Normalised pain and severe health care delay among people who inject drugs in London: Adapting cultural safety principles to promote care.

Social Science & Medicine
Magdalena Harris

Abstract

In the United Kingdom, increases in premature mortality among the intersecting populations of people made homeless and people who inject drugs map onto the implementation and solidification of fiscal austerity policies over the past decade, rather than drug market fluctuations and trends as in North America. In this context, it is crucial to explore how poverty, multi-morbidity and care delay interplay in exacerbating vulnerability to mortality among an aging population of people who use illicit drugs. The mixed methods Care & Prevent study generated survey data with 455 PWID and in-depth qualitative interviews with a subsample (n = 36). Participants were recruited though drug treatment services and homeless hostels in London from October 2017-June 2019. This paper focuses on qualitative findings, analysed thematically and contextualised in relation to the broader survey sample. Survey participants report an extensive history of rough sleeping (78%); injecting-related bacterial infections (65%) and related hospitalisation (30%). Qualitative accounts emphasise engagement with the medical system as a 'last resort', with admission to hospital in a critical or a "near death" condition common. For many severe physical pain and debil...Continue Reading

Citations

Feb 4, 2021·International Journal for Equity in Health·Bruce WallaceKenneth D Craig
Dec 16, 2020·The International Journal on Drug Policy·Tim RhodesKari Lancaster
May 7, 2021·Sociology of Health & Illness·Fay Dennis
Oct 15, 2020·Addiction·Roy RobertsonMagdalena Harris
Jun 1, 2021·The International Journal on Drug Policy·Lindy ClappLesly-Marie Buer
Aug 19, 2021·The International Journal on Drug Policy·Danielle Marie Russell

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