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Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services
Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Aims: The main aim of our study was to produce an understanding of factors contributing to drug-using trajectories among men and women from a Bangladeshi background living in East London. Methods: Fifteen semi-structured, one-to-one interviews were conducted with male and female Bangladeshi drug users accessing treatment services. A macro-structural lens was adopted to interpret participants’ accounts of their drug use and explored the intersecting factors that at a micro, meso, and macro level impacted on their drug-using trajectories. Findings: Problem drug use (heroin and crack cocaine) among participants was the result of inter-related factors such as their friendship networks and the embeddedness of drugs in drug-using networks, the structural disadvantages participants experienced, and the need for concealment of their drug use which impacted on participants’ effective utilisation of drug treatment services. Problem drug use was a functional way of responding to and dealing with social, economic, and cultural disconnection from mainstream institutions as participants faced severe multiple disadvantages engendering stigma and shame. Conclusions: We propose a ‘life-focused’ intervention aimed at creating extra opportunities and making critically-needed resources available in the marginalised environment of the study’s participants, which are key to restoring and maintaining agency and sustaining well-being.

British Bangladeshi, discrimination, dislocation, Drug use, stigma drug use, structural disadvantage
0968-7637
125-132
Mantovani, Nadia
4749c841-2e82-451e-bfc2-9e3d8dd1e221
Evans, Clare
77963015-cf8f-41f6-b3e8-9444e7fea072
Mantovani, Nadia
4749c841-2e82-451e-bfc2-9e3d8dd1e221
Evans, Clare
77963015-cf8f-41f6-b3e8-9444e7fea072

Mantovani, Nadia and Evans, Clare (2018) Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services. Drugs: Education, Prevention and Policy, 26 (2), 125-132. (doi:10.1080/09687637.2017.1421143).

Record type: Article

Abstract

Aims: The main aim of our study was to produce an understanding of factors contributing to drug-using trajectories among men and women from a Bangladeshi background living in East London. Methods: Fifteen semi-structured, one-to-one interviews were conducted with male and female Bangladeshi drug users accessing treatment services. A macro-structural lens was adopted to interpret participants’ accounts of their drug use and explored the intersecting factors that at a micro, meso, and macro level impacted on their drug-using trajectories. Findings: Problem drug use (heroin and crack cocaine) among participants was the result of inter-related factors such as their friendship networks and the embeddedness of drugs in drug-using networks, the structural disadvantages participants experienced, and the need for concealment of their drug use which impacted on participants’ effective utilisation of drug treatment services. Problem drug use was a functional way of responding to and dealing with social, economic, and cultural disconnection from mainstream institutions as participants faced severe multiple disadvantages engendering stigma and shame. Conclusions: We propose a ‘life-focused’ intervention aimed at creating extra opportunities and making critically-needed resources available in the marginalised environment of the study’s participants, which are key to restoring and maintaining agency and sustaining well-being.

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Accepted/In Press date: 21 December 2017
e-pub ahead of print date: 22 January 2018
Keywords: British Bangladeshi, discrimination, dislocation, Drug use, stigma drug use, structural disadvantage

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Local EPrints ID: 428511
URI: http://eprints.soton.ac.uk/id/eprint/428511
ISSN: 0968-7637
PURE UUID: 32cf8ab2-857e-41fe-b2fe-761b914540be

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Date deposited: 01 Mar 2019 17:30
Last modified: 07 Oct 2020 00:52

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