Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk
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Rhodes, Tim
Prodanović, Ana
Žikić, Bojan

Kuneski, Elena
Pavicević, Tijana
Karadzić, Davor
Bernays, Sarah
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Accounts of health-related risk behaviour are generated in a social context of risk acceptability and moral responsibility. Drawing upon qualitative semi-structured interviews with injecting drug users (IDUs) in Belgrade, Serbia (n=67) and Podgorica and Bar, Montenegro (n=32), we explore drug injectors' accounts of sharing injecting equipment, and 'discriminative' and 'exceptional' sharing specifically, alongside accounts of hepatitis C risk. We find that accounts emphasize discriminative and exceptional sharing as acceptable given the circumstances, with normative syringe sharing presented as unacceptable and irresponsible. Two key themes emerged in descriptions of discriminative and exceptional sharing: 'trust' based in social relations, ensuring that sharing took place under 'reduced risk' conditions; and 'disruptions' to safety routine brought about by accidents, unexpected events, drug withdrawal and the environment. In accounts of environmental disruption, a lack of trust (and bl...ame) was identified in relation to pharmacies and police. Whereas trust accounts justified sharing as reduced risk, disruption accounts accepted risk opportunity but appealed to a denial of agency. In addition, accounts portrayed a general context of risk and uncertainty in relation to hepatitis C, characterized by a lack of trust in knowledge about others' disclosed antibody status, a lack of faith in expert helping systems and confusion about HCV transmission.
Keywords:
trust / syringe sharing / qualitative / injecting drug use / hepatitis C / disruptionSource:
Health Risk & Society, 2008, 10, 3, 221-240Publisher:
- Routledge Journals, Taylor & Francis Ltd, Abingdon
DOI: 10.1080/13698570802160921
ISSN: 1369-8575
WoS: 000258321900003
Scopus: 2-s2.0-49549112216
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Institution/Community
Etnologija i antropologija / Ethnology and AnthropologyTY - JOUR AU - Rhodes, Tim AU - Prodanović, Ana AU - Žikić, Bojan AU - Kuneski, Elena AU - Pavicević, Tijana AU - Karadzić, Davor AU - Bernays, Sarah PY - 2008 UR - http://reff.f.bg.ac.rs/handle/123456789/807 AB - Accounts of health-related risk behaviour are generated in a social context of risk acceptability and moral responsibility. Drawing upon qualitative semi-structured interviews with injecting drug users (IDUs) in Belgrade, Serbia (n=67) and Podgorica and Bar, Montenegro (n=32), we explore drug injectors' accounts of sharing injecting equipment, and 'discriminative' and 'exceptional' sharing specifically, alongside accounts of hepatitis C risk. We find that accounts emphasize discriminative and exceptional sharing as acceptable given the circumstances, with normative syringe sharing presented as unacceptable and irresponsible. Two key themes emerged in descriptions of discriminative and exceptional sharing: 'trust' based in social relations, ensuring that sharing took place under 'reduced risk' conditions; and 'disruptions' to safety routine brought about by accidents, unexpected events, drug withdrawal and the environment. In accounts of environmental disruption, a lack of trust (and blame) was identified in relation to pharmacies and police. Whereas trust accounts justified sharing as reduced risk, disruption accounts accepted risk opportunity but appealed to a denial of agency. In addition, accounts portrayed a general context of risk and uncertainty in relation to hepatitis C, characterized by a lack of trust in knowledge about others' disclosed antibody status, a lack of faith in expert helping systems and confusion about HCV transmission. PB - Routledge Journals, Taylor & Francis Ltd, Abingdon T2 - Health Risk & Society T1 - Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk EP - 240 IS - 3 SP - 221 VL - 10 DO - 10.1080/13698570802160921 ER -
@article{ author = "Rhodes, Tim and Prodanović, Ana and Žikić, Bojan and Kuneski, Elena and Pavicević, Tijana and Karadzić, Davor and Bernays, Sarah", year = "2008", abstract = "Accounts of health-related risk behaviour are generated in a social context of risk acceptability and moral responsibility. Drawing upon qualitative semi-structured interviews with injecting drug users (IDUs) in Belgrade, Serbia (n=67) and Podgorica and Bar, Montenegro (n=32), we explore drug injectors' accounts of sharing injecting equipment, and 'discriminative' and 'exceptional' sharing specifically, alongside accounts of hepatitis C risk. We find that accounts emphasize discriminative and exceptional sharing as acceptable given the circumstances, with normative syringe sharing presented as unacceptable and irresponsible. Two key themes emerged in descriptions of discriminative and exceptional sharing: 'trust' based in social relations, ensuring that sharing took place under 'reduced risk' conditions; and 'disruptions' to safety routine brought about by accidents, unexpected events, drug withdrawal and the environment. In accounts of environmental disruption, a lack of trust (and blame) was identified in relation to pharmacies and police. Whereas trust accounts justified sharing as reduced risk, disruption accounts accepted risk opportunity but appealed to a denial of agency. In addition, accounts portrayed a general context of risk and uncertainty in relation to hepatitis C, characterized by a lack of trust in knowledge about others' disclosed antibody status, a lack of faith in expert helping systems and confusion about HCV transmission.", publisher = "Routledge Journals, Taylor & Francis Ltd, Abingdon", journal = "Health Risk & Society", title = "Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk", pages = "240-221", number = "3", volume = "10", doi = "10.1080/13698570802160921" }
Rhodes, T., Prodanović, A., Žikić, B., Kuneski, E., Pavicević, T., Karadzić, D.,& Bernays, S.. (2008). Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk. in Health Risk & Society Routledge Journals, Taylor & Francis Ltd, Abingdon., 10(3), 221-240. https://doi.org/10.1080/13698570802160921
Rhodes T, Prodanović A, Žikić B, Kuneski E, Pavicević T, Karadzić D, Bernays S. Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk. in Health Risk & Society. 2008;10(3):221-240. doi:10.1080/13698570802160921 .
Rhodes, Tim, Prodanović, Ana, Žikić, Bojan, Kuneski, Elena, Pavicević, Tijana, Karadzić, Davor, Bernays, Sarah, "Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk" in Health Risk & Society, 10, no. 3 (2008):221-240, https://doi.org/10.1080/13698570802160921 . .