Evidence map›Paper›PMID 35652801›Full record

ArticleInternational journal of qualitative studies on health and well-being2022

"They're all struggling as well": social and economic barriers and facilitators to self-managing chronic illness among marginalized people who use drugs.

Lisa M Boucher, Esther S Shoemaker, Clare E Liddy, Lynne Leonard, Paul A MacPherson, Justin Presseau, Alana Martin, Dave Pineau, Christine Lalonde, Nic Diliso and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

13 authors at 3 institutions in 1 country.

Lisa M BoucherSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-1543-0965
Esther S ShoemakerC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON, Canada.
Clare E LiddySchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0003-0699-5494
Lynne LeonardSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Paul A MacPhersonSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Justin PresseauSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-2132-0703
Alana MartinSomerset West Community Health Centre, Ottawa, ON, Canada.
Dave PineauThe CDSM among PWUD Study's Community Advisory Committee, Bruyère Research Institute, Ottawa, ON, Canada.
Christine LalondeCentretown Community Health Centre, Ottawa, ON, Canada.
Nic DilisoThe CDSM among PWUD Study's Community Advisory Committee, Bruyère Research Institute, Ottawa, ON, Canada.
Terry LaflecheThe CDSM among PWUD Study's Community Advisory Committee, Bruyère Research Institute, Ottawa, ON, Canada.
Michael FitzgeraldC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON, Canada.ORCID 0000-0001-6554-172X
Claire E KendallSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
University of Ottawa · CABruyère · CARegent Park Community Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelf-management is recommended for addressing chronic conditions, and self-management programmes improve health behaviours and outcomes. However, social and economic factors have been neglected in self-management research, despite their relevance for marginalized groups. Thus, we aimed to explore barriers and facilitators that influence self-management among socioeconomically marginalized people who use drugs (PWUD).

methodsUsing community-based participatory methods, we developed a qualitative interview guide and conducted peer-led recruitment. Participants were admitted into the study after self-identifying as using non-prescribed drugs, having a chronic health issue, and experiencing socioeconomic marginalization. Data were analysed using reflexive thematic analysis, taking a relational autonomy lens.

resultsParticipants highlighted substantial barriers to managing their health issues, mostly stemming from their social and economic environments, such as unstable housing, low income, lack of supportive social networks, and negative healthcare experiences. Participants also described how their ability to self-manage their chronic conditions benefited from specific aspects of social interactions, including close relationships, community connectedness, and engaging in peer support.

conclusionsOur findings suggest that structural interventions are needed to support self-management among marginalized PWUD, especially stable housing. Self-management supports for PWUD would benefit from including a range of low-barrier community-based options, peer work opportunities, and advocacy for needs.

Indexed as

Self-ManagementChronic DiseaseHospitalizationHumansPovertySocial Networkingchronic disease managementcommunity-based researchdrug userelational autonomySelf-caresocioeconomic marginalization

Identifiers

PMID35652801
PMCPMC9176359
OpenAlexW4282007787

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.