Conceptualizing ethnicity in alcohol and drug research: Epidemiology meets social theory.

Since the 1990s, social scientists have rejected notions of ethnicity as something static and discrete, instead highlighting the context-dependent and fluid nature of multiple identities. In spite of these developments, researchers within the substance use fields continue to assess ethnic group categories in ways that suggest little critical reflection in terms of the validity of the measurements themselves, nor the social, bureaucratic, and political decisions shaping standard measures of ethnicity. This paper highlights these considerations, while also acknowledging the role of socially-delineated ethnic categorizations in documenting health inequities and social injustices. We call on researchers in alcohol and drugs research to critically appraise their use of ethnic categorizations, querying how to best measure ethnicity within their own studies in ways that are justified beyond simplified explanations of social convention and that "do no harm" in terms of perpetuating racism and obscuring the roots causes of social and health problems related to alcohol and drugs.

Insufficient access to harm reduction measures in prisons in 5 countries (PRIDE Europe): a shared European public health concern.

BACKGROUND: Prisoners constitute a high-risk population, particularly for infectious diseases. The aim of this study was to estimate the level of infectious risk in the prisons of five different European countries by measuring to what extent the prison system adheres to WHO/UNODC recommendations. METHODS: Following the methodology used in a previous French survey, a postal/electronic questionnaire was sent to all prisons in Austria, Belgium, Denmark and Italy to collect data on the availability of several recommended HIV-HCV prevention interventions and HBV vaccination for prisoners. A score was built to compare adherence to WHO/UNODC recommendations (considered a proxy of environmental infectious risk) in those 4 countries. It ranged from 0 (no adherence) to 12 (full adherence). A second score (0 to 9) was built to include data from a previous French survey, thereby creating a 5-country comparison. RESULTS: A majority of prisons answered in Austria (100 %), France (66 %) and Denmark (58 %), half in Belgium (50 %) and few in Italy (17 %), representing 100, 74, 89, 47 and 23 % coverage of the prison populations, respectively. Availability of prevention measures was low, with median adherence scores ranging from 3.5 to 4.5 at the national level. These results were confirmed when using the second score which included France in the inter-country comparison. Overall, the adherence score was inversely associated with prison overpopulation rates (p = 0.08). CONCLUSIONS: Using a score of adherence to WHO/UNODC recommendations, the estimated environmental infectious risk remains extremely high in the prisons of the 5 European countries assessed. Public health strategies should be adjusted to comply with the principle of equivalence of care and prevention with the general community.

Drinking and partying among young Muslim women: Exclusion in the context of a normalized youth drinking culture.

BACKGROUND AND AIMS: Danish youth drinking culture is characterized by a very high level of alcohol consumption and a focus on intoxication. Young people with Muslim backgrounds drink markedly less, but their experiences with drinking and partying have been overlooked in research concerned with youth drinking. The aim of this paper is to investigate how young Danish Muslim women experience being part of a youth culture of intoxication and how they navigate through processes of exclusion related to drinking and partying. Special attention is paid to the intersections of different social positions relevant to these processes of exclusion in drinking and partying contexts. METHODS: Twenty-five in-depth qualitative interviews were conducted with 32 young Danish Muslim women (mean age 23 years) residing mainly in big cities and surrounding areas. An intersectional case study design approach was applied to investigate how certain identities become salient at particular moments or within particular contexts. RESULTS: The Danish normalized youth culture of intoxication had various consequences for our participants, of which two stand out. First, this culture of intoxication was excluding for young Muslim women and, furthermore, seemed to enhance exclusion based on ethnicity and religion, regardless of whether our participants drank alcohol or abstained. Second, the culture of intoxication actualized gendered ideals within the young women's families, and the potential for conflicts pertaining to drinking and partying could call into doubt their experiences of belonging to a local ethno-religious community. DISCUSSION: Due to the Danish normalized youth culture of intoxication, young Muslim women are at risk of several exclusions: exclusion from central Danish youth contexts and, potentially, from their religious and cultural roots. We discuss the importance of including agency and strategic manoeuvring in intersectional approaches because these contribute to a better understanding of the complexity found in the results and, furthermore, they help to avoid the pitfalls of determinism and essentialism in studies of minorities. We also discuss how binge drinking prevention initiatives could focus not only on health warnings but also on the social consequences of exclusion.

Experiencing police violence and insults: narratives from ethnic minority men in Denmark.

Young men living in socially deprived areas are more likely to be exposed to criminal activity and extraordinary policing measures. This article focuses on the narratives of police encounters told by ethnic minority young men living in a deprived neighbourhood in Denmark, defined by the Danish government as a 'ghetto'. In total, 76 young men and 6 young women (age 15 to 26) were interviewed between 2016 and 2017. The article focusses on their experiences of the police's use of force, interpreted as violence by the participants. We have categorized their experiences into three types: unnecessary use of force, inconsistent violence, and humiliation/insults. While police violence is often understood as primarily physical, we also show that in the young people's recollections of these incidences, issues of 'moral violence' becomes important. While not only specifically violating the body, this type of violence also affects the integrity and dignity of individuals. Our participants recounted forms of violence, which were extra-judicial in terms of physical use of force and they described how the police used indirect and degrading techniques of violence, some of which can be categorized as sexual harassment, embarrassment and public humiliation. From their perspectives, police power appeared unpredictable and illegible.

Ring and bring drug services: Delivery dealing and the social life of a drug phone.

BACKGROUND: Illegal drug dealers no longer compete for customers only through the quality of their products, but also in convenience and speed of delivery. This article investigates "ring and bring" drug dealing, and argues that a focus on dealers' use of mobile phones is useful for exploring current changes within retail level drug markets. METHODS: The article is based on 21 face-to-face in-depth interviews with active drug dealers in Denmark all of whom were involved in the delivery of drugs (mainly cannabis and cocaine) often to buyers' homes. RESULTS: Contrary to studies emphasising how drug dealers often take up new communication technologies with enthusiasm, the dealers in this study displayed a technological conservatist stance. Moreover, mobile phones have become key to dealers' construction of in-group hierarchies, and have led to retail level drug selling becoming more flexible, individualised and more of a service on par with other services in the consumer society. Finally, the increasing use of mobile phones has also created a situation where portfolios of drug customers, held on cell phone SIM cards, are today traded and sold alongside other commodities in the drug economy. CONCLUSION: We show how a social constructivist approach to technology can provide a more detailed and nuanced account of the socio-technical ensemble and the meaning-making processes giving shape to retail level "delivery dealing."

Drugs and discretionary power in prisons: The officer's perspective.

BACKGROUND: Drugs play an increasing role in contemporary prison life. Prisoners' drug use, drug smuggling and drug selling have also had a growing impact on the work routines and practices of prison officers. This has led to critiques that prison staff have become 'too lenient' regarding drug use. METHODS: Based on observational data, qualitative interviews and survey data, this study examines the role of drugs in the way Danish prison officers exercise power. RESULTS: Two forms of power are analysed: institutional power, by which the officers can sanction or reward inmates in everyday prison life, and personal power, by which the officers' personal authority and skills can reduce the more intrusive aspects of prison control. These forms of power are applied by officers' use of discretion in order to maintain what they consider to be adequate levels of peace and order in the prison wings. It is shown that officers are highly ambivalent towards the presence of drugs in prisons. On the one hand, they support the stricter drug policies implemented over the past two decades. On the other hand, they are aware that drug use can have a positive function in the everyday running of the prison. Officers' acceptance of inmates' drug use (mainly cannabis), therefore, is not necessarily a sign of leniency but one way in which prison officers exercise their power in prison settings. CONCLUSIONS: It is concluded that discretionary power is still very central to the officers' work. This conclusion contradicts recent arguments that prison officers' agency is being threatened or restricted by 'neoliberal' management reforms. The prison officers' discretion and informal power is the key to understanding their acceptance of inmates' drug use.

Drug treatment or alleviating the negative consequences of imprisonment? A critical view of prison-based drug treatment in Denmark.

BACKGROUND: The availability of prison-based drug treatment has increased markedly throughout Europe over the last 15 years in terms of both volume and programme diversity. However, prison drug treatment faces problems and challenges because of the tension between ideologies of rehabilitation and punishment. METHODS: This article reports on a study of four cannabis treatment programmes and four psychosocial drug treatment programmes in four Danish prisons during 2007. The data include the transcripts of 22 semi-structured qualitative interviews with counsellors and prison employees, prison statistics, and information about Danish laws and regulations. RESULTS: These treatment programmes reflect the 'treatment guarantee' in Danish prisons. However, they are simultaneously embedded in a new policy of zero tolerance and intensified disciplinary sanctions. This ambivalence is reflected in the experiences of treatment counsellors: reluctantly, they feel associated with the prison institution in the eyes of the prisoners; they experience severe opposition from prison officers; and the official goals of the programmes, such as making clients drug free and preparing them for a life without crime, are replaced by more pragmatic aims such as alleviating the pain of imprisonment felt by programme clients. CONCLUSION: The article concludes that at a time when prison-based drug treatment is growing, it is crucial that we thoroughly research and critically discuss its content and the restrictions facing such treatment programmes. One way of doing this is through research with counsellors involved in delivering drug treatment services. By so doing, the programmes can become more pragmatic and focused, and alternatives to prison-based drug treatment can be seriously considered.

Screening autoantibody profiles in systemic rheumatic disease with a diagnostic protein microarray that uses a filtration-assisted nanodot array luminometric immunoassay (NALIA).

BACKGROUND: We developed a cost-efficient modular system for multiplex analysis of the multiple autoantibodies that characterize systemic rheumatoid diseases. METHODS: The nanodot array luminometric immunoassay (NALIA) system consists of conventional 96-well membrane-bottomed plates in which antigens or antibodies are adsorbed onto the underside of the membrane. Current arrays use a 5 x 5 format (25 dots/well), which allows 10 analytes to be measured in duplicate: double-stranded DNA (dsDNA), centromere protein B (CENP-B), PCNA, Sm, Sm ribonucleoprotein (Sm-RNP), U1-snRNP, Scl70, SSA/Ro, SSB/La, Jo-1, and controls. The test fluid, control sera, and subsequent reagents are drawn through the membrane. The captured analytes are quantified by monitoring chemiluminescence with a charge-coupled device (CCD) and analyzed with commercial array software. RESULTS: The assay can detect <20 x 10(3) IU/L of anti-dsDNA. The interwell CV was 10%-14%. There was an 83% concordance (kappa = 0.56) between the NALIA results obtained for anti-dsDNA assayed by beta-testing in a routine immunology diagnostic laboratory and the results obtained with a conventional ELISA reagent set. The concordance values for Ro, La, Sm, and RNP were 98% (kappa, 0.92), 93% (kappa, 0.41), 97% (kappa, 0.62), and 97% (kappa, 0.73), respectively. CONCLUSION: The NALIA approach promises to provide a highly economical platform for a wide range of applications that require assays of multiple analytes. The degree of concordance of our results with a conventional reagent set was no less than that occurring between different commercial products. A sample of serum from a finger stick provides a volume sufficient to perform the array assay.