Singh Kelsall Tyson, McDermid Jenn, Vieira Echo, Withers A J, Tao Vince, Dives Jackie, Myketiak Tara, Rai Nanky, Seaby Palmour Jake, Fleury Mathew
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Police Oversight with Evidence and Research (P.O.W.E.R.), Vancouver, BC, Canada.
Inquiry. 2024 Jan-Dec;61:469580241308442. doi: 10.1177/00469580241308442.
The risk environment framework (REF) is a widely-accepted tool in policy research related to drug use. Its prevalence warrants a critical exploration of its strengths and weaknesses. This critical appraisal is a comprehensive analysis of the REF by definition and through relevant examples of its use within the context of public health evaluations, social science research, and epidemiological strategies in substance use-related policy. We examine the tensions inherent to a risk environment analysis, centering on its deficit-based lens of behavior, risk, and harm. This narrative review argues for shifts in frameworks within drug policy research away from individual- and community-level blame.
风险环境框架(REF)是药物使用政策研究中广泛接受的工具。其普遍性值得对其优缺点进行批判性探究。这种批判性评估是通过定义以及在公共卫生评估、社会科学研究和药物使用相关政策的流行病学策略背景下其使用的相关示例,对REF进行全面分析。我们审视风险环境分析中固有的矛盾,重点关注其基于缺陷的行为、风险和危害视角。这篇叙述性综述主张药物政策研究框架应从个人和社区层面的指责转向其他方面。