Navigating post-eviction drug use amidst a changing drug supply: A spatially-oriented qualitative study of overlapping housing and overdose crises in Vancouver, Canada.
Navigating post-eviction drug use amidst a changing drug supply: A spatially-oriented qualitative study of overlapping housing and overdose crises in Vancouver, Canada.
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DOI：
10.1016/j.drugalcdep.2021.108666
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发表时间：
2021-05-01
影响因子：
4.2
通讯作者：
Boyd J
中科院分区：
文献类型：
--
作者：
McNeil R;Fleming T;Collins AB;Czechaczek S;Mayer S;Boyd J
随着非法药物市场以芬太尼和甲基苯丙胺的扩散为标志，北美城市正在经历交叉的住房和过量危机。尽管最近的研究记录了驱逐与毒品相关风险和危害之间的联系，包括过量，但对这些发生的机制仍然知之甚少。本研究旨在探讨驱逐如何塑造吸毒者在温哥华市中心东区的吸毒行为-一个建立毒品现场的社区-随着非法药物供应的变化。定性访谈和地理空间数据收集进行了56个最近被驱逐的PWUD。通过将定性数据和地理空间数据相结合，对数据进行了分析，并重点解释了结构脆弱性如何影响空间做法和驱逐后与毒品有关的风险。研究结果表明，如何驱逐后的空间做法和惯例产生的风险和伤害的参与者导航住房脆弱性和药物供应变化的不确定性。驱逐后的中断使参与者与值得信赖的药品销售商接触的能力变得复杂。空间格局的变化和进入私人空间的机会使公共药物使用不可避免，尽管这在一定程度上被减少危害的支持所缓解。由于驱逐后的中断，毒品使用模式发生了突然变化，包括使用甲基苯丙胺来提高警觉性和在严重困难中生存。调查结果表明，驱逐后日常生活和空间模式的变化如何受到结构性脆弱性的影响，并可能加剧与毒品相关的危害，特别是在毒品供应不断变化的背景下。迫切需要采取结构性干预措施和减少危害的对策，以减轻与驱逐有关的危害。
North American cities are experiencing intersecting housing and overdose crises as illicit drug markets become marked by the proliferation of fentanyl and methamphetamine. Despite recent research documenting associations between evictions and drug-related risks and harms, including overdose, the mechanisms through which these occur remain poorly understood. This study to examines how evictions shape the drug use practices of people who use drugs in Vancouver’s Downtown Eastside – a neighbourhood with an established drug scene – as the illicit drug supply changed. Qualitative interviews and geo-spatial data collection were conducted with 56 recently evicted PWUD. Data were analyzed by interfacing qualitative and geo-spatial data, and interpreted focusing on how structural vulnerability shaped spatial practices and drug-related risks post-eviction. Findings demonstrate how post-eviction spatial practices and routines produced risk and harm as participants navigated the uncertainties of housing vulnerability and drug supply changes. Post-eviction disruptions complicated participants’ ability to engage with trusted drug sellers. Changes to spatial patterns and access to private spaces rendered public drug use inevitable, though this was mitigated to some degree by harm reduction supports. Abrupt changes to drug use patterns occurred due to post-eviction disruptions and included instrumental uses of methamphetamine to increase alertness and navigate survival amidst severe hardship. Findings demonstrate how post-eviction changes to routines and spatial patterns are framed by structural vulnerability and can exacerbate drug-related harms, particularly in the context of a changing drug supply. There is an urgent need for structural interventions and harm reduction responses to mitigate harms associated with evictions.
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影响因子：
3.8
作者：
Bach P;Hayashi K;Milloy MJ;Nosova E;Kerr T;Wood E;Fairbairn N
通讯作者：
Fairbairn N
性别暴力和预防过量场所：加拿大温哥华过量流行期间的一项快速民族志研究。
DOI：
10.1111/add.14417
发表时间：
2018-12
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Boyd J;Collins AB;Mayer S;Maher L;Kerr T;McNeil R
通讯作者：
McNeil R
影响因子：
4.4
作者：
Collins, Alexandra B.;Boyd, Jade;McNeil, Ryan
通讯作者：
McNeil, Ryan
影响因子：
5.4
作者：
Fast, Danya;Small, Will;Kerr, Thomas
通讯作者：
Kerr, Thomas
影响因子：
4.4
作者：
Desmond, Matthew
通讯作者：
Desmond, Matthew