The Opioid Epidemic as Collective Trauma: An Introduction to the Crisis

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doi:10.13186/group.42.4.0291

Cited by 5 publications

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“…While differences in the strength, connectedness and structure of social ties in rural areas have been observed previously [ 15 , 30 , 46 ], we seek to center this feature of the social environment. As reflected in the language of the participants, the opioid epidemic is a shared and repeated collective trauma [ 3 ] that has devastated these already vulnerable communities [ 42 ]. We suggest that the differences between metropolitan and rural social environments impact the experience and consequences of collective trauma, creating the unique risk environment found in our study.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics

et al. 2022

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Background Expanding access to sterile syringes in rural areas is vital, as injection-related epidemics expand beyond metropolitan areas globally. While pharmacies have potential to be an easily accessible source of sterile syringes, research in cities has identified moral, legal and ethical barriers that preclude over-the-counter (OTC) sales to people who inject drugs (PWID). The current study builds on prior urban-based research by elucidating (1) pharmacy OTC policies and (2) pharmacists’ rationale for, and barriers and facilitators to, OTC syringe sales in a US rural area hard hit by drug-related epidemics. Methods We conducted 14 semi-structured interviews with pharmacists recruited from two Eastern Kentucky health districts. Interview domains included experiences with, and attitudes toward, selling OTC syringes to PWID. Constructivist grounded theory methods were used to analyze verbatim transcripts. Results Most pharmacists operated “restrictive OTC” pharmacies (n = 8), where patients were required to have a prescription or proof of medical need to purchase a syringe. The remainder (n = 6) operated “open OTC” pharmacies, which allowed OTC syringe sales to most patients. Both groups believed their pharmacy policies protected their community and pharmacy from further drug-related harm, but diverging policies emerged because of stigma toward PWID, perceptions of Kentucky law, and belief OTC syringe sales were harmful rather than protective to the community. Conclusion Our results suggest that restrictive OTC pharmacy policies are rooted in stigmatizing views of PWID. Anti-stigma education about substance use disorder (SUD), human immunodeficiency virus (HIV), and Hepatitis C (HCV) is likely needed to truly shift restrictive pharmacy policy.

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Section: Discussionmentioning

confidence: 99%

A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics

et al. 2022

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Bereaved mothers’ engagement in drug policy reform: A multisite qualitative analysis

Jenkins

Slemon

Morris

et al. 2021

International Journal of Drug Policy

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The influence of COVID-19 pandemic on consumer–brand relationships: evidence of brand evangelism behaviors

2022

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The paper reports findings from a two-stage study of consumer–brand relationships conducted between April 2021 and June 2021, at a time the COVID-19 pandemic had forced consumers to live through social distancing mandates and school/office closures. Initial exploration via focus groups began in April 2021 for the purpose of generating grounded theory, hypotheses, and measurement scales relevant to their experiences of brand consumption during this period. The second study tested the grounded hypotheses based on a nationwide sample of consumers in June 2021. The study finds evidence of three distinct brand-related behaviors in response to the COVID-19-induced stresses; i.e., heightened intentionality about brand choices, heightened concern for brand sponsors’ ethical behaviors toward their employees, and engagement in brand evangelism behaviors.

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The Opioid Epidemic as Collective Trauma: An Introduction to the Crisis

Cited by 5 publications

References 0 publications

A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics

A qualitative study on pharmacy policies toward over-the-counter syringe sales in a rural epicenter of US drug-related epidemics

Bereaved mothers’ engagement in drug policy reform: A multisite qualitative analysis

The influence of COVID-19 pandemic on consumer–brand relationships: evidence of brand evangelism behaviors

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