Injecting drugs as a matter of care: Analyzing care work and action programs in risk management

In this article, we analyze the care work employed by people who inject drugs to counter risks in their life situations and make their drug use safer. Injecting drugs is associated with numerous health and social risks, such as overdose, the use of used and shared equipment, and getting caught by th...

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Main Authors: Jukka Törrönen, Josefin Månsson, Eva Samuelsson, Jessica Storbjörk
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:SSM: Qualitative Research in Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667321525000940
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author Jukka Törrönen
Josefin Månsson
Eva Samuelsson
Jessica Storbjörk
author_facet Jukka Törrönen
Josefin Månsson
Eva Samuelsson
Jessica Storbjörk
author_sort Jukka Törrönen
collection DOAJ
description In this article, we analyze the care work employed by people who inject drugs to counter risks in their life situations and make their drug use safer. Injecting drugs is associated with numerous health and social risks, such as overdose, the use of used and shared equipment, and getting caught by the police. We approach descriptions of injection events as narratives of care. Participants (N = 32) were recruited for semi-structured interviews primarily from the Stockholm Needle and Syringe Exchange Program between August 2022 and March 2023. The sample is heterogeneous in terms of age, gender, drug use, and social situation. The interviews were analyzed using actor-network theory, asking what kind of care work and ‘action programs’ strengthen or weaken participants' capacities for safer injection events and what kinds allow risks – or antiprograms – to enter the event. We identified four different action programs based on home or public settings. They all aimed to increase capacities for safe drug use, but two of them were more vulnerable to risks. Their success depended on the type of actors they could recruit for care work, the risks they were targeting, and how well they coordinated actors to work together to minimize risks. The analysis highlights the scope, strengths, and limitations of care work in relation to material, social, political, and institutional actors, as well as the importance of access to proper resources such as a home, stable income, and a healthy body.
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spelling doaj-art-e9fd442cd8b04305bd4397b30f6b48b92025-08-20T03:46:50ZengElsevierSSM: Qualitative Research in Health2667-32152025-12-01810061610.1016/j.ssmqr.2025.100616Injecting drugs as a matter of care: Analyzing care work and action programs in risk managementJukka Törrönen0Josefin Månsson1Eva Samuelsson2Jessica Storbjörk3Department of Public Health Sciences, Stockholm University, Sweden; Corresponding author.Albanovägen 12 114 19 Stockholm Sweden.Department of Social Work, Stockholm University, SwedenDepartment of Social Work, Stockholm University, SwedenDepartment of Public Health Sciences, Stockholm University, SwedenIn this article, we analyze the care work employed by people who inject drugs to counter risks in their life situations and make their drug use safer. Injecting drugs is associated with numerous health and social risks, such as overdose, the use of used and shared equipment, and getting caught by the police. We approach descriptions of injection events as narratives of care. Participants (N = 32) were recruited for semi-structured interviews primarily from the Stockholm Needle and Syringe Exchange Program between August 2022 and March 2023. The sample is heterogeneous in terms of age, gender, drug use, and social situation. The interviews were analyzed using actor-network theory, asking what kind of care work and ‘action programs’ strengthen or weaken participants' capacities for safer injection events and what kinds allow risks – or antiprograms – to enter the event. We identified four different action programs based on home or public settings. They all aimed to increase capacities for safe drug use, but two of them were more vulnerable to risks. Their success depended on the type of actors they could recruit for care work, the risks they were targeting, and how well they coordinated actors to work together to minimize risks. The analysis highlights the scope, strengths, and limitations of care work in relation to material, social, political, and institutional actors, as well as the importance of access to proper resources such as a home, stable income, and a healthy body.http://www.sciencedirect.com/science/article/pii/S2667321525000940Injecting drugsInterviewsRisksActor-network theoryCare workAssemblage
spellingShingle Jukka Törrönen
Josefin Månsson
Eva Samuelsson
Jessica Storbjörk
Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
SSM: Qualitative Research in Health
Injecting drugs
Interviews
Risks
Actor-network theory
Care work
Assemblage
title Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
title_full Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
title_fullStr Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
title_full_unstemmed Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
title_short Injecting drugs as a matter of care: Analyzing care work and action programs in risk management
title_sort injecting drugs as a matter of care analyzing care work and action programs in risk management
topic Injecting drugs
Interviews
Risks
Actor-network theory
Care work
Assemblage
url http://www.sciencedirect.com/science/article/pii/S2667321525000940
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AT josefinmansson injectingdrugsasamatterofcareanalyzingcareworkandactionprogramsinriskmanagement
AT evasamuelsson injectingdrugsasamatterofcareanalyzingcareworkandactionprogramsinriskmanagement
AT jessicastorbjork injectingdrugsasamatterofcareanalyzingcareworkandactionprogramsinriskmanagement