scholarly journals Inequalities, harm reduction and non-combustible nicotine products: a meta-ethnography of qualitative evidence

2020 ◽  
Author(s):  
Mark Lucherini ◽  
Sarah Hill ◽  
Katherine Smith

Abstract Background We sought to review qualitative evidence on how smokers in different socioeconomic groups engage with non-combustible nicotine products (NCNP), including electronic cigarettes and nicotine replacement therapies, in order to provide insight into how these products might impact on smoking inequalities. Methods We searched ten electronic databases in February 2017 using terms relating to NCNP and socioeconomic status. We included qualitative studies that were published since 1980 and were available in English. We used guidelines adapted from the Critical Appraisal Skills Programme for appraising qualitative research.Results The review only identified studies exploring the attitudes of socioeconomically disadvantaged smokers towards NCNP for harm reduction or cessation purposes (i.e. we did not identify any relevant studies of more advantaged socioeconomic groups). Using a lines-of-argument meta-ethnographic approach, we identified a predominantly pessimistic attitude to NCNP for harm reduction or cessation of smoking due to: wider circumstances of socio-economic disadvantage; lack of a perceived advantage of alternative products over smoking; and a perceived lack of information about relative harms of NCNP compared to smoking. Optimistic findings, although fewer, suggested the potential of NCNP being taken up among smokers experiencing socioeconomic disadvantage. Conclusions Overall, our review highlights the importance of considering the social, cultural and economic circumstances that influence experiences of smoking and of alternative product use.

2020 ◽  
Author(s):  
Mark Lucherini ◽  
Sarah Hill ◽  
Katherine Smith

Abstract We sought to review qualitative evidence on how smokers in different socioeconomic groups engage with non-combustible nicotine products (NCNP), including electronic cigarettes and nicotine replacement therapies, in order to provide insight into how these products might impact on smoking inequalities. The review only identified studies exploring the attitudes of socioeconomically disadvantaged smokers towards NCNP for harm reduction or cessation purposes (i.e. we did not identify any relevant studies of more advantaged socioeconomic groups). Using a lines-of-argument meta-ethnographic approach, we identified a predominantly pessimistic attitude to NCNP for harm reduction or cessation of smoking due to: wider circumstances of socio-economic disadvantage; lack of a perceived advantage of alternative products over smoking; and a perceived lack of information about relative harms of NCNP compared to smoking. Optimistic findings, although fewer, suggested the potential of NCNP being taken up among smokers experiencing socioeconomic disadvantage. Overall, our review highlights the importance of considering the social, cultural and economic circumstances that influence experiences of smoking and of alternative product use.


2019 ◽  
Author(s):  
Mark Lucherini ◽  
Sarah Hill ◽  
Katherine Smith

Abstract As a new ‘disruptive’ technology, electronic cigarettes have the potential to interact with socioeconomic differences in smoking attitudes and practices in ways that are distinct from more traditional cessation aids. We sought to review qualitative evidence on how smokers of low socioeconomic status engage with non-combustible nicotine products, including electronic cigarettes and nicotine replacement therapies, in order to provide insight into how these products might impact on smoking inequalities. The review found very few studies exploring the attitudes of disadvantaged smokers towards non-combustible nicotine products for harm reduction or cessation purposes. Using a lines-of-argument meta-ethnographic approach, our analysis suggests that, while nicotine replacement therapies and e-cigarettes are often used in harm reduction or cessation attempts, socio-economic disadvantage makes continued use difficult. This may be exacerbated by a lack of a perceived advantage of alternative products over smoking. Overall, our review highlights the importance of considering the social, cultural and economic circumstances that influence the experience and significance of smoking and the use of alternative products, particularly for smokers of low socio-economic status.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lisa J. Messersmith ◽  
Rose Adjei ◽  
Jennifer Beard ◽  
Angela R. Bazzi ◽  
Joel J. Earlywine ◽  
...  

Abstract Background Drug use is a growing concern in Ghana. People who inject drugs (PWID) are highly vulnerable to HIV and other infectious diseases. Ghana’s National Strategic Plan for HIV/AIDS 2016–2020 identifies PWID as a key population, but efforts to address the needs of PWID have lagged behind those targeting sex workers and men who have sex with men. Lack of information about PWID is a critical barrier to implementing effective HIV prevention and treatment. We aimed to learn more about the vulnerability of the PWID population in order to inform much-needed harm reduction interventions. Methods From April to July 2018, we conducted a mixed methods study in Kumasi, Ghana, to identify all major drug using locations, count the numbers of PWID to obtain rough population size estimations, and administer anonymous surveys to 221 PWID regarding drug use and sexual behavior. We also tested for HIV, HCV, and HBV from syringes used by survey participants. Results Key informants identified five major drug using locations and estimated the total PWID population size to be between 600 and 2000. Enumerators counted between 35 and 61 individuals present at each of the five bases. Sharing syringes and reusing discarded syringes are common practices. Over half of survey participants (59%) reported past-month syringe sharing (34% used a used syringe and 52% gave away a used syringe). Individuals with higher injection frequency (≥ 21 times weekly) and who injected with four or more people had higher odds of syringe sharing. Of the survey participants reporting sex in the last month (23%), most reported having one partner, but only 12% used condoms. Nearly all women (11/13) reported exchanging sex for drugs and 6/13 reported exchanging sex for money in the last six months. Fifteen percent of participants (all men) reported paying for sex using drugs or money. Of the used syringes, prevalence estimates were 3% (HIV), 2% (HCV), and 9% (HBV). Conclusions Our findings confirm the urgent need to implement harm reduction interventions targeting PWID and to build a strong and enabling legal and policy environment in Ghana to support these efforts.


2020 ◽  
Author(s):  
Elisabeth Ernst ◽  
Judith Schulte

Researchers not actively seeking information about Open Access and scholars who are not actively informed by their institutions might be concerned about publishing Open Access due to lack of information. Questions such as “Why is Open Access necessary and what do I gain?”, “What happens to my rights as an author?”, and “Why was I not told about this discount before I paid the full APC from my project fund?” might come up. This workshop is directed at representatives of research organizations and universities (e.g. Open Access offices, project coordinators, and interested researchers) on the topic of helping researchers finding answers to these questions and advocating for Open Access in the humanities and social sciences. The workshop seeks to discuss aspects that have been identified by participants priorly as most pressing to discuss. We therefore invite all registered participants to fill in a short survey by 12 October 2020. For any questions, please don’t hesitate contacting Elisabeth Ernst and Judith Schulte ([email protected]) OPERAS is the European Research Infrastructure for open scholarly communication in the social sciences and humanities. Its Special Interest Group on “Advocacy” works on topics related to the communication and advocating of Open Access in the social sciences and humanities and of those disciplines.


PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2264 ◽  
Author(s):  
David Solomon ◽  
Bo-Christer Björk

Background.Open access (OA) publishing via article processing charges (APCs) is growing as an alternative to subscription publishing. The Pay It Forward (PIF) Project is exploring the feasibility of transitioning from paying subscriptions to funding APCs for faculty at research intensive universities. Estimating of the cost of APCs for the journals authors at research intensive universities tend to publish is essential for the PIF project and similar initiatives. This paper presents our research into this question.Methods.We identified APC prices for publications by authors at the 4 research intensive United States (US) and Canadian universities involved in the study. We also obtained APC payment records from several Western European universities and funding agencies. Both data sets were merged with Web of Science (WoS) metadata. We calculated the average APCs for articles and proceedings in 13 discipline categories published by researchers at research intensive universities. We also identified 41 journals published by traditionally subscription publishers which have recently converted to APC funded OA and recorded the APCs they charge.Results.We identified 7,629 payment records from the 4 European APC payment databases and 14,356 OA articles authored by PIF partner university faculty for which we had listed APC prices. APCs for full OA journals published by PIF authors averaged 1,775 USD; full OA journal APCs paid by Western European funders averaged 1,865 USD; hybrid APCs paid by Western European funders averaged 2,887 USD. The APC for converted journals published by major subscription publishers averaged 1,825 USD. APC funded OA is concentrated in the life and basic sciences. APCs funded articles in the social sciences and humanities are often multidisciplinary and published in journals such as PLOS ONE that largely publish in the life sciences.Conclusions.Full OA journal APCs average a little under 2,000 USD while hybrid articles average about 3,000 USD for publications by researchers at research intensive universities. There is a lack of information on discipline differences in APCs due to the concentration of APC funded publications in a few fields and the multidisciplinary nature of research.


This study reviews the recent quantitative and qualitative evidence on the need to develop our natural environments for creative and leisure purposes. Previous studies described the problem of tourism to be a universal one, as virtually all countries are faced with the problem of providing inadequate tourism for their citizens. In Nigeria urban centres the tourism conditions were not properly documented. The study investigated the tourism condition in Lagos, Nigeria. The study observed that tourism condition in the nation is presently not provided for all citizenry. The need of the majority was not considered while some of the existing few are in deplorable condition. Previous literatures reviewed shows that almost 75 percent of tourist centres are for children meaning they lack creative environment. This paper also attempts to discuss in detail the little infrastructural evidences that exists in tourism. Fifteen centres were selected and eight were investigated in this study. The study discuss the consistency of findings across Lagos State, using different methodological approaches with consideration to the major key compares the magnitudes of developing natural environment. The study adopted questionnaire as the tool for the investigation, the tool was randomly administered after which the outcomes were analysed with the use of Statistical Package for the Social Sciences, SPSS version 16. Furthermore, aside that personal observation data was also recorded. The study identifies the emerging policy, business opportunity strategy and activities for good governance and better environment. Service provider should be willing to create the inspiration garden in other to have a greater benefits and more patronage. Since most of the centres investigated are static in nature, the study suggested that in the future, research should focus on the analysis of respondent welfare in a dynamic sense.


2019 ◽  
Vol 2 (2) ◽  
pp. 21-22
Author(s):  
Meghan Chevalier

With the advent of Non-Invasive Prenatal Testing, Chris Kaposy believes that more people should choose to parent children with Down Syndrome. Kaposy advocates for the Social Disability Model and recommends a normative pragmatic approach as standard. He makes use of both quantitative and qualitative evidence to support his position.


2003 ◽  
Vol 18 (2) ◽  
pp. 72-77
Author(s):  
Kris Chesky ◽  
Karendra Devroop

Studies in the social sciences imply a relationship between levels of employment and potential adverse effects on health. The lack of information regarding musicians makes it difficult to describe and prepare for the potential adverse relationships between musicians’ economic patterns and health. The purpose of this study was to characterize economic patterns of musicians and to investigate the relationships between income from performing music and college music instruction, age, and gender. A total of 4,017 subjects participated in an Internet-based musician survey. Data analysis included the use of descriptive statistics, analysis of covariance, and multiple regression analysis. Results support the view that many musicians hold multiple jobs and that income from music performance is often a secondary source of income. Musicians with ≥4 years of college music instruction earned higher levels of income from performing music compared with musicians with less college music instruction. This study recognizes the need to consider the economic patterns of musicians and how these patterns may affect health adversely.


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