的五个相互关联的主题:(1)对权威的怀疑和不信任;(二)家长式作风,滥用职权的;(三)警察使用武力的;(4)警察渴望权力;(五)凌驾于法律之上的官员。与会者认为警察的权力是不受限制的、不可预测的、不受约束的、容易被滥用的,而且缺乏问责制。与会者担心,在他们看来对警察不利的刑事司法体系中,警察要对滥用权力负责。今后,机构改革可以考虑并考虑到吸毒青年和其他结构脆弱社区中警察权力的表达、限制和使用。
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引用次数: 0
Hybrid Governance in Online Drug Distribution 网上药品分销的混合治理
Q3 SUBSTANCE ABUSE Pub Date : 2022-05-18 DOI: 10.1177/00914509221101212
Kim Moeller
A growing share of illicit drug dealing occurs on online platforms. Technological innovations, such as encryption and anonymous payments, have enabled new and more complex ways of organizing transactions. This conceptual essay advances the study of online drug dealing by describing how governance mechanisms from markets, networks, and hierarchies are combined to reduce transactional uncertainty. Based on published research, I argue that cryptomarkets and social media drug distribution prioritize prices, trust, and rules differently, and that this can be understood as hybrid governance. In cryptomarkets, networked reputation scores are important, but their reliability is interdependent of administrators’ sanctioning capacity. Similarly, the open advertisement of prices and products relies on the ability to expose fraudulent vendors. On social media, buyers prioritize easy access and fast delivery and characteristics of market governance, while hierarchical rules are absent, and networked reputations play only a small role. Existing typologies of drug dealing organization do not capture these combinations of governance mechanisms. Hybrid governance and the interdependence of several governance mechanisms better capture the empirical reality of new and emerging modes in online drug distribution.
在线平台上的非法毒品交易比例越来越高。加密和匿名支付等技术创新为组织交易提供了新的、更复杂的方式。这篇概念性文章通过描述市场、网络和层级的治理机制如何结合起来以减少交易的不确定性,推进了对在线毒品交易的研究。根据已发表的研究,我认为加密市场和社交媒体药物分销以不同的方式优先考虑价格、信任和规则,这可以理解为混合治理。在加密市场中,网络信誉评分很重要,但其可靠性与管理员的制裁能力相互依赖。同样,价格和产品的公开广告依赖于揭露欺诈供应商的能力。在社交媒体上,买家优先考虑方便访问、快速交付和市场治理的特点,而没有分级规则,网络声誉只起到很小的作用。现有的贩毒组织类型并没有涵盖这些治理机制的组合。混合治理和几种治理机制的相互依存性更好地反映了在线毒品分销新模式和新兴模式的经验现实。
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引用次数: 6
Mitigating analyte to stable isotope labelled internal standard cross-signal contribution in quantitative liquid chromatography-tandem mass spectrometry. 减轻定量液相色谱-串联质谱法中分析物与稳定同位素标记内标交叉信号的影响。
IF 3.1 Q3 SUBSTANCE ABUSE Pub Date : 2022-04-26 eCollection Date: 2022-04-01 DOI: 10.1016/j.jmsacl.2022.04.002
Mirjana Radovanovic, Graham Jones, Richard O Day, Peter Galettis, Ross L G Norris

Background: Utilising stable isotope labelled internal standards (SIL-IS) in quantitative LC-MS/MS drug analysis is the most widely used approach to normalise for variability during sample quantification processes. However, compounds containing atoms such as Sulphur, Chlorine or Bromine, could potentially cause cross-signal contribution to the SIL-IS from the naturally occurring isotopes, resulting in non-linear calibration curves. A simple, novel method of mitigating the effect is presented here. It entails monitoring of a less abundant SIL-IS isotope, as the precursor ion, of a mass that has no/minimal isotopic contribution from the analyte isotopes.

Methods: Experiments were conducted on two LC-MS/MS analysers: Waters Xevo TQ-S and Shimadzu 8050. Flucloxacillin (FLX) was used as an example. Two transitions were selected for FLX (m/z 454 → 160 → 295) and one for each of the SIL-IS isotopes (m/z 458 → 160 for the isotope 457 g/mol and m/z 460 → 160 for the isotope 459 g/mol). Assay biases were assessed at three SIL-IS concentrations: 0.7, 7 and 14 mg/L for each isotope.

Results: When using the SIL-IS isotope m/z 458 → 160 at a concentration of 0.7 mg/L, biases were up to 36.9 % on both instruments. Increasing the SIL-IS concentration to 14 mg/L, reduced the bias to 5.8 %. Using the less abundant isotope, m/z 460 → 160, resulted in biases of 13.9 % at an SIL-IS concentration of 0.7 mg/L.

Conclusions: Applying this method will mitigate cross-signal contribution from the analyte isotopes to the corresponding SIL-IS, minimise the use of SIL-IS, and, thereby, reduce overall cost.

背景:在 LC-MS/MS 药物定量分析中使用稳定同位素标记的内标(SIL-IS)是最广泛使用的方法,用于对样品定量过程中的变异性进行归一化处理。然而,含有硫、氯或溴等原子的化合物可能会导致天然同位素对 SIL-IS 产生交叉信号,从而导致非线性校准曲线。本文介绍了一种减轻这种影响的简单而新颖的方法。该方法需要监测一种含量较低的 SIL-IS 同位素,作为前体离子,其质量不含/极少量来自被分析同位素的同位素贡献:实验在两台 LC-MS/MS 分析仪上进行:实验在两台 LC-MS/MS 分析仪上进行:Waters Xevo TQ-S 和 Shimadzu 8050。以氟氯西林(FLX)为例。为 FLX 选择了两个跃迁(m/z 454 → 160 → 295),为 SIL-IS 同位素各选择了一个跃迁(同位素 457 g/mol 的跃迁为 m/z 458 → 160,同位素 459 g/mol 的跃迁为 m/z 460 → 160)。在三种 SIL-IS 浓度下对化验偏差进行了评估:结果:当使用浓度为 0.7 mg/L 的 SIL-IS 同位素 m/z 458 → 160 时,两台仪器的偏差均高达 36.9%。将 SIL-IS 浓度提高到 14 毫克/升后,偏差降低到 5.8%。在 SIL-IS 浓度为 0.7 毫克/升时,使用含量较低的同位素 m/z 460 → 160 会导致 13.9% 的偏差:结论:采用这种方法可以减少分析同位素对相应 SIL-IS 的交叉信号贡献,最大限度地减少 SIL-IS 的使用,从而降低总体成本。
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引用次数: 0
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Contemporary Drug Problems
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