The DUMA Drug Market Indicator Framework: methamphetamine

2021 ◽  
Author(s):  
Isabella Voce ◽  
Alexandra Voce
Keyword(s):  
Drug Use ◽  
Illicit Drug ◽  
Drug Market ◽  
Drug Markets ◽  
Drug Supply ◽  
Criminal Offending ◽  
Methamphetamine Use ◽  
Indicator Framework ◽  
The Impact ◽  
Market Indicator

In this paper, we introduce the Drug Use Monitoring in Australia (DUMA) Drug Market Indicator Framework. We use the framework to examine Australian trends in methamphetamine supply, demand and related harms between 2013 and 2019 to provide a baseline for measuring the impact of the COVID-19 pandemic. There were consistent increases in the prevalence, frequency and quantity of methamphetamine use, and corresponding increases in dependence, overdose and methamphetamine-related criminal offending. A brief but substantial decrease in methamphetamine availability occurred during 2017. Despite this, the methamphetamine market quickly recovered and continued to strengthen into 2019. This paper highlights the importance of monitoring indicators relating to drug supply, demand and harm to understand the dynamics of illicit drug markets during the COVID-19 pandemic and beyond.

scholarly journals Does parental permissiveness toward cigarette smoking and alcohol use influence illicit drug use among adolescents? A longitudinal study in seven European countries

2021 ◽  
Author(s):  
Emina Mehanović ◽  
Federica Vigna-Taglianti ◽  
Fabrizio Faggiano ◽  
Maria Rosaria Galanti ◽  
Barbara Zunino ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
Cigarette Smoking ◽  
Longitudinal Data ◽  
Illicit Drug ◽  
Large Population ◽  
Illicit Drug Use ◽  
European Countries ◽  
The Impact

Abstract Purpose Adolescents’ perceptions of parental norms may influence their substance use. The relationship between parental norms toward cigarette and alcohol use, and the use of illicit substances among their adolescent children is not sufficiently investigated. The purpose of this study was to analyze this relationship, including gender differences, using longitudinal data from a large population-based study. Methods The present study analyzed longitudinal data from 3171 12- to 14-year-old students in 7 European countries allocated to the control arm of the European Drug Addiction Prevention trial. The impact of parental permissiveness toward cigarettes and alcohol use reported by the students at baseline on illicit drug use at 6-month follow-up was analyzed through multilevel logistic regression models, stratified by gender. Whether adolescents’ own use of cigarette and alcohol mediated the association between parental norms and illicit drug use was tested through mediation models. Results Parental permissive norms toward cigarette smoking and alcohol use at baseline predicted adolescents’ illicit drug use at follow-up. The association was stronger among boys than among girls and was mediated by adolescents’ own cigarette and alcohol use. Conclusion Perceived parental permissiveness toward the use of legal drugs predicted adolescents’ use of illicit drugs, especially among boys. Parents should be made aware of the importance of norm setting, and supported in conveying clear messages of disapproval of all substances.

Auras of Detection: Power and Knowledge in Drug Prohibition

2021 ◽  
pp. 009145092110354
Author(s):  
Jennifer J. Carroll
Keyword(s):  
Law Enforcement ◽  
Knowledge Production ◽  
Illicit Drug ◽  
Drug Market ◽  
Epistemic Authority ◽  
People Who Use Drugs ◽  
Drug Supply ◽  
Political Implications ◽  
Starting Point ◽  
Drug Checking

Drug checking is an evidence-based strategy for overdose prevention that continues to operate (where it operates) in a legal “gray zone” due to the legal classification of some drug checking tools as drug paraphernalia—the purview of law enforcement, not public health. This article takes the emergence of fentanyl in the U.S. drug supply as a starting point for examining two closely related questions about drug checking and drug market expertise. First, how is the epistemic authority of law enforcement over the material realities of the drug market produced? Second, in the context of that authority, what are the socio-political implications of technologically advanced drug checking instruments in the hands of people who use drugs? The expertise that people who use drugs maintain about the nature of illicit drug market and how to navigate the illicit drug supply has long been discounted as untrustworthy, irrational, or otherwise invalid. Yet, increased access to drug checking tools has the potential to afford the knowledge produced by people who use drugs a technological validity it has never before enjoyed. In this article, I engage with theories of knowledge production and ontological standpoint from the field of science, technology, and society studies to examine how law enforcement produces and maintains epistemic authority over the illicit drug market and to explore how drug checking technologies enable new forms of knowledge production. I argue that drug checking be viewed as a form of social resistance against law enforcement’s epistemological authority and as a refuge against the harms produced by drug criminalization.

scholarly journals The Impact of Illicit Drug Use on Spontaneous Hepatitis C Clearance: Experience from a Large Cohort Population Study

PLoS ONE ◽  
2011 ◽  
Vol 6 (8) ◽  
pp. e23830 ◽  
Author(s):  
Hossein Poustchi ◽  
Saeed Esmaili ◽  
Ashraf Mohamadkhani ◽  
Aghbibi Nikmahzar ◽  
Akram Pourshams ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Drug Use ◽  
Population Study ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Large Cohort ◽  
The Impact

Is there fentanyl contamination in the Australian illicit drug market?

2020 ◽  
Author(s):  
Alexandra Voce ◽  
Tom Sullivan
Keyword(s):  
Drug Use ◽  
Illicit Drug ◽  
Drug Market ◽  
Illicit Substance ◽  
The Past

This research investigates fentanyl use among police detainees participating in the Drug Use Monitoring in Australia program. Three percent of respondents tested positive to fentanyl and/or norfentanyl during urinalysis, and 11 percent reported lifetime fentanyl use. Nonprescribed fentanyl use was associated with use of and dependence on other drugs in the past 12 months. Three percent of all detainees believed they had used an illicit substance mixed with fentanyl. No detainees who tested positive to fentanyl reported using the drug in the past 12 months. These findings suggest fentanyl contamination may be occurring in the Australian illicit drug market.

scholarly journals Impact of Abstinence and of Reducing Illicit Drug Use Without Abstinence on Human Immunodeficiency Virus Viral Load

2019 ◽  
Vol 70 (5) ◽  
pp. 867-874 ◽  
Author(s):  
Robin M Nance ◽  
Maria Esther Perez Trejo ◽  
Bridget M Whitney ◽  
Joseph A C Delaney ◽  
Fredrick L Altice ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Substance Use ◽  
Viral Load ◽  
Drug Use ◽  
Viral Suppression ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Hiv Viral Load ◽  
Immunodeficiency Virus ◽  
The Impact

Abstract Background Substance use is common among people living with human immunodeficiency virus (PLWH) and a barrier to achieving viral suppression. Among PLWH who report illicit drug use, we evaluated associations between HIV viral load (VL) and reduced use of illicit opioids, methamphetamine/crystal, cocaine/crack, and marijuana, regardless of whether or not abstinence was achieved. Methods This was a longitudinal cohort study of PLWH from 7 HIV clinics or 4 clinical studies. We used joint longitudinal and survival models to examine the impact of decreasing drug use and of abstinence for each drug on viral suppression. We repeated analyses using linear mixed models to examine associations between change in frequency of drug use and VL. Results The number of PLWH who were using each drug at baseline ranged from n = 568 (illicit opioids) to n = 4272 (marijuana). Abstinence was associated with higher odds of viral suppression (odds ratio [OR], 1.4–2.2) and lower relative VL (ranging from 21% to 42% by drug) for all 4 drug categories. Reducing frequency of illicit opioid or methamphetamine/crystal use without abstinence was associated with VL suppression (OR, 2.2, 1.6, respectively). Reducing frequency of illicit opioid or methamphetamine/crystal use without abstinence was associated with lower relative VL (47%, 38%, respectively). Conclusions Abstinence was associated with viral suppression. In addition, reducing use of illicit opioids or methamphetamine/crystal, even without abstinence, was also associated with viral suppression. Our findings highlight the impact of reducing substance use, even when abstinence is not achieved, and the potential benefits of medications, behavioral interventions, and harm-reduction interventions.

scholarly journals The variable and evolving nature of ‘cuckooing’ as a form of criminal exploitation in street level drug markets

2019 ◽  
Vol 23 (4) ◽  
pp. 301-323 ◽  
Author(s):  
Jack Spicer ◽  
Leah Moyle ◽  
Ross Coomber
Keyword(s):  
Qualitative Data ◽  
Crack Cocaine ◽  
Drug Markets ◽  
Drug Supply ◽  
Academic Literature ◽  
Criminal Exploitation ◽  
Local Residents ◽  
The Uk ◽  
Dominant Narratives ◽  
The Impact

AbstractA form of criminal exploitation rarely mentioned in the academic literature has recently emerged, evolved and taken meaningful hold in the UK. Hundreds of cases of ‘cuckooing’ have been reported, where heroin and crack cocaine dealers associated with the so-called ‘County Lines’ supply methodology have taken over the homes of local residents and created outposts to facilitate their supply operations in satellite locations. Dominant narratives surrounding this practice have stressed its exploitative nature and the vulnerabilities of those involved. Combining qualitative data from two studies, this paper critically analyses the model of cuckooing and the experiences of those affected. In turn it explores the impact of County Lines on affected areas and local populations, a topic that has received little academic scrutiny. Four typologies of cuckooing are constructed, highlighting its variance and complexity. Findings also suggest it to be a growing method of criminal exploitation beyond drug supply with a possible burgeoning presence being realised internationally.

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