Substance Use Stigma and Community Drug Checking: A Qualitative Study Examining Barriers and Possible Responses

被引:21
作者
Davis, Samantha [1 ]
Wallace, Bruce [1 ,2 ]
Van Roode, Thea [1 ]
Hore, Dennis [3 ,4 ]
机构
[1] Univ Victoria, Canadian Inst Subst Use Res, POB 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
[2] Univ Victoria, Sch Social Work, POB 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
[3] Univ Victoria, Dept Chem, POB 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
[4] Univ Victoria, Dept Comp Sci, POB 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
关键词
substance use stigma; drug checking; substance use; harm reduction; overdose; fentanyl; HEALTH-CARE; OVERDOSE RESPONSE; HARM REDUCTION; FRAMEWORK; PEOPLE; CRISIS; ROLES; HIV;
D O I
10.3390/ijerph192315978
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: Community drug checking is an emerging response to the overdose crisis. However, stigma has been identified as a potential barrier to service use that requires investigation. Methods: A qualitative study explored how best to implement drug checking services to the wider population including those at risk of overdose. A secondary analysis of 26 interviews with potential service users examine how stigma may be a barrier to service use and strategies to address this. A Substance Use Stigma Framework was developed to guide analysis. Results: Drug checking is operating in a context of structural stigma produced by criminalization. People fear criminal repercussions, anticipate stigma when accessing services, and internalize stigma resulting in shame and avoidance of services. A perceived hierarchy of substance use creates stigma results in stigma between service users and avoidance of sites associated with certain drugs. Participants frequently recommended drug checking to be located in more public spaces that still maintain privacy. Conclusions: Criminalization and societal views on substance use can deter service use. Strategies to mitigate stigma include employment of people with lived and living experience from diverse backgrounds; public yet private locations that preserve anonymity; and normalization of drug checking while decriminalization could address the root causes of stigma.
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页数:14
相关论文
共 55 条
[1]   Substance Use Stigma, Primary Care, and the New York State Prescription Drug Monitoring Program [J].
Allen, Bennett ;
Harocopos, Alex ;
Chernick, Rachel .
BEHAVIORAL MEDICINE, 2020, 46 (01) :52-62
[2]  
[Anonymous], EQUIP PATHWAYS CARE
[3]  
[Anonymous], 2018, DECRIMINALIZATION OP
[4]   Turning negative into positive: public health mass media campaigns and negative advertising [J].
Apollonio, D. E. ;
Malone, R. E. .
HEALTH EDUCATION RESEARCH, 2009, 24 (03) :483-495
[5]   "We don't got that kind of time, man. We're trying to get high!": Exploring potential use of drug checking technologies among structurally vulnerable people who use drugs [J].
Bardwell, Geoff ;
Boyd, Jade ;
Tupper, Kenneth W. ;
Kerr, Thomas .
INTERNATIONAL JOURNAL OF DRUG POLICY, 2019, 71 :125-132
[6]   Characterizing peer roles in an overdose crisis: Preferences for peer workers in overdose response programs in emergency shelters [J].
Bardwell, Geoff ;
Kerr, Thomas ;
Boyd, Jade ;
McNeil, Ryan .
DRUG AND ALCOHOL DEPENDENCE, 2018, 190 :6-8
[7]   Drug checking: a potential solution to the opioid overdose epidemic? [J].
Bardwell, Geoff ;
Kerr, Thomas .
SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, 2018, 13
[8]  
Barratt M.J., 2018, DRUG HABIT SOC POLIC, V24, P1
[9]  
BC Coroners Service, 2022, Illicit drug toxicity deaths in BC: January 1 2011-December 31, 2021
[10]  
Brunt T., 2017, EUROPEAN MONITORING