A qualitative exploration of daily path and daily routine among people in Ukraine who inject drugs to understand associated harms.
Daily routine
Drug use
Harm reduction
Ukraine
Journal
Substance abuse treatment, prevention, and policy
ISSN: 1747-597X
Titre abrégé: Subst Abuse Treat Prev Policy
Pays: England
ID NLM: 101258060
Informations de publication
Date de publication:
07 05 2022
07 05 2022
Historique:
accepted:
19
04
2022
entrez:
7
5
2022
pubmed:
8
5
2022
medline:
11
5
2022
Statut:
epublish
Résumé
Patterns of movement, heterogeneity of context, and individual space-time patterns affect health, and individuals' movement throughout the landscape is shaped by addiction, meeting basic needs, and maintaining relationships. Place and social context enable or constrain behavior and individuals use social networks and daily routines to accomplish individual goals and access resources. This article explores drug use as part of daily routines and daily paths among people who inject drugs in Dnipro City, Ukraine. Between March and August 2018, we interviewed 30 people who inject drugs living in Dnipro City, Ukraine. Study participants completed a single interview that lasted between 1 and 2 hours. During the interview, participants described their daily routine and daily path using a printed map of Dnipro as a prompt. Participants were asked to draw important sites; give time estimates of arrival and departure; and annotate on the map the points, paths, and areas most prominent or important to them. Participants also described to what extent their daily routines were planned or spontaneous, how much their daily path varied over time, and how drug use shaped their daily routine. We identified 3 major types of daily routine: unpredictable, predictable, and somewhat predictable. Participants with unpredictable daily routines had unreliable sources of income, inconsistent drug suppliers and drug use site, and dynamic groups of people with whom they socialized and used drugs. Participants with predictable daily routines had reliable sources of income, a regular drug dealer or stash source, and a stable group of friends or acquaintances with whom they bought and/or used drugs. Participants with somewhat predictable daily routines had some stable aspects of their daily lives, such as a steady source of income or a small group of friends with whom they used drugs, but also experienced circumstances that undermined their ability to have a routinized daily life, such as changing drug use sites or inconsistent income sources. Greater attention needs to be paid to the daily routines of people who use drugs to develop and tailor interventions that address the place-based and social contexts that contribute to drug-use related risks.
Sections du résumé
BACKGROUND
Patterns of movement, heterogeneity of context, and individual space-time patterns affect health, and individuals' movement throughout the landscape is shaped by addiction, meeting basic needs, and maintaining relationships. Place and social context enable or constrain behavior and individuals use social networks and daily routines to accomplish individual goals and access resources.
METHODS
This article explores drug use as part of daily routines and daily paths among people who inject drugs in Dnipro City, Ukraine. Between March and August 2018, we interviewed 30 people who inject drugs living in Dnipro City, Ukraine. Study participants completed a single interview that lasted between 1 and 2 hours. During the interview, participants described their daily routine and daily path using a printed map of Dnipro as a prompt. Participants were asked to draw important sites; give time estimates of arrival and departure; and annotate on the map the points, paths, and areas most prominent or important to them. Participants also described to what extent their daily routines were planned or spontaneous, how much their daily path varied over time, and how drug use shaped their daily routine.
RESULTS
We identified 3 major types of daily routine: unpredictable, predictable, and somewhat predictable. Participants with unpredictable daily routines had unreliable sources of income, inconsistent drug suppliers and drug use site, and dynamic groups of people with whom they socialized and used drugs. Participants with predictable daily routines had reliable sources of income, a regular drug dealer or stash source, and a stable group of friends or acquaintances with whom they bought and/or used drugs. Participants with somewhat predictable daily routines had some stable aspects of their daily lives, such as a steady source of income or a small group of friends with whom they used drugs, but also experienced circumstances that undermined their ability to have a routinized daily life, such as changing drug use sites or inconsistent income sources.
CONCLUSIONS
Greater attention needs to be paid to the daily routines of people who use drugs to develop and tailor interventions that address the place-based and social contexts that contribute to drug-use related risks.
Identifiants
pubmed: 35526038
doi: 10.1186/s13011-022-00465-3
pii: 10.1186/s13011-022-00465-3
pmc: PMC9077869
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
33Subventions
Organisme : NIDA NIH HHS
ID : R21 DA044807
Pays : United States
Informations de copyright
© 2022. The Author(s).
Références
Subst Use Misuse. 2009;44(2):139-62
pubmed: 19142817
Int J Drug Policy. 2007 Jan;18(1):27-36
pubmed: 17689341
Soc Sci Med. 2003 Jul;57(1):39-54
pubmed: 12753815
Addiction. 2006 Oct;101(10):1384-93
pubmed: 16968336
Am J Public Health. 2007 Jan;97(1):110-6
pubmed: 17138916
Int J Drug Policy. 2018 Sep;59:36-43
pubmed: 29986270
AIDS Behav. 2011 Jan;15(1):58-64
pubmed: 20532604
Drug Alcohol Depend. 2015 Sep 1;154:229-35
pubmed: 26169447
AIDS Behav. 2019 Dec;23(12):3267-3276
pubmed: 30924066
Soc Sci Med. 2015 Jun;135:47-55
pubmed: 25942470
Subst Use Misuse. 1998 Sep;33(11):2323-51
pubmed: 9758016
Health Place. 2015 Jan;31:124-32
pubmed: 25497167
Int J Drug Policy. 2016 Nov;37:98-106
pubmed: 27639995
Int J Drug Policy. 2014 May;25(3):503-7
pubmed: 24746862
Int J Drug Policy. 2015 Jul;26(7):626-31
pubmed: 25976511
Health Place. 2007 Sep;13(3):617-28
pubmed: 17074527
Drug Alcohol Depend. 2016 Aug 01;165:213-20
pubmed: 27370527
Soc Sci Med. 2010 Mar;70(5):668-76
pubmed: 19963310
Drug Alcohol Depend. 2010 Jun 1;109(1-3):79-83
pubmed: 20060238
Soc Sci Med. 2013 Jan;76(1):126-33
pubmed: 23157930
Drug Alcohol Depend. 2007 Nov 2;91(1):50-6
pubmed: 17561355
Sex Transm Infect. 2012 Feb;88(1):58-62
pubmed: 22056984
Health Place. 2008 Jun;14(2):182-97
pubmed: 17658287
Ann Assoc Am Geogr. 2012 Sep 1;102(5):1058-1066
pubmed: 23626374
Soc Sci Med. 2005 Aug;61(3):673-84
pubmed: 15899325
Drug Alcohol Depend. 2018 Aug 1;189:125-130
pubmed: 29913323
Curr Psychiatry Rep. 2019 Jun 3;21(7):47
pubmed: 31161306
Soc Sci Med. 2001 Oct;53(7):845-63
pubmed: 11522133
Am J Public Health. 2011 Feb;101(2):336-43
pubmed: 20395584
Forensic Sci Int. 2018 Aug;289:207-214
pubmed: 29902699
Soc Sci Med. 1997 Sep;45(6):903-14
pubmed: 9255923
Addiction. 2009 Nov;104(11):1864-73
pubmed: 19681800
AIDS Behav. 2011 Jul;15(5):1003-10
pubmed: 20872063
Int J STD AIDS. 2018 Nov;29(13):1337-1344
pubmed: 30049259
Soc Sci Med. 2021 Jan;269:113563
pubmed: 33309442
J Subst Abuse Treat. 2016 Jul;66:37-47
pubmed: 27211995
Health Place. 2006 Mar;12(1):79-85
pubmed: 16243682
AIDS Behav. 2011 Apr;15 Suppl 1:S35-50
pubmed: 21369730
Drugs (Abingdon Engl). 2016;23(2):163-175
pubmed: 27458326
Subst Use Misuse. 2010 May;45(6):813-64
pubmed: 20397872
Health Place. 2013 Jul;22:1-6
pubmed: 23518256
Drugs (Abingdon Engl). 2015;22(3):255-262
pubmed: 27087758
Int J Drug Policy. 2014 May;25(3):516-24
pubmed: 24374172
J Urban Health. 2001 Sep;78(3):411-8
pubmed: 11564845
Int J Drug Policy. 2016 Feb;28:91-7
pubmed: 26806639
Int J Drug Policy. 2021 Jan;87:102988
pubmed: 33129134
BMC Public Health. 2020 Aug 26;20(1):1288
pubmed: 32843008
Lancet HIV. 2020 Feb;7(2):e121-e128
pubmed: 31879250