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"It's on every corner": assessing risk environments in Baltimore, MD using a racialized risk environment model
Bianca D Smith1, Quiana Lewis1, Asari Offiong1
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Journal of Ethnicity in Substance Abuse
|May 2, 2022
Summary
This study explored how urban environments impact African Americans who use drugs, revealing physical, social, and economic risk factors. Understanding these racialized risk environments is crucial for effective substance use interventions.
Area of Science:
- Public Health
- Sociology
- Substance Use Research
Background:
- Environmental factors significantly influence drug use harm and risk.
- Systemic inequalities in urban settings disproportionately affect African Americans.
- Racialized risk environment models are underutilized in substance use research.
Purpose of the Study:
- To describe the racialized risk environment experienced by African Americans with a history of illicit drug use.
- To identify key themes within the physical, social, and economic contexts of drug use in this population.
Main Methods:
- Qualitative study employing semi-structured interviews with 21 African American adults in Baltimore, MD.
- Data analyzed using qualitative content analysis to identify emergent themes.
Main Results:
- Key themes identified include the physical risk environment (e.g., visible drug markets).
- Social risk environment themes include the normalization of drug use within social networks.
- Economic risk environment themes highlight significant financial hardships.
Conclusions:
- The study highlights the interplay of physical, social, and economic factors in shaping the racialized risk environment for drug users.
- Findings can inform the development of culturally sensitive and targeted substance use programs for marginalized communities.
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