Evidence map›Paper›PMID 30211453›Full record

ArticleAddiction (Abingdon, England)2018

Gendered violence and overdose prevention sites: a rapid ethnographic study during an overdose epidemic in Vancouver, Canada.

Jade Boyd, Alexandra B Collins, Samara Mayer, Lisa Maher, Thomas Kerr, Ryan McNeil

Open access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% 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

110 citing papers in PubMed, 1 synthesis or guideline pooled it, 168 citations in OpenAlex.

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50 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 2 countries.

Jade BoydBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.ORCID 0000-0001-7919-5995
Alexandra B CollinsBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Samara MayerBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Lisa MaherKirby Institute for Infection and Immunity, UNSW Sydney, Sydney, NSW, Australia.
Thomas KerrBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Ryan McNeilBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
University of British Columbia · CABritish Columbia Centre on Substance Use · CASimon Fraser University · CAUNSW Sydney · AU

Funding

An ethno-epidemiological study of the implementation and effectiveness of an innovative and comprehensive response to the opioid epidemicR01DA044181 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI Thomas Kerr, Ryan McNeil · 2017 to 2026
$4.0M
CIHR PJT-155943NIDA NIH HHS R01 DA044181NIH HHS R01DA044181
6 · The paper itself

Abstract

BACKGROUND AND

aimsNorth America's overdose epidemic is increasingly driven by fentanyl and fentanyl-adulterated drugs. Supervised consumption sites, including low-threshold models (termed overdose prevention sites; OPS), are now being debated in the United States and implemented in Canada. Despite evidence that gendered and racialized violence shape access to harm reduction among women who use drugs (WWUD), this has not been examined in relation to OPS and amid the overdose epidemic. This study explores how overlapping epidemics of overdose and gendered and racialized violence in Vancouver's Downtown Eastside, one of North America's overdose epicenters, impacts how marginalized WWUD experience OPS.

designQualitative analysis using rapid ethnographic fieldwork. Data collection included 185 hours of naturalistic observation and in-depth interviews; data were analyzed thematically using NVivo.

settingVancouver, Canada.

participantsThirty-five WWUD recruited from three OPS. MEASUREMENTS: Participants' experiences of OPS and the public health emergency.

findingsThe rapid onset and severity of intoxication associated with the use of fentanyl-adulterated drugs in less regulated drug use settings not only amplified WWUD's vulnerability to overdose death but also violence. Participants characterized OPS as safer spaces to consume drugs in contrast to less regulated settings, and accommodation of assisted injections and injecting partnerships was critical to increasing OPS access among WWUD. Peer-administered injections disrupted gendered power relations to allow women increased control over their drug use; however, participants indicated that OPS were also gendered and racialized spaces that jeopardized some women's access.

conclusionAlthough women who use drugs in Vancouver, Canada appear to feel that overdose prevention sites address forms of everyday violence made worse by the overdose epidemic, these sites remain 'masculine spaces' that can jeopardize women's access.

Indexed as

Gender-Based ViolenceNeedle-Exchange ProgramsSubstance Abuse, IntravenousWomenAdultAnthropology, CulturalBritish ColumbiaDrug OverdoseDrug UsersFemaleHarm ReductionHealth Services AccessibilityHumansIndians, North AmericanMiddle AgedQualitative ResearchHarm reductionintersectionality risk environmentoverdosesafe consumption sitesviolencewomen

Identifiers

PMID30211453
PMCPMC6400212
OpenAlexW2891820225

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.