Evidence map›Paper›PMID 23664236›Full record

ArticleSocial science & medicine (1982)2013

The good-enough science-and-politics of anthropological collaboration with evidence-based clinical research: Four ethnographic case studies.

Luke Messac, Dan Ciccarone, Jeffrey Draine, Philippe Bourgois

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. The Donovan Memorial Lecture: 'Fentanyl-Plus': A New Era of Fentanyl Polydrug Combinations in the North American Overdose Crisis.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
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  6. The culture of experimentation in epidemiology-50 years later.International journal of epidemiology · 2022
    Article
  7. Ethnography, Tactical Responsivity and Political Utility.Journal of contemporary ethnography · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. When "the Cure" Is the Risk: Understanding How Substance Use Affects HIV and HCV in a Layered Risk Environment in San Juan, Puerto Rico.Health education & behavior : the official publication of the Society for Public Health Education · 2017
    Article
  19. Article
  20. Structural Vulnerability: Operationalizing the Concept to Address Health Disparities in Clinical Care.Academic medicine : journal of the Association of American Medical Colleges · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Luke MessacUniversity of Pennsylvania, Department of History and Sociology of Science and School of Medicine, USA. Electronic address: lmessac@sas.upenn.edu.
Dan CiccaroneUniversity of California San Francisco, Department of Family & Community Medicine, USA. Electronic address: Ciccaron@fcm.ucsf.edu.
Jeffrey DraineTemple University, Department of Social Work, USA. Electronic address: jeffdraine@temple.edu.
Philippe BourgoisDepartment of Anthropology and Department of Family Medicine & Community Health, USA. Electronic address: pbourgois@gmail.com.

Funding

The Logics for HIV Risk among Street-Based Heroin InjectorsR01DA010164 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI BRANAS, CHARLES C. · 1996 to 2014
$4.9M
Critical Time Intervention (CTI) for Men with Mental Illness Leaving PrisonR01MH076068 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GELLES, RICHARD J. · 2006 to 2010
$3.0M
Education and Empowerment Intervention for HIV Prevention In and Out of JailR01DA027204 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI DRAINE, JEFFREY · 2009 to 2013
$2.7M
A randomized trial of urban vacant lot stabilization and substance abuse outcomesR01AA020331 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI BRANAS, CHARLES C., POLSKY, DANIEL E · 2012 to 2015
$2.7M
Heroin Price, Purity and Outcomes StudyR01DA027599 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CICCARONE, DANIEL H · 2010 to 2014
$1.8M
Exploratory Research on Late Initiation of Drug InjectionR01DA027689 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BLUTHENTHAL, RICKY N, KRAL, ALEXANDER H · 2010 to 2012
$1.7M
NIAAA NIH HHS AA020331NIAAA NIH HHS R01 AA020331NIDA NIH HHS DA010164NIDA NIH HHS DA027204NIDA NIH HHS DA027689NIDA NIH HHS DA27599NIDA NIH HHS R01 DA010164NIDA NIH HHS R01 DA027204NIDA NIH HHS R01 DA027599NIDA NIH HHS R01 DA027689NIMH NIH HHS MH076068NIMH NIH HHS R01 MH076068
6 · The paper itself

Abstract

The apolitical legitimacy of "evidence-based medicine" offers a practical means for ethnography and critical social-science-and-humanities-of-health theory to transfer survival resources to structurally vulnerable populations and to engage policy and services audiences with urgent political problems imposed on the urban poor in the United States that harm health: most notably, homelessness, hyperincarceration, social service cut-backs and the War on Drugs. We present four examples of collaborations between ethnography and clinical research projects that demonstrate the potentials and limits of promoting institutional reform, political debate and action through distinct strategies of cross-methodological dialog with epidemiological and clinical services research. Ethnographic methods alone, however, are simply a technocratic add-on. They must be informed by critical theory to contribute effectively and transformatively to applied health initiatives. Ironically, technocratic, neoliberal logics of cost-effectiveness can sometimes render radical service and policy reform initiatives institutionally credible, fundable and capable of generating wider political support, even though the rhetoric of economic efficacy is a double-edged sword. To extend the impact of ethnography and interdisciplinary theories of political-economic, cultural and disciplinary power relations into applied clinical and public health research, anthropologists - and their fellow travelers - have to be able to strategically, but respectfully learn to see through the positivist logics of clinical services research as well as epidemiological epistemology in order to help clinicians achieve - and extend - their applied priorities. In retrospect, these four very differently-structured collaborations suggest the potential for "good-enough" humble scientific and political strategies to work for, and with, structurally vulnerable populations in a punitive neoliberal era of rising social inequality, cutbacks of survival services, and hyperincarceration of the poor.

Indexed as

Cooperative BehaviorPoliticsAnthropology, CulturalClinical Trials as TopicEvidence-Based MedicineHealth PolicyHumansOrganizational Case StudiesRandomized Controlled Trials as TopicUnited StatesVulnerable PopulationsHIV prevention/treatmentHomelessnessIncarcerationInjection drug usersParticipant observation ethnographyPolitics of science and healthSan Francisco, Philadelphia, United StatesStructural vulnerabilityUnderserved populations

Identifiers

PMID23664236
PMCPMC3775979

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.