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The impact of social, structural and physical environmental factors on transitions into employment among people who inject drugs

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  • Richardson, Lindsey
  • Wood, Evan
  • Kerr, Thomas

Abstract

Despite growing awareness of the importance of context for the health of people who use drugs, studies examining labour market outcomes have rarely considered the role that physical, social and structural factors play in shaping labour market participation among drug users. Using discrete time event history analyses, we assessed associations between high-intensity substance use, individual drug use-related risk and features of inner-city drug use scenes with transitions into regular employment. Data were derived from a community-recruited cohort of people who inject drugs in Vancouver, Canada (n = 1579) spanning the period of May 1996–May 2005. Results demonstrate that systematic socio-demographic differences in labour market outcomes in this context generally correspond to dimensions of demographic disadvantage. Additionally, in initial analyses, high-intensity substance use is negatively associated with transitions into employment. However, this negative association loses significance when indicators measuring exposure to physical, social and structural features of the broader risk environment are considered. These findings indicate that interventions designed to improve employment outcomes among drug users should address these social, structural and physical components of the risk environment as well as promote the cessation of drug use.

Suggested Citation

  • Richardson, Lindsey & Wood, Evan & Kerr, Thomas, 2013. "The impact of social, structural and physical environmental factors on transitions into employment among people who inject drugs," Social Science & Medicine, Elsevier, vol. 76(C), pages 126-133.
    • Handle: RePEc:eee:socmed:v:76:y:2013:i:c:p:126-133
    DOI: 10.1016/j.socscimed.2012.10.015
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    1. Krebs, Emanuel & Wang, Linwei & Olding, Michelle & DeBeck, Kora & Hayashi, Kanna & Milloy, M.-J. & Wood, Evan & Nosyk, Bohdan & Richardson, Lindsey, 2016. "Increased drug use and the timing of social assistance receipt among people who use illicit drugs," Social Science & Medicine, Elsevier, vol. 171(C), pages 94-102.
    2. Purvi Sevak & John O'Neill & Andrew Houtenville & Debra L. Brucker, 2016. "State and Local Determinants of Employment Outcomes among Individuals with Disabilities," Working Papers 16-21, Center for Economic Studies, U.S. Census Bureau.
    3. McNeil, Ryan & Small, Will, 2014. "‘Safer environment interventions’: A qualitative synthesis of the experiences and perceptions of people who inject drugs," Social Science & Medicine, Elsevier, vol. 106(C), pages 151-158.
    4. Annand, PJ & Platt, Lucy & Rathod, Sujit D. & Hosseini, Paniz & Guise, Andrew, 2022. "‘Progression capitals’: How homeless health peer advocacy impacts peer advocates," Social Science & Medicine, Elsevier, vol. 298(C).
    5. Jenna van Draanen & Kanna Hayashi & M.-J. Milloy & Ekaterina Nosova & Hennady Shulha & Cameron Grant & Lindsey Richardson, 2021. "Material Security as a Measure of Poverty: A Validation Study with People Who Use Drugs," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(2), pages 501-521, September.
    6. Olding, Michelle & Boyd, Jade & Kerr, Thomas & McNeil, Ryan, 2021. "“And we just have to keep going”: Task shifting and the production of burnout among overdose response workers with lived experience," Social Science & Medicine, Elsevier, vol. 270(C).

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