“It’s called overamping”: experiences of overdose among people who use methamphetamine

Background The USA is experiencing increases in methamphetamine use and methamphetamine-related or attributed deaths. In the current study, we explore qualitative narratives of methamphetamine overdose and strategies used by people who use drugs to reduce the undesirable effects associated with methamphetamine use. Methods We conducted 21 qualitative interviews with people over the age of 18 who reported using methamphetamine in the previous 3 months in Nevada and New Mexico. Interviews were recorded, transcribed, and analyzed using qualitative thematic analysis. Results Respondents described a constellation of psychological and physical symptoms that they characterized as “overamping,” experienced on a continuum from less to more severe. Reports of acute, fatal methamphetamine overdose were rare. Few reported seeking medical attention for undesirable effects (usually related to psychological effects). General self-care strategies such as sleeping and staying hydrated were discussed. Conclusions When asked directly, our respondents claimed that acute, fatal methamphetamine overdose is rare or even impossible. However, they described a number of undesirable symptoms associated with overconsumption of methamphetamine and had few clinical or harm reduction strategies at their disposal. Addressing this current wave of drug-related deaths will require attention to the multiple factors that structure experiences of methamphetamine “overdose,” and a collaborative effort with PWUDs to devise effective harm reduction and treatment strategies.

Cultivating the Community

A growing body of HCI research has sought to understand how online networks are utilized in the adoption and maintenance of disordered activities and behaviors associated with mental illness, including eating habits. However, individual-level influences over discrete online eating disorder (ED) communities are not yet well understood. This study reports results from a comprehensive network and content analysis (combining computational topic modeling and qualitative thematic analysis) of over 32,000 public tweets collected using popular ED-related hashtags during May 2020. Our findings indicate that this ED network in Twitter consists of multiple smaller ED communities where a majority of the nodes are exposed to unhealthy ED contents through retweeting certain influential central nodes. The emergence of novel linguistic indicators and trends (e.g., "#meanspo") also demonstrates the evolving nature of the ED network. This paper contextualizes ED influence in online communities through node-level participation and engagement, as well as relates emerging ED contents with established online behaviors, such as self-harassment.

Genetic nutrition programmes – disappointment or empowered health? Exploring consumer engagement to understand social health change

Purpose This research aims to gain insight into how consumers interact with a commercially available genetic nutrition programme, DNAfit, to explore health change via an intervention. Design/methodology/approach Focus groups were conducted between June and October 2019, pre-, during- and post-intervention, with a total sample of 14 younger (aged 25–44 years) and 14 mature (aged 45–65 years) cohorts from New Zealand. Qualitative thematic analysis was completed with the help of NVivo software. Findings Younger participants in this study engaged less overall with DNAfit, felt the service did not match their lifestyles and did not encourage their believability of genetic personalised nutrition (GPN). In contrast, mature participants had positive engagement with GPN, as their motivation to use the service fit with their motivation for longevity. Overall, social uptake in health changes based on GPN is likely to depend on life stage. Originality/value This paper adds to limited social marketing research, which seeks novel avenues to explore how consumers engage with GPN technologies to drive social change, assisting social marketers on how to more effectively deliver health programmes that allow consumer-driven interaction to build health capabilities.

COVID-19 and the Homelessness Support Sector

This exploratory study sought to uncover service provider perspectives on the early response to COVID-19 in a small community in an advanced industrialized country - the homelessness support sector of the Central Okanagan, British Columbia. Following a case study approach, snowball sampling was utilized in May and June 2020 to achieve a sample size of 30 through a mix of one-on-one interviews and open-ended surveys. Qualitative thematic analysis was used to uncover commonalities among interview responses. Common themes are discussed in relation to three areas of questioning including challenges, successes, and mitigations/areas for future support. While the community came together to support the response, there were challenges and concerns regarding safety and personal protective equipment supplies, social distancing and knowledge transmission within the homeless community, access to food and water, and lack of space for isolating positive cases. The findings illustrate possible research, practice, public health policy, and emergency planning considerations within smaller communities.

Older Americans’ Perceptions of the Federal Government’s Pandemic Response: Voices From the COVID-19 Coping Study

There is limited understanding of how older adults evaluated the federal government’s COVID-19 response, despite their increased health risks during the pandemic and their important role in politics. We conducted qualitative thematic analysis on a nationally representative subsample of respondents aged 55+ from the COVID-19 Coping Study ( N = 500) who were asked: “How do you feel about federal government responses to and handling of the COVID-19 pandemic?” Analyses identified largely negative opinions about the federal government and former President Trump’s leadership, though some were neutral or positive. Participants expressed concerns that the federal government was undermining science, and that sending mixed messages about personal protective equipment and masks was dangerous. Perspectives were divergent and reflective of the country’s polarization surrounding COVID-19 policies. Results can inform efforts to build unity between political parties and identify strategies that governments can use to better respond to future public health crises.

Who is worthy of help? Constructing the stereotype of the “ideal victim” of child sexual abuse

The stereotype of the “ideal victim” often determines who is considered deserving of victim status, especially in sexual violence cases. In this Chapter, we explore how is the so-called “ideal victim” stereotype constructed and what are the elements necessary for the perception of “ideal victimhood.” We use empirical data from an unmoderated anonymous Estonian online forum that hosts various topic threads from children and young people, including posts about personally experienced sexual violence (N=28) and replies to these posts (N=361). The data was analyzed by combining a discursive psychological approach with qualitative thematic analysis. Results reveal and illustrate how the stereotype is constructed from various elements and characteristics of social scripts, perceived gender roles, and misconceptions about sexuality. We unveil how these social constructions affect responses and attitudes towards sexual abuse victims to provide input for designing prevention efforts that support disclosure and help-seeking.

Exploring decision-making biases among Iranian entrepreneurs: some novel insights

Purpose Decision-making biases play decisive roles not only in entrepreneurs’ decisions but also in the fate of entrepreneurial businesses. While the extant literature in this regard is relatively rich, it has predominantly focused on certain biases like overconfidence and overoptimism at the expense of other possibly influential biases, which could influence entrepreneurial decisions. Thus, to address this serious research gap, this paper aims to explore four of the less-researched biases of escalation of commitment, the illusion of control, confirmation and the belief in the law of small numbers in entrepreneurial decisions. Design/methodology/approach By taking a qualitative approach, the data for this study were collected through face-to-face interviews with 19 Iranian habitual (experienced) entrepreneurs running small businesses and analyzed by a qualitative thematic analysis. Findings According to the results, the environmental uncertainty, the reluctance to lose face and the experiences of previous failures contributed to the escalation of commitment, while disregard for external factors beyond one’s control caused the illusion of control, factors like prior successful businesses in the same sector, looking for resorts to manage uncertainty, along with the decision to exploit opportunities resulted in the confirmation bias, while the expenses of conducting sweeping pilot tests in the market and the reluctance to reveal a business secret to the competitors were the main contributors of the belief in the law of small numbers. Originality/value This study is a pioneer in scrutinizing four less-researched but important biases in entrepreneurs and, thus extending the line of research in this regard.