Looking beyond harm: meaning and purpose of substance use in the lives of marginalized people who use drugs

Ivsins, Andrew; Yake, Kevin

doi:10.1080/09687637.2018.1497145

Cited by 10 publications

(2 citation statements)

References 57 publications

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“…Efforts should be made, for example, to expand and encourage further use of mobile technologies (e.g., mobile phone overdose response applications such as Lifeguard application, virtual "spotting") or staff check-ins to reduce overdose mortality [36,37]. Research shows that drug use is shaped by a variety of socio-structural/contextual factors including, for example, physical spaces, social settings, organizational/bureaucratic policies, and individual preferences and desires [38][39][40][41][42]. Participants in this study articulated a variety of reasons for choosing not to use the on-site SCS, and instead use in their rooms, that were shaped by personal preferences (e.g., wanting to be alone, using in the middle of the night), avoiding others (and potential "grinding" or violence), shame/stigma, and organizational policies (e.g., rules prohibiting guests and smoking in common areas).…”

Section: Discussionmentioning

confidence: 99%

Overdose Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive Housing in Vancouver, Canada

et al. 2022

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The majority of overdose deaths in British Columbia (BC) occur among people using illicit substances alone in private residences. Some supportive housing in BC includes on-site access to a variety of health and substance use–related services. More recently, a number of supportive housing locations have started offering prescribed safer supply medications to people at high overdose risk, though these remain limited and under-evaluated. In this study, we describe the drug use practices — including access to and use of on-site supervised consumption, OAT, and prescribed safer supply medications — of study participants living in permanent supportive housing with integrated primary care, substance use treatment services, and supervised consumption spaces. Qualitative interviews were conducted with 30 residents of a permanent supportive housing site in Vancouver, Canada. Data were analyzed using a sequential process to identify both a priori (e.g., low-barrier substance use treatment, pandemic effects on service access) and emerging themes (e.g., using alone). Most ( N = 27) study participants reported using alone in their rooms, despite having access to an on-site supervised consumption area. Reasons for using alone include the following: preference for being alone, discretion/stigma, and restrictive housing policies. Less than half ( N = 12) of the study participants accessed on-site prescribed safer supply medications. Participants receiving on-site prescribed safer supply described positive benefits including reduced use of illicit opioids, and less reliance on illicit income generation activities. On-site prescribed safer supply programs within supportive housing environments are an important tool in addressing overdose risk.

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Section: Discussionmentioning

confidence: 99%

Overdose Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive Housing in Vancouver, Canada

et al. 2022

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“…In one study, Lucinsa and Yak found that marginalized people are exposed to many harms, such as drug use (5). Horiniak et al studied young marginalized African refugees in Melbourne who drank heavily to cope with boredom and despair and concluded that this group faces consequences such as family breakdown, homelessness, interpersonal violence, poor health, isolation, and imprisonment (6).…”

Section: Introductionmentioning

confidence: 99%

Exploring the Factors That Influence Social Harm Related to Youth Health in The Suburbs of Karaj, Iran: A Qualitative Study

Mahmoodi

Solimannejad

et al. 2023

Preprint

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Background Marginalization is a global and pervasive issue and the cause of many social problems. This study seeks to explain the causes and underlying factors of social harm related to youth health in the suburbs of Karaj, Iran. Methods This qualitative study was conducted using content analysis in 2020 in the suburbs of Karaj, Iran. The research population consisted of 16 young people living in the region and four experts in socials harm and health. Purposeful sampling was performed with maximum variation. Semi-structured interviews were conducted individually and according to participants’ experiences and were then analyzed in MAXQDA-20 software. Results The data analysis led to the extraction of four categories, eight subcategories, and 52 codes. The research categories included environmental factors, family factors, cultural factors, and physical and psychological factors aggravating social harm. Conclusion The results of this study showed the high prevalence of the severity of social harm in the marginalized suburbs of Karaj, which was caused by social instability, peer influence, child abandonment, family breakdown, cultural deprivation, and severe traditionalism, which have led to many health problems and personal breakdown for this marginalized population. Therefore, plans should be devised to solve the problems of marginalized adolescents and to empower them so as to reduce social harms and improve their health.

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Origin, transport and ecological risk assessment of illicit drugs in the environment – A review

Krishnan¹,

Manikandan

Subbaiya

et al. 2023

Chemosphere

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Looking beyond harm: meaning and purpose of substance use in the lives of marginalized people who use drugs

Cited by 10 publications

References 57 publications

Overdose Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive Housing in Vancouver, Canada

Overdose Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive Housing in Vancouver, Canada

Exploring the Factors That Influence Social Harm Related to Youth Health in The Suburbs of Karaj, Iran: A Qualitative Study

Origin, transport and ecological risk assessment of illicit drugs in the environment – A review

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