260661 Perspectives of urban redevelopment among persons with a history of injection drug use

Monday, October 29, 2012

Sabriya Linton, MPH , Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Caitlin Kennedy, PhD, MPH , Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Gregory Kirk, MD, MPH, PhD , Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Shruti Mehta, PhD, MPH , Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: Urban decay is associated with drug use. While urban redevelopment is intended to ameliorate urban decay, some studies demonstrate that urban redevelopment can negatively impact historical residents. Few studies have evaluated its impact on persons with a history of drug use.

Methods: A convenience sample of 25 current and former injection drug users enrolled in the AIDS Linked to the Intravenous Experience (ALIVE-Baltimore, Maryland), and reporting residence within (or bordering) a neighborhood undergoing redevelopment, participated in 1-2 semi-structured in-depth interviews from July 2011- February 2012. Interviews explored personal experiences related to redevelopment and perceptions of community-wide impact. Interviews were audio recorded and transcribed. Data were analyzed using the constant comparison method.

Results: Respondents rarely described urban redevelopment as solely negative or positive. Beautification and increased security were reported as positive consequences. Negative consequences included lack of redevelopment-related employment for historical residents and housing instability among relocated residents. Respondents said urban redevelopment led to the displacement of illicit drug markets from the redeveloping neighborhood to adjacent neighborhoods, and across city boundaries into outlying counties. Residential relocation and displacement of drug markets were reported as beneficial for persons in contemplative and later stages of recovery.

Conclusions: These findings support a holistic approach to urban redevelopment which incorporates employment opportunities and housing accessibility for historical residents. Furthermore, the impact of redevelopment on surrounding neighborhoods should be considered, since fundamental problems, such as drug use, are not likely eliminated by redevelopment but merely displaced. Additional research is needed to support these findings.

Learning Areas:
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1.Describe the impact of urban redevelopment on the physical, social, and economic environment, and the implications of such impact on illicit drug use 2.Discuss recommendations on how future urban redevelopment strategies can be developed to benefit residents, particularly those with a history of illicit drug use

Keywords: Substance Abuse, Urban Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I helped design this qualitative study, and was the primary data collector and analyst.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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