Evidence map›Paper›PMID 40088666›Full record

ArticleSocial science & medicine (1982)2025

Reimagining subjectivities in place: Necropolitical logics of safer supply and housing in Vancouver's Downtown Eastside.

Taylor Fleming, Jade Boyd, Ryan McNeil

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Taylor FlemingBritish Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada; School of Nursing, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada; Canadian Institute of Substance Use Research, University of Victoria, 2300 McKenzie Avenue, Victoria, BC, V8P 5C2, Canada.
Jade BoydBritish Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada.
Ryan McNeilBritish Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada; Department of Medicine, Yale School of Medicine, 367 Cedar Street, New Haven, CT, 10001, USA; Program in Addiction Medicine, Yale School of Medicine, 367 Cedar Street, New Haven, CT, 10001, USA. Electronic address: ryan.mcneil@yale.edu.

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
NIDA NIH HHS R01 DA044181
6 · The paper itself

Abstract

Canada's overdose crisis has prompted the implementation of a range of safer supply programs, which provide prescription alternatives to illicit drugs to reduce overdose deaths and related harms. However, the effectiveness and transformative potential of these programs are shaped by the broader socio-spatial contexts in which they are implemented, particularly in marginalized housing environments like single room occupancy (SRO) buildings in Vancouver's Downtown Eastside. Through qualitative interviews with 26 people receiving safer supply undertaken from October 2022 to July 2023 in Vancouver, Canada's Downtown Eastside-one of the epicentres of Canada's overdose crisis and the location of most of the country's safer supply programming-this paper examines what subjectivities safer supply makes possible for people who use drugs within the context of SRO housing. Drawing on two participant narratives, we explore how broader social-structural forces frame how safer supply can act when implemented in housing environments that engender subjectivities anchored in, for example, precarious health, social suffering, and normalized dehumanization. Drawing on the concept of necropolitics, we examine how experiences of place shape unfolding subjectivities among people who use drugs living in SROs who are receiving safer supply. We consider how the normalization and legitimization of social suffering as a condition of living in SRO housing is emblematic of how people who use drugs are made to inhabit necrospace. In doing so, we situate safer supply-and its life-sustaining potential-within the context of a life-constraining space.

Indexed as

Drug OverdoseHousingAdultBritish ColumbiaCanadaFemaleHarm ReductionHumansIllicit DrugsInterviews as TopicMaleMiddle AgedQualitative ResearchIllicit DrugsDrug useHousingNecropoliticsSafer supply

Identifiers

PMID40088666
PMCPMC12036833

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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.