Neil Mckeganey
Dados Biográficos
| ID | 271264 |
|---|---|
| NOME | Neil Mckeganey |
| PRENOMES | Neil |
| SOBRENOME | Mckeganey |
| ASSINATURA | MCKEGANEY N |
| AFILIAÇÕES | University of Glasgow |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 61 |
| TOTAL DE CITAÇÕES | 164 |
| TOTAL COMO AUTOR | 61 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1980 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
How Widespread is the Use of E-Cigarettes Among Adults in the United States Who Have Never Smoked? A Tale of Three Studies
Background Whilst e-cigarettes are a less harmful means of consuming nicotine than combustible cigarettes, concerns have been expressed about their use by adults who have never smoked (ANS). It is important to quantify the prevalence of e-cigarette use and to understand patterns of use among ANS to effectively guide public health policy and regulatory decisions.Methods The prevalence and patterns of e-cigarette use among ANS were estimated drawin…
E-cigarettes and Older Adults who Smoke
Objectives: Smoking prevalence among older adults (45+ years) is higher and shown less decline in comparison to younger adults (25 to 44 years). Current evidence indicates that e-cigarettes can help people to stop smoking, but there is lower prevalence of e-cigarette use by older adults. In this paper, we examine the prevalence and patterns of e-cigarette use by adults in the United States (US) who currently smoke. Methods: Data from a probabilit…
The Adult Juul Switching and Smoking Trajectories (ADJUSST) Study
Objectives: The Adult JUUL System User Switching and Smoking Trajectories (ADJUSST) study assessed the smoking and JUUL use trajectories of adults who purchased JUUL. In this paper, we describe study methods, characterize the sample, and assesses potential for bias due to loss to follow-up. Methods: We entered 55,414 US adults (≥ age 21) who purchased a JUUL Starter Kit for the first time (online or at retail) in 2018 into a naturalistic, longitu…
Awareness of the presence of nicotine in the Juul Brand of e-cigarette among adolescents, young adults, and older adults in the United States
Nicotine warning labels on e-cigarette products can inform potential consumers that using e-cigarettes can cause addiction. This study examined awareness of the omnipresence of nicotine in the JUUL e-cigarette through a cross-sectional online survey of 4860 adolescents (13–17 years), 3746 young adults (18–24 years) and 5000 older adults (25–99 years) in the United States. Analyses also examined variation in nicotine awareness as a function of age…
Prevalence of Awareness and Use of Juul E-cigarettes in a National Probability Sample of Adolescents in the United States
Objective: In this study, we estimate the prevalence of awareness and use of the JUUL e-ciga- rette among adolescents in the United States (US). Methods: We conducted a cross-sectional, self-report online survey between September 21 and October 3, 2018 that assessed awareness and use of JUUL e-cigarettes, other e-cigarettes, and combustible cigarettes in a national prob- ability sample of 1017 US adolescents aged 13-17 years. Results: Approximate…
Capital depreciation
Change and Continuity in Vaping and Smoking by Young People
This paper reports a qualitative case study of a small friendship group ( n = 8) in Glasgow, Scotland. Interviewed twice at six months apart, these 16 to 17 year olds reported a substantial change in their use of and attitudes towards e-cigarettes and tobacco. At time 1, vaping generated much excitement and interest, with six out of eight individuals having their own vape device. At time 2, only two young people still vaped, with the others no lo…
The Value of Providing Smokers with Free E-Cigarettes
Despite the uptake of tobacco smoking declining in the United Kingdom (UK), smoking is still the leading cause of preventable poor health and premature death. While improved approaches to smoking cessation are necessary, encouraging and assisting smokers to switch by using substantially less toxic non-tobacco nicotine products may be a possible option. To date, few studies have investigated the rates of smoking cessation and smoking reduction tha…
Why Don’t More Smokers Switch to Using E-Cigarettes
Whilst e-cigarettes have been characterised by Public Health England as being around 95% less harmful than combustible tobacco products, only a minority of current smokers (around 16% within the UK) are using these devices. In this paper we report the results of an online survey of 650 smokers in contact with a smokers' rights group in the UK. A total of 91% of the smokers surveyed were smoking on a daily basis. Fifty nine percent reported having…
Conspicuous by their abstinence
Establishing a ‘Corstonian’ continuous care pathway for drug using female prisoners
This article outlines the findings from a rapid assessment of pilot Drug Recovery Wings (DRWs) in two women’s prisons and compares the DRW approach with work undertaken in Women’s Community Services (WCSs) commended by the Corston Report. The findings indicate that DRW1 was working more successfully in providing a ‘Corstonian’ approach than DRW2 and the reasons behind this are explored. The article argues that, while pockets of good practice such…
Tobacco plain packaging
Clear rhetoric and blurred reality
Abstinence and harm reduction
Drugs policy
Neil McKeganey is the founding director of the Centre for Drug Misuse Research within the University of Glasgow and has directed the research programme of the Centre since 1994. For the last 15 years, Professor McKeganey has concentrated on research within the drug misuse field and has undertaken work on drug injectors and HIV, prostitution, and drugs and young people. He has acted as an advisor to the UK Home Office, the World Health Organisatio…
Theorising equipment-sharing in a cohort of Scottish drug users
Findings are reported from a cohort of 1007 Scottish drug users entering treatment, including prison-based treatment, in 2001/2002. At follow-up, 33 months later, 14.4% of the sample had shared needles and/or syringes in the 3 months prior to interview; if the definition of equipment-sharing is extended to sharing filters, spoons or flush water, then 21.8% had shared in the same period. Logistic regression analyses were performed to establish the…
Severity of drug dependence does not predict changes in drug users’ behaviour over time
This paper examines the power of a measure of drug dependence to predict future changes in drug consumption and related outcomes such as criminality and homelessness. Data from an ongoing, longitudinal, interview study (DORIS) of 1033 new attenders at a range of Scottish drug treatment facilities were analysed, 16 months on from sample recruitment, using forward stepwise logistic regression models. Dependence was measured at baseline and in subse…
Drug driving and the management of risk
Pre‐teenage Children's Experiences with Alcohol
This article reports on the drinking experiences and motivations of 77 pre‐teenage children. The main reason which the children gave for occasional or regular drinking was the pleasure which they derived both from the effects of the alcohol and from the social interaction which accompanied the activity. Several of the children claimed that they were partly motivated by boredom. Peer influence appeared to play a minor role as far as the recurrent …
The lure and the loss of harm reduction in UK drug policy and practice
Since the late 1980s drug policy and practice within UK has been heavily influenced by the idea of reducing drug related harm. The paradigm of harm reduction, which has shaped drug treatment services grew out of the fear that HIV may spread rapidly and widely amongst injecting drug users. This article looks at the extent to which drug use or HIV have had the greater impact on individual and public health within UK and the extent to which it has b…
Why do children experiment with illegal drugs? The declining role of peer pressure with increasing age
There has been hardly any research on the decisions that children in their late pre-teen and early teenage years (age 11–14) make in relation to drugs and the factors which influence these decisions. This article examines one aspect of this process: the role of peer pressure and its influence in the initiation of illegal drug use. The article is based on a longitudinal study of 92 ‘at risk’ children aged 10–12 years at the time of first contact. …
The reasons why children in their pre and early teenage years do or do not use illegal drugs
Pre-teenage children's experiences of drug use
The impact of parental problem drug use on children
Aim To review the literature on the impact of parental problem drug use on children, and indicate the efficacy of key evaluated interventions to reduce the impact of parental drug use on children. Methods Comprehensive narrative review of English language published research and intervention spanning the last three decades identified through searching library databases and citation. Findings Problem drug use can impede parenting and the provision …
The bitter sweet poison of ethnographic research
Addicts' narratives of recovery from drug use
Spotting the Invisible Man
Although there is now an extensive literature from female researchers reporting the influence of their gender on fieldwork relations there is a dearth of comparable accounts from male sociologists. In this research note we describe our perceptions of how our male gender has influenced our fieldwork in a number of participant observational studies conducted by ourselves in the last few years. We focus our observations in terms of the impact of res…
HIV-Related Risk Practices among Glasgow Male Prostitutes
Based on ethnographic data on relations between 32 male prostitutes and their clients, this article examines variability in HIV-related risk practices. It is argued that risk behavior should be seen as a situated product, emergent from the immediate situation of the sexual encounter. A minority of the prostitutes engaged in unsafe sex with at least some of their clients. Unsafe sex and violence were both associated with client control-with sexual…
A comparison of HIV-related risk behaviour and risk reduction between female street working prostitutes and male rent boys in Glasgow
In this paper we provide an early report of two continuing ethnographic studies of prostitution. We compare female streetworking prostitutes and male rent boys in Glasgow in terms of risks of HIV infection and practice of safer sex. It is shown that a considerable proportion of streetworking female prostitutes in Glasgow were injecting drug users but that drug use was much less common among rent boys. Although condom use appeared to be widespread…
Estimating the prevalence of drug misuse in Dundee, Scotland
STUDY OBJECTIVES: To apply capture-recapture methods to provide an estimate of the prevalence of opiate and benzodiazepine misuse in Dundee, Scotland. DESIGN: A four sample capture-recapture method using data from both statutory and non-statutory data sources to estimate drug misuse prevalence in Dundee between January 1990 and December 1994. PARTICIPANTS: Users of benzodiazepines or opiates residing within Dundee. RESULTS: Altogether 855 drug mi…
Mortality among injecting drug users
STUDY OBJECTIVE--The aim was to quantify all cause mortality among injecting drug users. DESIGN--This was a retrospective analysis of 1989 data on injecting drug users and mortality obtained from three independent agencies: the Procurator Fiscal's Office, the General Register Office, and the Scottish HIV-test register. SETTING--Greater Glasgow, Scotland. SUBJECTS--Drug injectors, estimated population 9424. MAIN RESULTS--81 names were found using …
Teamwork, information control and therapeutic effectiveness
This paper maps the differential distribution of therapeutic work within the programmes of two therapeutic communities found in psychiatric hospitals. It is shown that in one of the two communities, therapeutic work was largely restricted to the small groups and to those large groups attended by the psychiatrists. The other community displayed a distribution of therapeutic work which was spread across the whole formal weekly programme and into in…
The Use of Capture-Recapture Methodology To Estimate and Describe Covert Populations
Utilisation de la méthodologie capture-recapture pour estimer et décrire des populations cachées: une application dans l'étude des prostituées de Glasgow. Utilisation de la méthode de capture-recapture pour estimer et décrire des populations clandestines: application à l'étude de prostituées de Glasgow. Le but de l'étude est d'estimer l'effectif de la population des prostituées de Glasgow et ainsi, en utilisant les données recueillies sur le taux…
On the analysis of medical work
Although general practice has provided the setting for a wide range of medical sociological analyses, those analyses have rarely focussed upon the care of specific patient groups or illness conditions. In the main, medical sociologists have chosen to portray general practice more in terms of their own secular interests in the processes of, for example, power, domination and communication - processes which although evident within the consultation …
No Doubt she's Really a Little Princess
This paper seeks to provide an ethnographic description of the processes involved in constructing a deviant status and may best be seen as making a modest contribution to what has been described elsewhere as the micro politics of trouble and its resolution. Specifically I shall describe the situation of one handicapped child (Linda) resident within a Rudolf Steiner Therapeutic Community. In addition to focusing upon the various ways in which staf…
On the Retrieval of Sociological Descriptions
Our concern in this article is with the feeding back of sociological descriptions to those whom these descriptions purport to be about. This in particular is what we mean in our title by the ‘retrieval of sociological description’. We would like to consider here some of the issues surrounding any attempt on the part of the sociologist to offer his account for inspection by his research respondents, why one may attempt such an exercise and, tentat…
Tideline and Turn
This is an early report of data from an on-going, repeated, cross-sectional study of a community sample of Glasgow injecting drug users. Although HIV was first detected among Glasgow's drug injectors in 1985, data from the first two years of our annual samples (1990 and 1991) indicate that HIV prevalence continues to be low in this population, in the order of 1 or 2 per cent. Possible reasons for this apparent continuing low prevalence are examin…
Rudolf Steiner’s Anthroposophy and Curative Education
The author attempts to provide an ethnography of a set of medical ideas and of their relationship to a distinctive religious system and to raise some questions about the nature of ethnographic description
The Cocktail party syndrome
In the medical literature on the'cocktail party syndrome'very little attention has been directed towards contextual elements in evaluating children's behaviour. This research note reports upon how adults in one therapeutic community accounted the behaviour of Linda, identified as a cocktail party speaking hydrocephalic child. The descriptions of Linda as 'speaking like an adult'and of living in language'are examined in terms of their contextual c…
The Role of Clinicians in Residential Home Assessments
Conceptions of Therapeutic Work in Therapeutic Communities
Therapy is reflexive but not synonymous with therapists' accounting practices. It is displayed and engenders dominance but it is not an institutional rhetoric or a mechanism of social control. Six properties of therapeutic work are enumerated — reflexiveness, interpretativeness, interventionalism, domination, habituation tendencies and selectivity. All apart from reflexiveness are subject to differences of form and extension in different therapeu…
The Social Context of Psychiatric Care
Book reviews in this article: J. Stuart Whiteley and John Gordon, Group Approaches in Psychiatry. R. D. Hinshelwood and Nick Manning (eds). Therapeutic Communities: Reflections and Progress. David Towell and Clive Harries (eds). Innovation in Patient Care. Steven P. Segal and Uri Aviram, The Mentally Ill in Community‐Based Sheltered Care: A Study of Community Care and Social Integration
Reading and Writing as Collaborative Production
On the Retrieval of Sociological Descriptions
Our concern in this article is with the feeding back of sociological descriptions to those whom these descriptions purport to be about. This in particular is what we mean in our title by the ‘retrieval of sociological description’. We would like to consider here some of the issues surrounding any attempt on the part of the sociologist to offer his account for inspection by his research respondents, why one may attempt such an exercise and, tentat…
Priorities in Psychiatric Research (Book)
The Cocktail party syndrome
In the medical literature on the'cocktail party syndrome'very little attention has been directed towards contextual elements in evaluating children's behaviour. This research note reports upon how adults in one therapeutic community accounted the behaviour of Linda, identified as a cocktail party speaking hydrocephalic child. The descriptions of Linda as 'speaking like an adult'and of living in language'are examined in terms of their contextual c…
Rudolf Steiner’s Anthroposophy and Curative Education
The author attempts to provide an ethnography of a set of medical ideas and of their relationship to a distinctive religious system and to raise some questions about the nature of ethnographic description
No Doubt she's Really a Little Princess
This paper seeks to provide an ethnographic description of the processes involved in constructing a deviant status and may best be seen as making a modest contribution to what has been described elsewhere as the micro politics of trouble and its resolution. Specifically I shall describe the situation of one handicapped child (Linda) resident within a Rudolf Steiner Therapeutic Community. In addition to focusing upon the various ways in which staf…
‘Only Connect … ’
Repeated calls for improved joint working between agencies and professionals providing social care have had limited success. Following a brief review of possible reasons for this, it is argued that joint working cannot truly succeed unless it does so at street level at the professional/user interface. Yet this level has received little attention. Taking the example of a mechanism created to ease communications and negotiate transitions between a …
Conceptions of Therapeutic Work in Therapeutic Communities
Therapy is reflexive but not synonymous with therapists' accounting practices. It is displayed and engenders dominance but it is not an institutional rhetoric or a mechanism of social control. Six properties of therapeutic work are enumerated — reflexiveness, interpretativeness, interventionalism, domination, habituation tendencies and selectivity. All apart from reflexiveness are subject to differences of form and extension in different therapeu…
Teamwork, information control and therapeutic effectiveness
This paper maps the differential distribution of therapeutic work within the programmes of two therapeutic communities found in psychiatric hospitals. It is shown that in one of the two communities, therapeutic work was largely restricted to the small groups and to those large groups attended by the psychiatrists. The other community displayed a distribution of therapeutic work which was spread across the whole formal weekly programme and into in…
The Negative Scream--A Story of Young People Who Took an Overdose (Book)
Working Together Apart
In this paper we report upon the development and operation of a “street‐level” response to the problems of interprofessional joint working in providing appropriate care for elderly people living in one Scottish city. The “exchange system”, as it was known in the locale, was a mechanism for co‐ordinating the movement of elderly people between the geriatric, psychiatric, and residential services within the city in response to changes in the needs o…
The Role of Home Help Organizers
One Foot in Eden
On the analysis of medical work
Although general practice has provided the setting for a wide range of medical sociological analyses, those analyses have rarely focussed upon the care of specific patient groups or illness conditions. In the main, medical sociologists have chosen to portray general practice more in terms of their own secular interests in the processes of, for example, power, domination and communication - processes which although evident within the consultation …
An ethnographic study of HIV-related risk practices among Glasgow rent boys and their clients
This paper provides an early report of a continuing ethnographic study of male prostitution in Glasgow. Pilot work indicates that rent boy activity may be of considerable importance for the spread of HIV infection. Although there is little evidence of an association between rent boy activity and injecting drug use, rent boys may well be implicated in epidemic spread because many (but not all) of them report unsafe sexual practices. Some boys repo…
Adolescents, sex and injecting drug use
In this paper we present data on the HIV-related risks for adolescents growing up in an area where injecting drug use is prevalent and HIV infection has been identified among local injecting drug users. We report on young peoples' knowledge, attitudes and perceptions of drug use and injectors; HIV and AIDS; sex, safer sex and condom use. These adolescents had an extensive and practically oriented knowledge of illicit drugs and drug injectors. The…
Society for Social Medicine
A comparison of HIV-related risk behaviour and risk reduction between female street working prostitutes and male rent boys in Glasgow
In this paper we provide an early report of two continuing ethnographic studies of prostitution. We compare female streetworking prostitutes and male rent boys in Glasgow in terms of risks of HIV infection and practice of safer sex. It is shown that a considerable proportion of streetworking female prostitutes in Glasgow were injecting drug users but that drug use was much less common among rent boys. Although condom use appeared to be widespread…
The Role of Clinicians in Residential Home Assessments
Spotting the Invisible Man
Although there is now an extensive literature from female researchers reporting the influence of their gender on fieldwork relations there is a dearth of comparable accounts from male sociologists. In this research note we describe our perceptions of how our male gender has influenced our fieldwork in a number of participant observational studies conducted by ourselves in the last few years. We focus our observations in terms of the impact of res…
Selling sex
Female prostitutes have often been seen as a major source of HIV infection. In this paper we report on a study of HIV-related risk behaviour among street prostitutes in Glasgow. This paper is based on street interviews using a standardized schedule with 68 women. We focus on the extent of HIV testing amongst the women, travel, the sexual services provided, the use of condoms with clients and private partners, and the extent of drug injecting and …
Sex workers, Aids & HIV
The inappropriateness of psycho-social models of risk behaviour for understanding HIV-related risk practices among Glasgow male prostitutes
Much the most common models of HIV-related risk behaviour are those psychosocial models derived from studies of health behaviour and tested on large interview samples of American gay men. These models were not appropriate for understanding risk behaviour among 32 Glasgow male prostitutes. Whereas psycho-social models conceive of risk behaviour as volitional and individualistic, ethnographic data indicate that the male prostitutes' risk practices …
A Disease of Society
Medicine (45 obras) · Psychology (40 obras) · Sociology (33 obras) · Psychiatry (22 obras) · HIV, Drug Use, Sexual Risk (20 obras) · Environmental health (19 obras) · Political science (16 obras) · Demography (15 obras) · Social Psychology (15 obras) · Computer Science (14 obras)