Harm reduction theory: Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups

Samuel R. Friedman, Wouter de Jong, Diana Rossi, Graciela Touzé, Russell Rockwell, Don Des Jarlais, Richard Elovich

Research output: Contribution to journalShort survey

Abstract

This paper discusses the user side of harm reduction, focusing to some extent on the early responses to the HIV/AIDS epidemic in each of four sets of localities-New York City, Rotterdam, Buenos Aires, and sites in Central Asia. Using available qualitative and quantitative information, we present a series of vignettes about user activities in four different localities in behalf of reducing drug-related harm. Some of these activities have been micro-social (small group) activities; others have been conducted by formal organizations of users that the users organized at their own initiative. In spite of the limitations of the methodology, the data suggest that users' activities have helped limit HIV spread. These activities are shaped by broader social contexts, such as the extent to which drug scenes are integrated with broader social networks and the way the political and economic systems impinge on drug users' lives. Drug users are active agents in their own individual and collective behalf, and in helping to protect wider communities. Harm reduction activities and research should take note of and draw upon both the micro-social and formal organizations of users. Finally, both researchers and policy makers should help develop ways to enable and support both micro-social and formally organized action by users.

Original languageEnglish (US)
Pages (from-to)107-117
Number of pages11
JournalInternational Journal of Drug Policy
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2007

Fingerprint

Harm Reduction
Drug Users
Political Systems
HIV
Organizations
Central Asia
Administrative Personnel
Social Support
Pharmaceutical Preparations
Acquired Immunodeficiency Syndrome
Economics
Research Personnel
Research

Keywords

  • Buenos Aires
  • Central Asia
  • Harm reduction
  • HIV/AIDS
  • Injection drug users
  • Intravention
  • Micro-social
  • New York
  • Rotterdam
  • Small group
  • Social movement
  • Users' groups

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy

Cite this

Harm reduction theory : Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups. / Friedman, Samuel R.; de Jong, Wouter; Rossi, Diana; Touzé, Graciela; Rockwell, Russell; Des Jarlais, Don; Elovich, Richard.

In: International Journal of Drug Policy, Vol. 18, No. 2, 01.03.2007, p. 107-117.

Research output: Contribution to journalShort survey

Friedman, Samuel R. ; de Jong, Wouter ; Rossi, Diana ; Touzé, Graciela ; Rockwell, Russell ; Des Jarlais, Don ; Elovich, Richard. / Harm reduction theory : Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups. In: International Journal of Drug Policy. 2007 ; Vol. 18, No. 2. pp. 107-117.
@article{e8461d3e4c284f5c85acd3de17a081b4,
title = "Harm reduction theory: Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups",
abstract = "This paper discusses the user side of harm reduction, focusing to some extent on the early responses to the HIV/AIDS epidemic in each of four sets of localities-New York City, Rotterdam, Buenos Aires, and sites in Central Asia. Using available qualitative and quantitative information, we present a series of vignettes about user activities in four different localities in behalf of reducing drug-related harm. Some of these activities have been micro-social (small group) activities; others have been conducted by formal organizations of users that the users organized at their own initiative. In spite of the limitations of the methodology, the data suggest that users' activities have helped limit HIV spread. These activities are shaped by broader social contexts, such as the extent to which drug scenes are integrated with broader social networks and the way the political and economic systems impinge on drug users' lives. Drug users are active agents in their own individual and collective behalf, and in helping to protect wider communities. Harm reduction activities and research should take note of and draw upon both the micro-social and formal organizations of users. Finally, both researchers and policy makers should help develop ways to enable and support both micro-social and formally organized action by users.",
keywords = "Buenos Aires, Central Asia, Harm reduction, HIV/AIDS, Injection drug users, Intravention, Micro-social, New York, Rotterdam, Small group, Social movement, Users' groups",
author = "Friedman, {Samuel R.} and {de Jong}, Wouter and Diana Rossi and Graciela Touz{\'e} and Russell Rockwell and {Des Jarlais}, Don and Richard Elovich",
year = "2007",
month = "3",
day = "1",
doi = "10.1016/j.drugpo.2006.11.006",
language = "English (US)",
volume = "18",
pages = "107--117",
journal = "International Journal of Drug Policy",
issn = "0955-3959",
publisher = "Elsevier",
number = "2",

}

TY - JOUR

T1 - Harm reduction theory

T2 - Users' culture, micro-social indigenous harm reduction, and the self-organization and outside-organizing of users' groups

AU - Friedman, Samuel R.

AU - de Jong, Wouter

AU - Rossi, Diana

AU - Touzé, Graciela

AU - Rockwell, Russell

AU - Des Jarlais, Don

AU - Elovich, Richard

PY - 2007/3/1

Y1 - 2007/3/1

N2 - This paper discusses the user side of harm reduction, focusing to some extent on the early responses to the HIV/AIDS epidemic in each of four sets of localities-New York City, Rotterdam, Buenos Aires, and sites in Central Asia. Using available qualitative and quantitative information, we present a series of vignettes about user activities in four different localities in behalf of reducing drug-related harm. Some of these activities have been micro-social (small group) activities; others have been conducted by formal organizations of users that the users organized at their own initiative. In spite of the limitations of the methodology, the data suggest that users' activities have helped limit HIV spread. These activities are shaped by broader social contexts, such as the extent to which drug scenes are integrated with broader social networks and the way the political and economic systems impinge on drug users' lives. Drug users are active agents in their own individual and collective behalf, and in helping to protect wider communities. Harm reduction activities and research should take note of and draw upon both the micro-social and formal organizations of users. Finally, both researchers and policy makers should help develop ways to enable and support both micro-social and formally organized action by users.

AB - This paper discusses the user side of harm reduction, focusing to some extent on the early responses to the HIV/AIDS epidemic in each of four sets of localities-New York City, Rotterdam, Buenos Aires, and sites in Central Asia. Using available qualitative and quantitative information, we present a series of vignettes about user activities in four different localities in behalf of reducing drug-related harm. Some of these activities have been micro-social (small group) activities; others have been conducted by formal organizations of users that the users organized at their own initiative. In spite of the limitations of the methodology, the data suggest that users' activities have helped limit HIV spread. These activities are shaped by broader social contexts, such as the extent to which drug scenes are integrated with broader social networks and the way the political and economic systems impinge on drug users' lives. Drug users are active agents in their own individual and collective behalf, and in helping to protect wider communities. Harm reduction activities and research should take note of and draw upon both the micro-social and formal organizations of users. Finally, both researchers and policy makers should help develop ways to enable and support both micro-social and formally organized action by users.

KW - Buenos Aires

KW - Central Asia

KW - Harm reduction

KW - HIV/AIDS

KW - Injection drug users

KW - Intravention

KW - Micro-social

KW - New York

KW - Rotterdam

KW - Small group

KW - Social movement

KW - Users' groups

UR - http://www.scopus.com/inward/record.url?scp=33947112046&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947112046&partnerID=8YFLogxK

U2 - 10.1016/j.drugpo.2006.11.006

DO - 10.1016/j.drugpo.2006.11.006

M3 - Short survey

C2 - 17689353

AN - SCOPUS:33947112046

VL - 18

SP - 107

EP - 117

JO - International Journal of Drug Policy

JF - International Journal of Drug Policy

SN - 0955-3959

IS - 2

ER -