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How does the opioid crisis influence disparities in the treatment of pain? The experience of pain is subjective and therefore necessarily based on self-report. As such, clinical interactions around its treatment can lead to disparities in care. The opioid crisis has exacerbated current treatment disparities, resulting in prescribing patterns influenced by race and class. This study shows how these disparities unfold by investigating how patient-provider interactions reflect and often reinforce broader social inequities.
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In the past few decades, a multi-billion-dollar “therapeutic boarding school” industry has emerged largely for America’s troubled upper-class youth. This article examines the experiences of privileged youth in a therapeutic boarding school to advance social restoration as a new form of social reproduction. Drawing on interviews and fieldwork inside a Western therapeutic boarding school for young men struggling with substance abuse, I explore how students leverage a stigmatized, addict identity in ways that can restore privilege.
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Opioid use claims many thousands of lives each year. This article considers the diffusion of prescription opioid (PO) use within family households as one potential culprit of the proliferation of these medications. In an analysis of hundreds of millions of medical claims and almost 14 million opioid prescriptions in one state between 2010 and 2015, we show that the use of POs spreads within family households.
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Descriptions of the contemporary U.S. opioid crisis emphasize several “waves” of overdose deaths. However, a focus on trends in overdose deaths may obscure important sociological dynamics. The authors provide heatmap visualizations of estimated annual rates of past-year substance use, rather than overdose deaths, for prescription pain relievers and heroin. These visualizations are based on weighted analyses of self-reports, cross-classified by age and period, collected as part of the National Survey on Drug Use and Health from 2002 to 2017. Whereas descriptions of the U.S.
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The demand-side perspective argues that the drug overdose epidemic is a consequence of changes in the economy that leave behind working-class people who lack a college education. In contrast, the supply-side perspective maintains that the epidemic is primarily due to changes in the licit and illicit drug environment, whereas a third, distinct perspective argues that income inequality is likely a key driver of the epidemic. To evaluate these competing perspectives, we use a two-level random intercept model and U.S. state-level data from 2006 to 2017.
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In a new podcast, Ryan Thombs discusses research on "What is Driving the Drug Overdose Epidemic in the United States?" The article, written with coauthors Dennis L. Thombs, Andrew K. Jorgenson, Taylor Harris Braswell, appears in the September 2020 issue of the Journal of Health and Social Behavior.
Listen here or on your preferred podcast platform.
Read the article
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Non-heterosexual women who feel a disconnect between who they are attracted to and how they identify themselves may have a higher risk of alcohol abuse, according to a new study led by Amelia E. Talley, an assistant professor in Texas Tech University's Department of Psychological Sciences.
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Heavily marketed as a safer, healthful alternative to smoking, electronic cigarettes are under fire from California health officials who have declared "vaping" a public health threat, hoping to head off the type of deceptive manipulation that tobacco companies succeeded with for decades, according to researchers.
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The process of leaving deeply meaningful and embodied identities can be experienced as a struggle against addiction, with continuing cognitive, emotional, and physiological responses that are involuntary, unwanted, and triggered by environmental factors. Using data derived from a unique set of in-depth life history interviews with 89 former U.S. white supremacists, as well as theories derived from recent advances in cognitive sociology, we examine how a rejected identity can persist despite a desire to change.
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by Rebecca Tiger in the Fall 2017 Contexts
As America’s opiate epidemic rages on, calls for “treatment not punishment” dominate the national media. The hypocrisy of this response is not lost on a range of commentators: the reported move away from criminalization, they argue, is yet another example of racist drug policy. White people get treatment and poor people of color get punishment. Again.
