Social Harm Research Articles

Contract and Tort Choice of Cause of Action by Persons from the Standpoint of Justice: Pro et Contra

The paper deals with the issues of choice of cause of action as to contract and tort in Russian and foreign law, as well as contract and tort competition between persons. The problem of choice between contractual and non-contractual liability has an artificial character for Russian scientific and judicial doctrine. The choice of cause of action relates to the alternative in claims, but not to the alternative as to debtors. It is concluded that modern scientific and judicial doctrine based on a multifunctional interpretation of civil liability can substantiate and justify not only the phenomenon of compensatory aspect of choice of cause of action by persons, but also the possibility of circumventing the limited liability established by law (contra legem) if it meets the goals of fair liability. These include deterrence of harmful behavior and stimulation of potential to ensure the proper performance of their duties to ensure the safety of their activities. Russian law enforcement practice indicates an increasing trend towards the socialization of civil liability, its focus on preventing harm to an indefinite circle of people, social harm (harm to society).

Military social harm: An agenda for research

This article presents a critical framework for understanding the harms produced by military institutions. Assessments of military harms are undertaken across the sociological study of the military, ranging from public-facing military issues to more inwardly directed research conducted by entities with vested state interests. Building upon and advancing the available scholarship, we introduce the concept of ‘military social harm’, drawing on criminological perspectives that situate harm in a broader range of social and political contexts. This term serves as a tool to explore the pervasive and varied impacts of military activities on society, illustrated through an examination of British military compensation as reparation. This example reveals how compensation regimes weaken a holistic approach to reparation, by undermining elements such as a right to truth or efforts to prevent recurrence. We propose an interdisciplinary research agenda for studying military social harm, aiming to challenge and extend existing scrutiny of military institutions and their accountability mechanisms, thereby engendering a fuller understanding of the direct and indirect costs of retaining and deploying military power.

Social Work, Harm Reduction, and Substance Use: Progress, Policy, and Perseverance.

Social Work, Harm Reduction, and Substance Use: Progress, Policy, and Perseverance.

Making exploratory search engines using qualitative case studies: a mixed method implementation using interviews with Detroit Artisans

Abstract Search engine algorithms are increasingly subjects of critique, with evidence indicating their role in driving polarization, exclusion, and algorithmic social harms. Many proposed solutions take a top-down approach, with experts proposing bias-corrections. A more participatory approach may be possible, with those made vulnerable by algorithmic unfairness having a voice in how they want to be “found.” By using a mixed methods approach, we sought to develop search engine criteria from the bottom-up. In this project we worked with a group of 16 African American artisanal entrepreneurs in Detroit Michigan, with a majority female and all from low-income communities. Through regular in-depth interviews with select participants, they highlighted their important services, identities and practices. We then used causal set relations with natural language processing to match queries with their qualitative narratives. We refer to this two-step process-- deliberately focusing on social groups with unaddressed needs, and carefully translating narratives to computationally accessible forms--as a “content aware” approach. The resulting content aware search outcomes place themes that participants value, in particular greater relationality, much earlier in the list of results when compared with a standard Web search. More broadly, our use of participatory design with “content awareness” adds evidence to the importance of addressing algorithmic bias by considering who gets to address it; and, that participatory search engine criteria can be modeled as robust linkages between interviews and semantic similarity using causal set relations.

Unadorned: An Essay on a Conjugal Spectacle in Postcolonial Zanzibar

Abstract This essay explores the historical, political and cultural lessons of a Shia Khoja diasporic account about the Forced Marriage Act, also known as Ndoa za Karume (NZK), in 1964 post-revolutionary Zanzibar. It examines how the pogroms committed by the Afro-Shirazi government against Arab and Asian communities in this period shaped the narration and transmission of memories of social suffering. In particular, the essay analyzes a work by a Zanzibari Khoja exile in the United Kingdom highlighting the experience of young forced brides. It argues that NZK constituted literal, legal and social harms and thus provides insight into the abuse of women and girls as spoils of war. By engaging with this voice, we gain not only a deeper understanding of a specific historical moment but also a more nuanced understanding of the political context of gendered experience in an island adrift.

The Upper Secondary School Act as legal violence in the Swedish welfare state: ‘I came to Sweden just so I could live’

In this article we investigate the harmful effects of the 2018 Upper Secondary School Act (the ‘Study Law’) upon young people in Sweden who have sought to regularise their stay with the help of this law. We analyse these harmful impacts as ‘legal violence’: structural and symbolic violence embedded in or intensified by law (Menjívar and Abrego, 2012), in the context of Swedish welfare regulation. The Study Law was ostensibly enacted to provide a new opportunity for some 7,000 young people, the majority of whom had fled Afghanistan. These young people had sought asylum in Sweden in 2015, but had not had their needs for protection recognised, instead being subjected to exclusionary laws, policies and growing racism. The Study Law substituted the possibility of protection with strict requirements of study, work and conduct, while the social and material support needed to fulfil these requirements largely was withheld. In our analysis, we draw upon interviews with young people collected as part of a doctoral research project, legal materials, and our own, earlier joint experiences as legal practitioners working with those affected by this law. The legal violence of the Study Law, we argue, has produced individual and social harms, particularly impacting the lives of young people seeking asylum. The law has created a complex and hard-to-navigate, legally-violent regime that, directly and indirectly, has exacerbated hardships and facilitated suffering and even death.

How Experiences of Stigma and Discrimination at Various Points in the Queer Life Course Interrelate with Alcohol Use: Views from Sexually and Gender Diverse Youth

Background: The life courses of sexually and gender diverse individuals are shaped by a series of events that include acceptance of one’s own sexual orientation or gender identity, the coming out process and socialization in the LGBTQ+ (for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and other sexual orientations and gender identities represented by the plus sign) environment. Generally experienced in a cis-heteronormative context, this process is marked by stigma and discrimination and the social harms they can cause, including a higher-than-average prevalence of alcohol use. Objectives: To profile the alcohol use of sexually and gender diverse (SGD) youth from a life course perspective and to explore individual perceptions regarding the personal, social and cultural factors (including stigmatization and its consequences) modulating their consumption. Methodology: This qualitative descriptive study is grounded in symbolic interactionism. Semi-structured interviews lasting approximately 90 min were conducted with LGBTQ+ youth aged 18 to 30 using alcohol at least once a week. A thematic analysis was performed. Results: A total of 31 individuals aged 18–29 (average age: 25) were interviewed. The average score regarding alcohol use was 14.25 (Standard Deviation -SD-: 4–31), which corresponds to a moderate risk and indicates the need for a brief intervention. Our study documents how the higher alcohol use among LGBTQ+ youth is shaped by individual, community and cultural factors at different points in the queer life course. Among the factors influencing drinking are the emotions experienced when questioning sexual orientation and/or gender identity as well as the feelings resulting from stigma and discrimination. Our findings also indicate the influence of socializing in the queer community and meeting peers and partners, as well as that of LGBTQ+ cultural practices. Discussion: Our study indicates the need for grassroots-level interventions that work to mitigate social pressures in queer socialization contexts. Accordingly, any intervention, whether preventive or therapeutic, must consider the interplay of personal, social, community and cultural factors. Interventions regarding alcohol use must build on the strengths of community and the sense of belonging.

Free-market institutions and income inequality: Did the link persist around the world even in times of falling within-country inequality, 2000–2021?

High or rising economic inequality can exacerbate political inequalities and is plausibly linked with some social harms, such as health problems and declines in happiness and trust. Within-country income inequality increased sharply across most of the world since the 1980s. One prominent critical sociological account of this occurrence points toward institutions of free-market capitalism, or “neoliberalism,” as a key cause that unleashed inequality during the globalization age. This article empirically operationalizes free-market institutions with the use of Fraser Institute’s index of economic freedom and examines the issue with fixed-effects regressions in a novel dataset of 130 countries between the years 2000 and 2021. It finds a substantial positive correlation between the two variables in the developing, though not the developed, world. This finding is robust to a variety of alternative specifications. Moreover, across specifications, modest size of government and freedom of international trade stand out as the two clear components of economic freedom driving the aggregate relationship. Finally, mediation analysis suggests there also exists an indirect ameliorative relationship between economic freedom and inequality through the conduit of economic development.

Development of a framework of potential adverse effects of interventions to improve critical thinking about health choices: A mixed methods study.

Background People need critical thinking skills to make well-informed health choices and avoid waste and unnecessary suffering. However, educational interventions can have adverse effects, which is often overlooked. We created a framework of potential harms of interventions to improve critical thinking about health choices. The objective was to identify potential effects and articulate potential mechanisms. We intended to use the framework to inform the development and evaluation of an intervention in Kenya, Rwanda, and Uganda. Methods We created an initial framework drawing on two earlier frameworks. We surveyed external experts using Likert-scale and open-ended items, including researchers, educators, and others, in a variety of relevant fields. We emailed the survey to an international advisory network, and all other experts recommended by respondents. We analyzed the quantitative data using descriptive statistics. We conducted a thematic analysis of the qualitative data. We revised the framework based on those results. To identify any effects missing from the revised framework, we individually interviewed a convenience sample of one teacher from each of Kenya, Rwanda, and Uganda. Results We received responses from 38 of 70 external experts (54%). The quantitative survey data suggested respondents agreed with the initial framework overall. However, the qualitative data led to substantial revisions. The revised framework consists of categories of adverse outcomes; outcomes within each category; sub-outcomes; individuals, groups, and populations that might experience each adverse outcome; beneficial outcomes corresponding with adverse outcomes; and potential mechanisms of adverse effects. There are six categories: decision-making harms, psychological harms, equity harms, group and social harms, waste, and other harms. In the interviews with teachers, we did not identify any effects missing from the revised framework. Conclusions As far as we know, the framework is the first tool of its kind for education research. It can be improved upon and adapted.

Co-use of psychedelics with other substances: Findings from the global psychedelic survey.

While most psychedelic substances are considered to carry a relatively low risk of acute or long-term harm, co-use with other psychoactive substances may increase health and social harm. Using a large international survey of adults who use psychedelics, we sought to comprehensively characterize psychedelic co-use. We used data from the 2023 Global Psychedelic Survey, a web-based survey of adults ⩾21 with lifetime use of psychedelics. We explored patterns of co-use (prevalence, secondary substances used, timing, and motives of co-use) and examined sociodemographic and psychedelic use-related characteristics associated with co-use overall and by specific psychedelics. In total, 5370 respondents were included in this analysis, of whom 3228 (56.3%) reported typically co-using at least one of the 11 psychedelic substances of interest, with co-use lowest for ayahuasca (14.8%) and highest for nitrous oxide (54.5%). Cannabis and alcohol were the most common secondary substances. Depressants were the only secondary substance class that increased in use following psychedelic experiences. Greater experience with psychedelics was significantly associated with co-use, as was using for recreational purposes or to reduce/substitute the use of other substances. Personal exploration and therapeutic purposes for psychedelic use were negatively associated with co-use. In this detailed analysis of psychedelic co-use, we observed high rates of co-use with certain psychedelics, specifically when used recreationally. Our findings highlight psychedelic-specific consumers for whom harm reduction messaging around co-use practices may be best tailored. Further research is justified to assess whether specific patterns of co-use might reduce or increase potential harms.

Alcohol related emergencies among adolescents admitted in a referral acute-care center for adults in Genoa, northwest Italy

Abstract Background As a result of underage drinking, adolescents have an increased risk of physical, mental, emotional, and social harm. Methods In order to assess the emergencies for alcohol use, data of the emergency department (ED) of San Martino Hospital - the referral acute-care center for adults in Genoa, Northwest Italy - was analyzed retrospectively. 330 records of 320 adolescents visiting the ED between 2014 and 2023 were considered. Results The median age of access was 16 (IQR 2), 54.8% were males, 17.4% had foreign nationalities, and the average blood alcohol concentration (BAC) was 1.8 g/L (SD 0.7), with 14.7% testing positive for other substances (6.1% benzodiazepines and 11.2% other drugs). 16.8%, 46.6% and 36.6% were assigned an emergency, urgent, and not-urgent acuity code. 2.8% had a repeated episode, 3.4% had to be removed for inappropriate behavior, 7.8% left spontaneously, 13.1% were hospitalized for additional care (5.5% in the Psychiatry ward). The average length of stay was 1.24 days (SD 5.86). Multivariable logistic regression showed that higher age, an emergency code and the use of other substances were positively associated with hospitalization [ORs 1.74 (95%CI 1.1-2.7), p 0.01; 7.1 (95%CI 2.2-22.4) p < 0.001; and 15.6 (95%CI 6.8-35.6) p < 0.001, respectively]. Admission in Psychiatry, in particular, was strongly associated with the use of other substances [OR 11.8 (95%CI 3.8-36.6), p < 0.001]. Multivariable linear regression showed that, in comparison with other access reasons, accidents and decreased consciousness were associated with higher BAC [beta 0.6 (95%CI 0.1-1.1), p 0.01; beta 0.8 (95%CI 0.3-1.2) p < 0.001]. Length of stay, however, was associated with lower BAC [beta -0.2 (95%CI -0.3 -0.01), p 0.04]. Conclusions In Italy, binge drinking affects 120,000 adolescents aged 11-17. Our findings highlight the harm of this practice and support the need for prompt interventions to reduce the onset and prevalence of adolescent alcohol use.

The Influence of Social Media on Teen Consumer Behavior: Analyzing the Effects of Engagement through Likes, Shares, and Purchases

This study explores the impact of social media on teenagers' purchasing behavior and self-esteem. It reveals that celebrity endorsements and targeted ads significantly influence teens to make impulsive purchases on platforms like Integra and Face book. Additionally, excessive social media use is linked to lower body satisfaction and self-esteem. The research highlights how social media interactions, such as likes and shares, blur the line between social engagement and consumerism. It also raises ethical concerns about targeting minors with marketing strategies, emphasizing the need to promote responsible online behavior and awareness of social media's potential harm to teens.

Decriminalising terror: for a zemiology of counterterrorism

Over the past two decades, UK counterterrorism efforts have involved contentious legal and social measures aimed at preventing harm and increasing security. Critical scholars argue that these measures narrowly define security, risk, and harm, failing to recognise intervention itself as a potential threat to individuals and communities. Despite significant critical research, the legitimacy of the criminal justice model of counterterrorism persists in criminological scholarship. This article uses zemiology, the study of social harm, to critique contemporary counterterrorism’s impact. It employs UK counterterrorism as its case study, highlighting its ‘security first’ approach and its narrow definition of public interest. Three key arguments are advanced: first, counterterrorism is not an exceptional extension of criminal law but a form of hybrid governance; second, viewing this governance through a crime-centric lens obscures the harms of criminalisation and overlooks non-criminalised politically-motivated violence; third, examining counterterrorism through a social harm lens allows for a focus on social and racial structures, rather than state-defined categories of harm. The social harm perspective challenges the conceptualisation of terrorism as a crisis justifying exceptional measures, highlighting instead counterterrorism’s broader social impact. The zemiological approach highlights the role of law, not just as source of protection, but also as a means of repression and state violence, emphasising state accountability and providing a framework for identifying and preventing social harm. This perspective centres the broader implications of counterterrorism policies on social structures and racial dynamics, allowing for a more comprehensive understanding of security and harm.

Unpacking the Effects of Decriminalization: Understanding Drug Use Experiences and Risks among Individuals Who Use Drugs in British Columbia

ObjectivesOn January 31, 2023, a three-year exemption from the Controlled Drugs and Substances Act was granted to the Canadian province British Columbia (BC), allowing the cumulative possession of 2.5 g of specific unregulated drugs amongst adults. The goals of the policy are to reduce health, social, and economic harms associated with criminalization, stigma, drug overdose deaths, as well as drug seizures, arrests, and associated enforcement and court costs. As the inaugural year has passed, we aimed to assess people who use drugs’ awareness and knowledge of the, as well as the policy’s impact on their drug use patterns and overdose risk.MethodsWe conducted 100 telephone-based semi-structured interviews with people who use drugs from across BC, exploring changes in drug use experiences and perceived overdose risk since the implementation of the policy. Participants also completed an interviewer-administered survey assessing socio-demographics and substance use patterns. We utilized a qualitative content analysis approach to analyze the interview data.ResultsOur findings indicate a general awareness of the policy among participants, although some policy details were often misunderstood, and participants expressed the need for more widespread dissemination of policy information. While the majority of participants reported that their drug use patterns remained unchanged after decriminalization, some made subtle adjustments, such as carrying under the 2.5 g threshold to minimize the risk of criminalization. Participants highlighted several policy benefits and concerns, including its potential to reduce criminalization and stigmatization, but also increase public drug consumption. Participants offered suggestions for policy improvement.ConclusionThese findings underscore the need for ongoing monitoring of the impacts of decriminalization regarding its potential impact on people who use drugs’ drug use patterns and related risks. Reevaluation of the possession threshold and efforts to enhance education and awareness about the policy could help achieve the policy’s goals.

Trust and Safety work: internal governance of technology risks and harms

Abstract Trust and Safety work mitigates certain social risks and harms of digital technologies. In a landscape that is only slowly establishing regulatory oversight mechanisms, Trust and Safety work performs a type of internal governance by attempting to mitigate disinformation, online harassment, extremism, and other harms accelerated or amplified by technology products and services. With origins in content moderation, Trust and Safety work now also includes product advice for online services and IRL (in real life) products. Attention to Trust and Safety work can complicate a monolithic view of what tech work is and who does it, as well as point to locations for intervention as we seek to promote Public Interest Technology in globally impactful sociotechnical systems.

The potential effects of deepfakes on news media and entertainment

AbstractDeepfakes are synthetic media, such as pictures, music and videos, created with generative artificial intelligence (GenAI) tools, a technique that builds upon machine learning and multi-layered neural networks trained on large datasets. Today, anyone can create deepfakes online, without any knowledge about the underpinning technology. This fact opens up creative opportunities at the same time as it creates individual and societal challenges. Some identified challenges are fake news, bullying, defamation, media manipulation and democracy damage. The aim of this study was to analyse and discuss how deepfakes could affect entertainment, education and digital news media in positive and negative ways. The chosen research strategy was a qualitative cross-sectional study to create a snapshot of current attitudes in blogs, online discussion fora and from a selected expert panel. Firstly, blogs and internet discussion fora on deepfakes and AI were analysed inductively. Secondly, results from the previous step were used to create a question scheme for semi-structured interviews with some selected experts that have relevant knowledge in the field of AI and deepfakes. Finally, interviews answered were analysed thematically using the Technology Affordances and Constraints Theory as an analytical lens. Findings show that deepfakes at the same time have a wide variety of affordances, but also some critical constraints to consider. In the affordance part, there are the potential use of deepfakes for speculative and provoking concepts, not only as entertainment, but also to illustrate educational scenarios that are hard or impossible to capture in traditional videos, images or sound recordings. Furthermore, there are many affordances for entertainment and the creation of environments where realism is not an important condition. Some examples are video game graphics, animated film background music in games and music videos. However, the conclusion is that the findings comprise more of constraints than of affordances, where the serious negative aspect of deepfakes can lead to psychological, financial and social harm. Many images and videos in news media have already been manipulated during the last decades, but deepfakes can take this to a new and more problematic level where the overall trust might disappear. The author’s recommendation is to further increase the focus on source criticism and that discussions on which sources to trust should be an early introduced part of educational programmes.

Patient Perspectives on Blended Internet-Based and Face-to-Face Cognitive Behavioral Therapy for Alcohol Use Disorder: Qualitative Study.

Harmful alcohol consumption has been identified as a major contributor to disease, mortality, and social harm, accounting for 5.3% of worldwide deaths annually. In Denmark, an estimated 150,000 people suffer from alcohol use disorder (AUD), but a low proportion seek treatment due to person- and treatment-related barriers. Internet-based cognitive behavioral therapy (iCBT) has shown positive effects on the treatment gap, with patients reporting benefits such as increased knowledge and flexibility. However, there is a lack of research on blended cognitive behavioral therapy (bCBT), which combines face-to-face CBT (FtF CBT) and iCBT for AUD. This study aims to investigate user experiences of bCBT. More specifically, it seeks to explore the advantages and disadvantages that users have experienced with bCBT for AUD, as well as their motivations for choosing this treatment format. A total of 30 patients who had participated in the Blend-A (Blending Internet Treatment into Conventional Face-to-Face Treatment for AUD) study and received the intervention were contacted and offered the opportunity to participate in semistructured individual telephone interviews. Of these, 12 patients consented to participate. Furthermore, an additional participant was approached at a municipal clinic and agreed to engage in an individual FtF interview. Thus, the final sample consisted of 13 patients. The interviews explored their background, experiences with digital technology, motivations for choosing internet-based treatment, and experiences with the program during AUD treatment. The interviews were audio-recorded and transcribed in full length and analyzed using thematic analysis. All data were anonymized and securely stored. We found that users experienced several advantages of iCBT over a larger part of the treatment course, including increased anonymity and privacy. Most importantly, it offered flexibility, allowing patients to focus on their rehabilitation process at their own pace. Patients appreciated the availability of written text in the online program, finding it helpful for gaining knowledge and understanding of AUD and its impact on the individual with the condition. They emphasized how the assignments helped them fully engage in treatment by first acknowledging their problem with alcohol and then dedicating time to self-reflection before FtF sessions, allowing for more in-depth discussions with the therapist. They also appreciated the reminders, which motivated them to complete their assignments. Overall, patients perceived more benefits than disadvantages in using bCBT. Essentially, bCBT offers a form of assisted autonomy that cannot be fully achieved through iCBT or FtF CBT alone. It is only through their combination that patients can fully appreciate the benefits of the treatment, as they have time for self-reflection, with guidance from the therapist between FtF CBT sessions. ClinicalTrials.gov NCT04535258; https://clinicaltrials.gov/ct2/show/NCT04535258.

The Role of Fathers' Involvement in Parenting and Adolescent Social Harms: A Narrative Review

Background: In today's society, the issue of fatherhood and involvement in the upbringing of children has been emphasized. The study aimed to investigate the impact of fathers' involvement in parenting on the social victimization of adolescents. Methods: The present research utilized a narrative review methodology, with technical terms being explained at the beginning. Relevant sources were identified by conducting searches on reputable academic databases, including ISI Web of Knowledge, PubMed, Google Scholar, ProQuest, Ovid, Elsevier, SID, and Magiran, covering the period from 2000 to 2023. The search keywords encompassed various related themes, such as fatherhood, absent fathers, childrearing, adolescents, father involvement, engagement, social problems, and Boolean operators (AND, OR, NOT). Compilation procedures were conducted according to the SANRA checklist. In the initial search, 162 articles were obtained. After removing duplicates and evaluating their titles and abstracts, 9 articles were selected for the review. Results: Based on the findings of this literature review, paternal involvement in child-rearing is shown to positively affect the intellectual, moral, and social development of adolescents. Conversely, the absence of a father figure has been linked to negative outcomes such as drug addiction, decreased academic performance in both school and university, anti-social attitudes, separation anxiety, aggression, feelings of insecurity, and negative thoughts in teenagers. Conclusion: The involvement of fathers in upbringing of their children fosters critical thinking and reinforces children's empowerment in making pivotal decisions, while simultaneously acting as a safeguard against social risks.

Experiences of harm and mental ill-health among gay, bisexual and other men-who-have-sex-with-men who use methamphetamine or GHB/GBL in different combinations: findings from the COMeT study in Taiwan

IntroductionPolydrug use in the context of chemsex is commonplace among gay, bisexual, and other men-who-have-sex-with-men (GBMSM). This study aimed to examine the differences in experiences of physical, social, and psychological harms, as well as mental ill-health among GBMSM who use different combinations of methamphetamine and gamma-hydroxybutyric acid/gamma-butyrolactone (GHB/GBL) during chemsex.MethodAdult GBMSM participants who had experience of chemsex in the past 12 months participated in a cross-sectional online survey in Taiwan and self-reported their sociodemographic background, sexual behaviours, mental health, and experiences of harm following a chemsex session. We used univariable and multivariable logistic regression to assess the different experiences of harm and mental ill-health among GBMSM who engaged in chemsex without using methamphetamine, used methamphetamine but not GHB/GBL, and who used both drugs.ResultsOut of 510 participants who completed all items included in the analysis, 24.1% engaged in chemsex without using methamphetamine, 36.9% used methamphetamine but not GHB/GBL, and 39.0% used both drugs. Eighty five percent of men who used both methamphetamine and GHB/GBL reported at least one kind of social harm after a chemsex session, such as missing dates or appointments, or appearing “high” at work, followed by used methamphetamine but not GHB/GBL (69.7%) and those without using methamphetamine (37.4%). After controlling for polydrug and frequency of drug use in the multivariable logistic regression, those who used methamphetamine but not GHB/GBL and those who used both drugs were more likely to report experiencing physical and psychological harms compared to those who did not use methamphetamine (p < 0.003).ConclusionGBMSM who used both methamphetamine and GHB/GBL in a chemsex context were more likely to report experience of harms than those who only used a single chemsex drug or engaged in chemsex without methamphetamine or GHB/GBL. Harm reduction should focus on both preventing HIV and STI transmission and on minimising psychosocial harm to GBMSM, with varying impacts depending on drug use.

Towards spatially disaggregated cocaine supply chain modeling

Despite the global reach and economic scale of cocaine trafficking, our best geographic understanding of the global trade remains coarse. A more spatially disaggregated understanding of how the cocaine supply chain embeds across multiple locations is necessary for informing security policies and anticipating the spread and intensity of social and environmental harms associated with the cocaine trade. In this research, modeling methods used for legal supply chains are adapted to spatially disaggregate illicit supply chain flows. Profit and supply maximization model versions were compared to elucidate key decision parameters cocaine traffickers might be facing. Cocaine flows to EU+3 (Norway, Turkey, and United Kingdom) markets were estimated based on the smuggling capacity of major Central American ports and bilateral trade volumes of selected commodities most often seized with cocaine shipments. The resulting estimates of cocaine volumes diverted to EU+3 countries from Central America ranged between 938 and 1526 metric tons (MT). Generally, easier concealment and storage in Central America led to less volume supplied to the United States (US) and increased shipments to EU+3 markets. Importantly, the value of this modeling approach is not in the quantitative estimates produced, but in the methodological approach that provides the ability to rigorously ground any quantitative estimates of clandestine phenomenon in the best available data.