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1 – 5 of 5Lyuba Azbel, Martin P. Wegman, Maxim Polonsky, Chethan Bachireddy, Jaimie Meyer, Natalya Shumskaya, Ainura Kurmanalieva, Sergey Dvoryak and Frederick L. Altice
Within-prison drug injection (WPDI) is a particularly high HIV risk behavior, yet has not been examined in Central Asia. A unique opportunity in Kyrgyzstan where both methadone…
Abstract
Purpose
Within-prison drug injection (WPDI) is a particularly high HIV risk behavior, yet has not been examined in Central Asia. A unique opportunity in Kyrgyzstan where both methadone maintenance treatment (MMT) and needle-syringe programs (NSP) exist allowed further inquiry into this high risk environment. The paper aims to discuss these issues.
Design/methodology/approach
A randomly selected, nationally representative sample of prisoners within six months of release in Kyrgyzstan completed biobehavioral surveys. Inquiry about drug injection focused on three time periods (lifetime, 30 days before incarceration and during incarceration). The authors performed bivariate and multivariable generalized linear modeling with quasi-binomial distribution and logit link to determine the independent correlates of current WPDI.
Findings
Of 368 prisoners (13 percent women), 109 (35 percent) had ever injected drugs, with most (86 percent) reporting WPDI. Among those reporting WPDI, 34.8 percent had initiated drug injection within prison. Despite nearly all (95 percent) drug injectors having initiated MMT previously, current MMT use was low with coverage only reaching 11 percent of drug injectors. Two factors were independently correlated with WPDI: drug injection in the 30 days before the current incarceration (AOR=12.6; 95%CI=3.3-48.9) and having hepatitis C infection (AOR: 10.1; 95%CI=2.5-41.0).
Originality/value
This study is the only examination of WPDI from a nationally representative survey of prisoners where both MMT and NSP are available in prisons and in a region where HIV incidence and mortality are increasing. WPDI levels were extraordinarily high in the presence of low uptake of prison-based MMT. Interventions that effectively scale-up MMT are urgently required as well as an investigation of the environmental factors that contribute to the interplay between MMT and WPDI.
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Lyuba Azbel, Yevgeny Grishaev, Jeffrey A Wickersham, Olena Chernova, Sergey Dvoryak, Maxim Polonsky and Frederick L Altice
Ukraine is home to Europe’s worst HIV epidemic, overwhelmingly fueled by people who inject drugs who face harsh prison sentences. In Ukraine, HIV and other infectious diseases are…
Abstract
Purpose
Ukraine is home to Europe’s worst HIV epidemic, overwhelmingly fueled by people who inject drugs who face harsh prison sentences. In Ukraine, HIV and other infectious diseases are concentrated in prisons, yet the magnitude of this problem had not been quantified. The purpose of this paper is to evaluate the systematic health survey of prisoners in the former Soviet Union (FSU).
Design/methodology/approach
Qualitative interviews were carried out with research and prison administrative staff to assess the barriers and facilitators to conducting a bio-behavioral survey in Ukrainian prisons.
Findings
Crucial barriers at the institutional, staff, and participant level require addressing by: first, ensuring Prison Department involvement at every stage; second, tackling pre-conceived attitudes about drug addiction and treatment among staff; and third, guaranteeing confidentiality for participants.
Originality/value
The burden of many diseases is higher than expected and much higher than in the community. Notwithstanding the challenges, scientifically rigorous bio-behavioral surveys are attainable in criminal justice systems in the FSU with collaboration and careful consideration of this specific context.
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This study aims to explore community involvement in sustainable tourism development (STD) at Siwa Oasis, Egypt, and examines the perspectives of local communities, visitors and…
Abstract
Purpose
This study aims to explore community involvement in sustainable tourism development (STD) at Siwa Oasis, Egypt, and examines the perspectives of local communities, visitors and governmental decision makers concerning the area’s STD plans. It provides a brief discussion on the stakeholders’ conflict of interest alongside exploring the costs and benefits of STDs for the community. This study examines the area’s problems and challenges and expands the discussion on STD by providing a deep understanding of the oasis context, which involves a broad range of issues.
Design/methodology/approach
In this exploratory study, 18 semi-structured interviews were conducted with three groups of stakeholders (local community, governmental decision makers and visitors) to investigate the current practices of STD and the future vision for the area. Data were coded and interpreted using thematic analysis.
Findings
This paper provides empirical insights into how STDs can be practised in an oasis context. It suggests there is a conflict between the governmental vision for the area and the community’s needs that could lead to a failure to implement STDs. Themes related to environmental, social and economic STD dimensions are discussed. The findings provide managerial and practical implications for decision makers on the promotion of STDs in remote communities.
Research limitations/implications
Because of the chosen research approach, the results may lack generalizability. Therefore, future studies are encouraged to test the study’s propositions further by using a mixed-methods approach, particularly during the COVID-19 pandemic.
Practical implications
This paper has implications for STD within an oasis context, particularly concerning balancing the economic, environmental, political and social aspects of STD.
Originality/value
This paper fulfils an identified need to study how STD can be practised when most of the local community is already comparatively well-off economically.
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– The purpose of the article is to propose and develop a distinct perspective in Islamic marketing research through fusing the Islamic paradigm and the macromarketing theory.
Abstract
Purpose
The purpose of the article is to propose and develop a distinct perspective in Islamic marketing research through fusing the Islamic paradigm and the macromarketing theory.
Design/methodology/approach
This is a conceptual article that is based on intellectualising and reflecting on differences in understanding what marketing is and what role it plays in society.
Findings
The article reveals some commonality of purpose between the macromarketing discipline and Islamic macromarketing, while the latter field of inquiry offers a unique outlook to a number of domain-specific issues.
Research limitations/implications
The characterisation of Islamic macromarketing will open new avenues for future research and will make researchers more theoretically sensitive to ontological and epistemological assumptions that underlie marketing investigations. The limitation of the present discussion is that Islamic macromarketing may not have yet emerged as a separate discipline. Additionally, research on genuinely macromarketing issues in Islamic contexts is very sparse.
Practical implications
Muslim practitioners and managers are to realise that the means and ends of marketing are better understood if viewed from a broader perspective of marketing's impact and consequences on society. By adopting the Islamic macromarketing perspective, public, societal institutions, business stakeholders, and managers will find a better platform to cooperate on maximising the realisation of hasanah (excellence) for all.
Originality/value
This article contributes to the discipline by introducing and characterising a potentially new field of marketing inquiry.
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Gaurangi Laud, Liliana Bove, Chatura Ranaweera, Wei Wei Cheryl Leo, Jill Sweeney and Sandra Smith
Actors who participate in co-created service experiences typically assume that they will experience improved well-being. However, a growing body of literature demonstrates that…
Abstract
Purpose
Actors who participate in co-created service experiences typically assume that they will experience improved well-being. However, a growing body of literature demonstrates that the reverse is also likely to be true, with one or more actors experiencing value co-destruction (VCD), rather than value co-creation, in the service system. Building on the notion of resource misintegration as a trigger of the VCD process, this paper offers a typology of resource misintegration manifestations and to present a dynamic conceptualization of the VCD process.
Design/methodology/approach
A systematic, iterative VCD literature review was conducted with a priori aims to uncover the manifestations of resource misintegration and illustrate its connection to VCD for an actor or actors.
Findings
Ten distinct manifestations of resource misintegration are identified that provide evidence or an early warning sign of the potential for negative well-being for one or more actors in the service system. Furthermore, a dynamic framework illustrates how an affected actor uses proactive and reactive coping and support resources to prevent VCD or restore well-being.
Originality/value
The study presents a typology of manifestations of resource misintegration that signal or warn of the potential for VCD, thus providing an opportunity to prevent or curtail the VCD process.
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