Stayin’ Alive in Little 5: Application of Sentiment Analysis to Investigate Emotions of Service Industry Workers Responding to Drug Overdoses

Febres‐Cordero, Sarah; Smith, Daniel

doi:10.3390/ijerph192013103

Cited by 1 publication

(4 citation statements)

References 43 publications

(47 reference statements)

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“…In the commercial district of Little Five Points (L5P), Atlanta, the Little Five Points Pharmacy, in collaboration with the Georgia Department of Public Health (GDPH), the Atlanta Harm Reduction Coalition (AHRC), and Georgia Overdose Prevention, distributed more than 1,000 units of naloxone for free to residents and community members, including service workers in L5P from 2014 (year standing orders were implemented in Georgia) to 2020 at The Little Five Points Pharmacy, during syringe exchange in Little Five Points, and at OEND training in restaurants and bars, throughout the commercial district conducted by a public health nurse and the local pharmacist (Febres-Cordero, Sherman, et al, 2021; Febres-Cordero & Smith, 2022; Georgia Pharmacy Foundation, 2020).…”

Section: Methodsmentioning

confidence: 99%

“…When developing overdose response training for service industry workers, public health nurses should consider education on existing resources and laws and ways to dispel myths about people who use drugs (Febres-Cordero & Smith, 2022; Febres-Cordero, Smith, et al, 2021). When training service industry workers in OEND, a rapid landscape analysis is recommended to understand the unique culture and subcultures of the service industry workers that require training to address the stigma surrounding opioid use and injecting drug use within their specific community.…”

Section: Implications For Occupational Health Nursing Practicementioning

confidence: 99%

“…In urban settings, overdoses are more likely to occur in public settings, including restaurants, bars, and parked cars (Allen et al, 2020;Treitler et al, 2022). Service industry workers employed in these settings are uniquely positioned to reduce preventable deaths by opioid-related overdose (Febres-Cordero & Smith, 2022 ). There are 16.7 million leisure and hospitality workers in the service-providing industry, including those employed in food services such as restaurants and bars (U.S. Bureau of Labour Statistics, 2021.…”

Section: Introductionmentioning

confidence: 99%

“…Little research has been done to inform how service industry workers who encounter an overdose in community settings perceive overdose in public spaces (Allen et al, 2020; Febres-Cordero & Smith, 2022 ; Wolfson-Stofko et al, 2018). This study aimed to describe the experiences of service industry workers who encountered an overdose in their place of work.…”

Section: Introductionmentioning

confidence: 99%

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Addressing Fear of Negative Consequences of Overdose Response: A Qualitative Study of the Perceptions of Service Industry Workers Who Encounter an Opioid Overdose in an Urban Commercial District in Atlanta, Georgia

Febres-Cordero,

Thompson,

Chalfant

et al. 2024

Workplace Health Saf

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Background: The increased contamination of illicit drugs with fentanyl in the United States drug market has contributed to escalating mortality from drug overdose. Leisure and hospitality service industry workers are encountering opioid-triggered overdoses in their workplaces, such as restaurants and bars. Consequently, this increases the need for overdose education and naloxone distribution (OEND) training, which has been limited. We aimed to describe the experiences among service industry workers encountering an overdose in their workplace. Methods: We conducted in-depth qualitative interviews with service industry workers in Little Five Points (L5P), Atlanta, between October 2019 and April 2020 and triangulated methods with participant observations and fieldwork. Purposive criterion sampling methods were applied to recruit from different establishments in the L5P commercial district, which comprised restaurants, bars, retail shops, and theaters. After an initial seed sample was identified by engaging key stakeholders during fieldwork (business owners, managers, and the business association), a snowball sample followed for a final sample of N = 15. To contextualize the local population of harm reduction workers, people who use drugs and/or obtain safer drug consumption supplies in L5P (sterile syringes, safer using kits, naloxone), and service industry workers and their customers in L5P, the first author volunteered with an Atlanta syringe services program from October 2019 to April 2020. The first author conducted participant observations during the syringe exchange program and field notes were taken during observation (44 hours). This engagement ensured a rich, thick description. We used a pragmatic approach to thematic data analysis for this study. Data were analyzed iteratively and inductively from interviews and observations. Two independent researchers reviewed transcripts to identify passages in the data related to the question of interest. The passages were contextualized within the full data set independently to understand the relationships in developing a theory of what was commonly occurring across participants’ experiences, and these relationships led to emerging salient themes regarding encountering an opioid overdose at work. Results: One salient theme related to overdose response emerged with the service industry workers included fear of negative consequences of overdose response, specifically, fear of disease transmission from artifacts of drug use and overdose response, including the spread of blood-borne disease, violence, and exposure to unintentional overdose. When discussing drug use, participants’ beliefs about the potential for personal danger from drug use artifacts (syringes and discarded drugs) and violence were identified as barriers to opioid overdose responses. Conclusions/Implications for Occupational Health Practice: Our findings provide valuable insights for tailoring OEND training for service industry workers to confront fears associated with opioid overdose response in their places of work to decrease mortality from the opioid epidemic. Harm reduction approaches need to be sensitive to the places in which overdose occurs and who the overdose responder is likely to be, which requires appropriately tailoring OEND training for service industry workers.

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Section: Methodsmentioning

confidence: 99%

Section: Implications For Occupational Health Nursing Practicementioning

confidence: 99%