Area restrictions, risk, harm, and health care access among people who use drugs in Vancouver, Canada: A spatially oriented qualitative study

摘要: Area restrictions prohibiting people from entering drug scenes or areas where they were arrested are a common socio-legal mechanism employed to regulate the spatial practices of who use drugs (PWUD). To explore how socio-spatial patterns stemming area shape risk, harm, and health care access, qualitative interviews mapping exercises conducted with 24 PWUD in Vancouver, Canada. disrupted access social resources (e.g., HIV care) concentrated scenes, while territorial stigma prevented accessing supports other neighborhoods. Rather than preventing involvement drug-related activities, displaced these activities locations increased vulnerability diverse risks harms unsafe practices, violence). Given there is an urgent need reconsider this strategy.