Evidence map›Paper›PMID 23664788›Full record

ArticleThe International journal on drug policy2013

Injection drug users' involvement in drug dealing in the downtown eastside of Vancouver: social organization and systemic violence.

Will Small, Lisa Maher, Jeff Lawlor, Evan Wood, Kate Shannon, Thomas Kerr

Abstract read
In one paragraph

Article in The International journal on drug policy, 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. THE GENDER SEGREGATION OF PRECARIOUS WORK CONTEXTS AMONG PEOPLE WHO USE DRUGS.International journal of mental health and addiction · 2026
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  16. Increasing diversion of methadone in Vancouver, Canada, 2005-2015.Journal of substance abuse treatment · 2018
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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

6 authors.

Will SmallBritish Columbia Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6; Simon Fraser University, Faculty of Health Sciences, Burnaby, Canada; Viral Hepatitis Epidemiology and Prevention Program, Kirby Institute, Darlinghurst, Sydney, NSW, Australia. Electronic address: wsmall@cfenet.ubc.ca.
Lisa Maher
Jeff Lawlor
Evan Wood
Kate Shannon
Thomas Kerr

Funding

Social and structural context of HIV/STI risk among FSWsR01DA028648 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI GOLDENBERG, SHIRA MIRIAM, KRUSI, ANDREA · 2010 to 2024
$6.9M
HIV Risk Environments among FSW and DU: A Longitudinal Ethno-Spatial ApproachR01DA033147 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI KERR, THOMAS, SHANNON, KATE · 2012 to 2016
$1.8M
CIHR MOP-81171NIDA NIH HHS R01 DA028648NIDA NIH HHS R01DA028648NIDA NIH HHS R01 DA033147NIDA NIH HHS R01DA033147
6 · The paper itself

Abstract

backgroundIllicit drug markets are a key component of the risk environment surrounding injection drug use. However, relatively few studies have explored how injection drug users' (IDUs) involvement in drug dealing shapes their experiences of drug market-related harm. This exploratory qualitative study aims to understand IDUs' dealing activities and roles, as well as the perceived benefits and risks related to participation in illicit drug markets, including experiences of drug market violence.

methodsTen IDUs with extensive involvement in drug dealing activities were recruited from the Vancouver Injection Drug User Study (VIDUS) and participated in semi-structured qualitative interviews, which elicited discussion of experiences dealing drugs, perceived benefits and hazards related to dealing, and understandings of drug market violence.

resultsParticipant's involvement in drug market activities included corporate sales, freelance or independent sales, and opportunistic sales termed "middling" as well as drug market-related hustles entailing selling bogus drugs and robbing dealers. Participants primarily dealt drugs to support their own illicit drug use, and we found that arrest and criminal justice involvement, hazards stemming from drug debts, and drug market-related violence were key risks related to dealing activities.

conclusionThe challenges of managing personal consumption while selling drugs exacerbates the hazards associated with drug dealing. Efforts to address drug dealing among IDUs should consider both drug dependency and the material conditions that propel drug users towards dealing activities. Interventions should explore the potential of combining enhanced drug treatment programs with low threshold employment and alternative income generation opportunities.

Indexed as

Risk-TakingUrban PopulationCanadaDrug TraffickingHumansQualitative ResearchRisk AssessmentSubstance Abuse, IntravenousViolenceDrug dealingInjection drug useRisk environmentViolence

Identifiers

PMID23664788
PMCPMC3911907

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Registered trials

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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.