scholarly journals Untangling the Complexities of Substance Use Initiation and Recovery: Client Reflections on Opioid Use Prevention and Recovery From a Social-Ecological Perspective

2021 ◽  
Vol 15 ◽  
pp. 117822182110503
Author(s):  
Geoffrey Maina ◽  
Kerry Marshall ◽  
Jordan Sherstobitof
Keyword(s):  
Substance Use ◽  
Treatment Failure ◽  
Indigenous Peoples ◽  
Ecological Model ◽  
Social Ecological Model ◽  
Opioid Use ◽  
Structured Interviews ◽  
Social Ecological ◽  
History Of ◽  
Community Environments

Background: In Canada, the rate of opioid use, opioid use disorder (OUD), and associated mortality and morbidity are higher among Indigenous Peoples than the general population. Indigenous Peoples on medications for opioid use disorders (MOUD) often face distinct barriers that hinder their clinical progress, leading to treatment attrition. Methods: We used a social-ecological model to inquire into clients’ experiences with a history of treatment failure for OUD. We used exploratory qualitative research to engage 22 clients with a history of OUD treatment dropouts and who are currently on MOUD. In-depth, semi-structured interviews lasting an average of 30 minutes were conducted on-site. Results: We identified 4 themes from the study: (a) risk for substance use; (b) factors sustaining substance use; (c) factors leading to treatment, and (d) treatment failure and re-enrollment. Conclusion: Using a socio-ecological model helps to understand factors that influence an individual’s risk for OUD, decision to pursue treatment, and treatment outcomes. Furthermore, social ecological model also creates possibilities to develop supportive, multilevel interventions to prevent OUD risks and support for clients on MOUD. Such interventions include mitigating adverse childhood experiences, supporting families, and creating safe community environments.

scholarly journals Conceptualizing the effects of the COVID-19 pandemic on people with opioid use disorder: an application of the social ecological model

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ethan Cowan ◽  
Maria R. Khan ◽  
Siri Shastry ◽  
E. Jennifer Edelman
Keyword(s):  
Structural Changes ◽  
Ecological Model ◽  
Disease Incidence ◽  
Opioid Use Disorder ◽  
Social Ecological Model ◽  
Physical And Mental Health ◽  
Opioid Use ◽  
Social Ecological ◽  
The Social ◽  
The Impact

AbstractThe COVID-19 pandemic has resulted in unparalleled societal disruption with wide ranging effects on individual liberties, the economy, and physical and mental health. While no social strata or population has been spared, the pandemic has posed unique and poorly characterized challenges for individuals with opioid use disorder (OUD). Given the pandemic’s broad effects, it is helpful to organize the risks posed to specific populations using theoretical models. These models can guide scientific inquiry, interventions, and public policy. Models also provide a visual image of the interplay of individual-, network-, community-, structural-, and pandemic-level factors that can lead to increased risks of infection and associated morbidity and mortality for individuals and populations. Such models are not unidirectional, in that actions of individuals, networks, communities and structural changes can also affect overall disease incidence and prevalence. In this commentary, we describe how the social ecological model (SEM) may be applied to describe the theoretical effects of the COVID-19 pandemic on individuals with opioid use disorder (OUD). This model can provide a necessary framework to systematically guide time-sensitive research and implementation of individual-, community-, and policy-level interventions to mitigate the impact of the COVID-19 pandemic on individuals with OUD.

scholarly journals Ten Steps Qualitative Modelling: Development and Validation of Conceptual Institutional-Social-Ecological Model of Public Open Space (POS) Governance and Quality

Resources ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 62 ◽  
Author(s):  
Gabriel Ling ◽  
Pau Leng
Keyword(s):  
Property Rights ◽  
Open Space ◽  
Ecological Model ◽  
Local Property ◽  
Social Ecological Model ◽  
Problem Solution ◽  
Structured Interviews ◽  
Public Officials ◽  
Public Open Space ◽  
Social Ecological

Compared to the literature on quantitative and statistical modelling, there is a lack of research on qualitative environmental-related modelling, which focuses on a conceptual-theory-based model. Therefore, this paper attempts to formulate a qualitative institutional-social-ecological model, by showcasing how the 10 steps modelling is relevant and is applied to the institutional-property-rights model of neighbourhood residential commons. Using an instance from one case study (i.e., Sabah, Malaysia), a conceptual problem-solution model describing local property-rights system tragedies of public open space (POS) governance and quality, and the emergence of self-governing collective action was demonstrated. Methodologically, the modelling procedures were specified as a 10-step process, starting with setting the objectives of the model and concluding with the validation of suitability and usefulness of the model. The validation was conducted using the experts’ opinion, via the semi-structured interviews with five public officials. With slight necessary amendments, the model was proven practical, useful, flexible, reliable and valid in serving its purposes in understanding and predicting the effects of local property-rights system tragedies on POS commons dilemmas, and the subsequent emergence and necessity of a self-governing solution. This local model provides policy insights to the local public officials, which facilitate their institutional-social-ecological decision-making process that helps improve local POS governance and quality.

scholarly journals Older Adults’ Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model

2021 ◽  
Vol 18 (14) ◽  
pp. 7686
Author(s):  
Ka-Man Leung ◽  
Kai-Ling Ou ◽  
Pak-Kwong Chung ◽  
Cecilie Thøgersen-Ntoumani
Keyword(s):  
Older Adults ◽  
Ecological Model ◽  
Level Density ◽  
Social Ecological Model ◽  
Structured Interviews ◽  
Group Setting ◽  
Perceived Safety ◽  
Individual Level ◽  
Walking Intervention ◽  
Social Ecological

Objectives: In this study, we aimed to investigate older adults’ perceptions of their walking experiences, using the social-ecological model as a guiding framework and to propose future walking intervention content. Methods: Thirty-eight participants (19 women; 47% from private elderly centers; mean age = 72.8 (SD = 7.4 years) took part in semi-structured interviews. Qualitative data analysis software QSR-NVivo was used for thematic coding. Results: Thematic deductive analysis revealed pertinent themes at the individual level (health benefits and barriers, fall risk, perseverance, and walking as a suitable activity for older adults), social environment level (social support and social interaction), physical environment level (density, land-use mix, and connectivity; perceived safety, pedestrian facilities (benches, quality of walking paths and sidewalks, and aesthetics), other pedestrian behaviors, and weather, and policy level (lack of walking programs in the community, and supportive culture for an active lifestyle). Discussion: Our findings provide insights for the planning of future multilevel walking intervention programs for older adults in Hong Kong. It is suggested that future walking intervention should include professionals (e.g., physiotherapist or coach) in a group setting, practical walking recommendations such as proper walking posture, and additional fun activities for older adults.

scholarly journals Working towards a comprehensive understanding of HPV and cervical cancer among Indigenous women: a qualitative systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e050113
Author(s):  
Sneha Sethi ◽  
Brianna Poirier ◽  
Karen Canfell ◽  
Megan Smith ◽  
Gail Garvey ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Ecological Model ◽  
Cervical Screening ◽  
Hpv Infection ◽  
Cervical Cancer Prevention ◽  
Social Ecological Model ◽  
Indigenous Women ◽  
Indigenous Populations ◽  
Social Ecological

RationaleIndigenous peoples carry a disproportionate burden of infectious diseases and cancers and are over-represented among the socially disadvantaged of most countries. Human papillomavirus (HPV) is a risk factor and causative agent of cervical, oropharyngeal and other cancers. Recent literature shows evidence of Indigenous populations being at increased risk of HPV infections and its associated cancers.ObjectiveThis is a qualitative systematic review. The objective of this study was to explore the experiences and barriers Indigenous women face in relation to HPV awareness, knowledge and cervical screening, in order to better understand factors that may mitigate against or facilitate prevention efforts for HPV infection and associated cancers.MethodsTwo investigators independently searched MEDLINE, PubMed, SCOPUS and Web of Science databases (for articles published from inception until 30 June 2020) using a prespecified search strategy to identify qualitative studies on narratives of Indigenous women regarding HPV infection awareness, knowledge and cervical screening, across all geographic and income-level settings. Using a ‘meta-study’ approach, a social ecological model of cervical screening, infection and associated cancer prevention among Indigenous populations was formulated.ResultsFive core themes were identified and formulated within the social ecological model; intrapersonal factors, interpersonal factors, institutional/organisational factors, sociocultural/community factors and public policy. These collectively formed the proposed social ecological model of HPV infection awareness and cervical cancer prevention among Indigenous women. This model has been synthesised by taking into account personal stories of Indigenous women and healthcare workers, thus offering a more nuanced, organised, structured and culturally sensitive approach to policy translation.ConclusionThe social ecological model of HPV infection awareness and cervical cancer prevention among Indigenous women offers a holistic and practical approach for Indigenous health policy makers. It clearly addresses the high risk of Indigenous populations at a global level in experience of both HPV infection and HPV-related cancers.PROSPERO registration numberCRD42020207643.

Men Who Have Sex With Men and HIV Risk Behavior: Exploring the Influence of Masculinity Within the Social Ecological Model

2021 ◽  
Vol 33 (6) ◽  
pp. 511-533
Author(s):  
Kenneth C. Hergenrather ◽  
Diona Emmanuel ◽  
Robert J. Zeglin ◽  
David J. Ruda ◽  
Scott D. Rhodes
Keyword(s):  
Risk Behavior ◽  
Hiv Risk ◽  
Ecological Model ◽  
The United States ◽  
Social Ecological Model ◽  
Hiv Risk Behavior ◽  
Bisexual Men ◽  
Social Ecological ◽  
The Social ◽  
Sex With Men

In the United States, gay, bisexual men, and men who have sex with men (MSM) represent 86% of new HIV infections among males. Approximately 1 in 7 men with HIV are unaware of their HIV status (CDC, 2017, 2019a, 2020a). To explore influences on MSM HIV risk behavior, the authors performed a systematic review of quantitative studies conducted in the U.S. assessing what is purported as masculinity. From 30 identified studies, significant findings were framed within the Social Ecological Model (SEM) levels (e.g., Individual, Relationship, Community). SEM level themes were applied to create the Masculinity 10, a preliminary 10-item assessment to explore the influence of masculinity on MSM HIV risk behavior. To increase MSM engagement in HIV prevention and treatment, the influences of masculinity (e.g., attitude toward sexual minorities, appearance, emotion, temperament, substance use, sexual activity, social support, intimate relationships, health care) on HIV risk behavior should be further explored.

scholarly journals Doing Exercise in Women-Only Spaces: Social-Ecological Model

2016 ◽  
Vol 8 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Safter ELMAS ◽  
İlknur HACISOFTAOĞLU ◽  
F. Hülya AŞÇI
Keyword(s):  
Ecological Model ◽  
Social Ecological Model ◽  
Social Ecological
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