Evidence map›Paper›PMID 24332972›Full record

ArticleThe International journal on drug policy2014

Negotiating place and gendered violence in Canada's largest open drug scene.

Ryan McNeil, Kate Shannon, Laura Shaver, Thomas Kerr, Will Small

Open access · greenAbstract read
In one paragraph

Article in The International journal on drug policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. THE GENDER SEGREGATION OF PRECARIOUS WORK CONTEXTS AMONG PEOPLE WHO USE DRUGS.International journal of mental health and addiction · 2026
    Article
  6. Article
  7. Article
  8. Open Drug Scenes Survey in Brazilian cities: main findings from São Paulo, Fortaleza, and Brasília.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025
    Article
  9. Article
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  11. Observational
  12. Article
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  17. The hepatitis C epidemic in Canada: An overview of recent trends in surveillance, injection drug use, harm reduction and treatment.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021
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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

5 authors at 3 institutions in 1 country.

Ryan McNeilBC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada. Electronic address: rmcneil@cfenet.ubc.ca.
Kate ShannonBC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Laura ShaverVancouver Area Network of Drug Users, Vancouver, British Columbia, Canada.
Thomas KerrBC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Will SmallBC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
University of British Columbia · CAAIDS Vancouver · CASimon Fraser University · CA

Funding

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 DA033147NIDA NIH HHS R01DA033147
6 · The paper itself

Abstract

backgroundVancouver's Downtown Eastside is home to Canada's largest street-based drug scene and only supervised injection facility (Insite). High levels of violence among men and women have been documented in this neighbourhood. This study was undertaken to explore the role of violence in shaping the socio-spatial relations of women and 'marginal men' (i.e., those occupying subordinate positions within the drug scene) in the Downtown Eastside, including access to Insite.

methodsSemi-structured qualitative interviews were conducted with 23 people who inject drugs (PWID) recruited through the Vancouver Area Network of Drug Users, a local drug user organization. Interviews included a mapping exercise. Interview transcripts and maps were analyzed thematically, with an emphasis on how gendered violence shaped participants' spatial practices.

resultsHegemonic forms of masculinity operating within the Downtown Eastside framed the everyday violence experienced by women and marginal men. This violence shaped the spatial practices of women and marginal men, in that they avoided drug scene milieus where they had experienced violence or that they perceived to be dangerous. Some men linked their spatial restrictions to the perceived 'dope quality' of neighbourhood drug dealers to maintain claims to dominant masculinities while enacting spatial strategies to promote safety. Environmental supports provided by health and social care agencies were critical in enabling women and marginal men to negotiate place and survival within the context of drug scene violence. Access to Insite did not motivate participants to enter into "dangerous" drug scene milieus but they did venture into these areas if necessary to obtain drugs or generate income.

conclusionGendered violence is critical in restricting the geographies of men and marginal men within the street-based drug scene. There is a need to scale up existing environmental interventions, including supervised injection services, to minimize violence and potential drug-related risks among these highly-vulnerable PWID.

Indexed as

AdultBritish ColumbiaCanadaData CollectionDrug UsersFemaleHumansMaleMasculinityMiddle AgedNeedle-Exchange ProgramsSex FactorsSpatial AnalysisSubstance Abuse, IntravenousViolenceGenderInjection drug useMasculinityQualitativeSocial geographySupervised injection facilitiesViolence

Identifiers

PMID24332972
PMCPMC4031309
OpenAlexW2093221413

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.