Examining the added value of harm reduction strategies to emailed boosters to extend the effects of online interventions for college drinkers.

Author(s):  
Abby L. Braitman ◽  
Megan Strowger ◽  
Cathy Lau-Barraco ◽  
Jennifer L. Shipley ◽  
Michelle L. Kelley ◽  
...  
2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Geoff Bardwell ◽  
Tamar Austin ◽  
Lisa Maher ◽  
Jade Boyd

Abstract Background Smoking or inhaling illicit drugs can lead to a variety of negative health outcomes, including overdose. However, most overdose prevention interventions, such as supervised consumption services (SCS), prohibit inhalation. In addition, women are underrepresented at SCS and are disproportionately impacted by socio-structural violence. This study examines women’s experiences smoking illicit drugs during an overdose epidemic, including their utilization of a women-only supervised inhalation site. Methods Qualitative research methods included on-site ethnographic observation and semi-structured interviews with 32 participants purposively recruited from the women-only site. Data were coded and analyzed using NVivo 12 and thematic analysis was informed by gendered and socio-structural understandings of violence. Results Participants had preferences for smoking drugs and these were shaped by their limited income, inability to inject, and perceptions of overdose risk. Participants expressed the need for services that attend to women’s specific experiences of gendered, race-based, and structural violence faced within and outside mixed-gender social service settings. Results indicate a need for sanctioned spaces that recognize polysubstance use and drug smoking, accommodated by the women-only SCS. The smoking environment further fostered a sociability where participants could engage in perceived harm reduction through sharing drugs with other women/those in need and were able to respond in the event of an overdose. Conclusions Findings demonstrate the ways in which gendered social and structural environments shape women’s daily experiences using drugs and the need for culturally appropriate interventions that recognize diverse modes of consumption while attending to overdose and violence. Women-only smoking spaces can provide temporary reprieve from some socio-structural harms and build collective capacity to practice harm reduction strategies, including overdose prevention. Women-specific SCS with attention to polysubstance use are needed as well as continued efforts to address the socio-structural harms experienced by women who smoke illicit drugs.


2021 ◽  
Vol 56 (6) ◽  
pp. 777-781
Author(s):  
Belén del Valle Vera ◽  
José Carmona-Marquez ◽  
Claudio Vidal-Giné ◽  
Fermín Fernández-Calderón

Identity ◽  
2021 ◽  
pp. 1-12
Author(s):  
Robert B. Whitley ◽  
Michael B. Madson ◽  
Byron L. Zamboanga ◽  
Richard S. Mohn ◽  
Bonnie C. Nicholson ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Geoff Bates ◽  
Scott Shepherd ◽  
Jim McVeigh

2011 ◽  
Vol 59 (8) ◽  
pp. 736-742 ◽  
Author(s):  
Harold Rosenberg ◽  
Erin E. Bonar ◽  
Erica Hoffmann ◽  
Elizabeth Kryszak ◽  
Kathleen M. Young ◽  
...  

Water ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 333 ◽  
Author(s):  
Osvaldo Franco-Ramos ◽  
Juan Antonio Ballesteros-Cánovas ◽  
José Ernesto Figueroa-García ◽  
Lorenzo Vázquez-Selem ◽  
Markus Stoffel ◽  
...  

A good understanding of the frequency and magnitude of lahars is essential for the assessment of torrential hazards in volcanic terrains. In many instances, however, data on past events is scarce or incomplete, such that the evaluation of possible future risks and/or the planning of adequate countermeasures can only be done with rather limited certainty. In this paper, we present a multiidisciplinary approach based on botanical field evidence and the numerical modelling of a post-eruptive lahar that occurred in 2012 on the northern slope of the Pico de Orizaba volcano, Mexico, with the aim of reconstructing the magnitude of the event. To this end, we used the debris-flow module of the rapid mass movement simulation tool RAMMS on a highly resolved digital terrain model obtained with an unmanned aerial vehicle. The modelling was calibrated with scars found in 19 Pinus hartwegii trees that served as paleo stage indicators (PSI) of lahar magnitude in a sector of Jamapa Gorge. Using this combined assessment and calibration of RAMMS, we obtain a peak discharge of 78 m3 s−1 for the 2012 lahar event which was likely triggered by torrential rainfall during hurricane “Ernesto”. Results also show that the deviation between the modelled lahar stage (depth) and the height of PSI in trees was up to ±0.43 m. We conclude that the combination of PSI and models can be successfully used on (subtropical) volcanoes to assess the frequency, and even more so to calibrate the magnitude of lahars. The added value of the approach is particularly obvious in catchments with very scarce or no hydrological data at all and could thus also be employed for the dating and modelling of older lahars. As such, the approach and the results obtained can be used directly to support disaster risk reduction strategies at Pico de Orizaba volcano, but also in other volcanic regions.


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