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The intersectional risk environment of people who use drugs

Collins, Alexandra B. ; Boyd, Jade ; Cooper, Hannah L.F. ; McNeil, Ryan

Social science & medicine (1982), 2019-08, Vol.234, p.112384-112384, Article 112384 [Periódico revisado por pares]

England: Elsevier Ltd

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  • Título:
    The intersectional risk environment of people who use drugs
  • Autor: Collins, Alexandra B. ; Boyd, Jade ; Cooper, Hannah L.F. ; McNeil, Ryan
  • Assuntos: Approaches ; Conceptual models ; Drug abuse ; Drug policy ; Drug use ; Drug Users ; Environment ; Environmental aspects ; Health care policy ; Health education ; Health inequities ; Health outcomes ; Health problems ; Health status ; Health Status Disparities ; Humans ; Intersectionality ; Medical research ; Multilevel Analysis ; Poverty ; Public health ; Race ; Risk ; Risk environment ; Social policy ; Substance abuse ; Substance use
  • É parte de: Social science & medicine (1982), 2019-08, Vol.234, p.112384-112384, Article 112384
  • Descrição: Current conceptual models for examining the production of risk and harm (e.g. syndemics, ‘risk environment’) in substance use research have been fundamental in emphasizing broader environmental factors that shape health outcomes for people who use drugs (PWUD). However, the application of these frameworks in ways that highlight nuance and complexity has remained challenging, with much of this research focusing on select social positions (e.g. race, gender) and social-structural factors (e.g. poverty, drug policies). It is crucial that we move to better accounting for these relations in the context of substance use research to enhance equity in research and ensure understanding of diverse and complex needs. Building on the risk environment framework and complementary approaches, this article introduces the ‘intersectional risk environment’ as an approach to understanding the interconnected ways that social locations converge within the risk environment to produce or mitigate drug-related outcomes. This framework integrates a relational intersectional lens to examine how differential outcomes across populations of PWUD are produced in relation to social location and processes operating across social-structural dimensions. In doing so, the intersectional risk environment highlights how outcomes are products of processes and relations that are embodied, reflected, and challenged while situated within social, historical, and geographic contexts. Incorporating this framework into future research may improve understandings of health outcomes for PWUD and better orient structural interventions and public health approaches to address differential risks and experiences of PWUD. •Presents a conceptual framework for examining differential health outcomes.•Describes how multi-level risks and social locations converge to shape health.•Suggests this approach better accounts for complexity between and within groups.•Framework informs research and initiatives to address health inequities.
  • Editor: England: Elsevier Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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