عنوان انگلیسی مقاله:
“Bed Bugs and Beyond”: An ethnographic analysis of North Americas first women-only supervised drug consumption site
ترجمه فارسی عنوان مقاله:
"اشکالات بستر و فراتر از آن": تجزیه و تحلیل مردم نگاری اولین سایت مصرف مواد مخدر تحت نظارت فقط در زنان در آمریکای شمالی
Sciencedirect - Elsevier - International Journal of Drug Policy, 78 (2020) 102733. doi:10.1016/j.drugpo.2020.102733
Jade Boyda,b,⁎, Jennifer Lavalleya, Sandra Czechaczeka, Samara Mayera, Thomas Kerra,b, Lisa Maherc, Ryan McNeild,
Background: Attention to how women are differentially impacted within harm reduction environments is salient
amidst North Americas overdose crisis. Harm reduction interventions are typically ‘gender-neutral’, thus failing
to address the systemic and everyday racialized and gendered discrimination, stigma, and violence extending
into service settings and limiting some womens access. Such dynamics highlight the significance of North
Americas first low-threshold supervised consumption site exclusively for women (transgender and non-binary
inclusive), SisterSpace, in Vancouver, Canada. This study explores womens lived experiences of this unique
harm reduction intervention.
Methods: Ethnographic research was conducted from May 2017 to June 2018 to explore womens experiences
with SisterSpace in Vancouvers Downtown Eastside, an epicenter of Canadas overdose crisis. Data include more
than 100 hours of ethnographic fieldwork, including unstructured conversations with structurally vulnerable
women who use illegal drugs, and in-depth interviews with 45 women recruited from this site. Data were
analyzed in NVivo by drawing on deductive and inductive approaches.
Findings: The setting (non-institutional), operational policies (no men; inclusive), and environment (diversity of
structurally vulnerable women who use illegal drugs), constituted a space affording participants a temporary reprieve
from some forms of stigma and discrimination, gendered and social violence and drug-related harms, including
overdose. SisterSpace fostered a sense of safety and subjective autonomy (though structurally constrained) among those
often defined as ‘deviant’ and ‘victims’, enabling knowledge-sharing of experiences through a gendered lens.
Conclusion: SisterSpace demonstrates the value and effectiveness of initiatives that engage with socio-structural
factors beyond the often narrow focus of overdose prevention and that account for the complex social relations
that constitute such initiatives. In the context of structural inequities, criminalization, and an overdose crisis,
SisterSpace represents an innovative approach to harm reduction that accounts for situations of gender inequality
not being met by mixed-gender services, with relevance to other settings.
Keywords: women | drugs | violence | harm reduction | overdose | supervised consumption sites | Canada