Contextualizing Overdoses in Los Angeles's Skid Row between 2014 and 2016 by Leveraging the Spatial Knowledge of the Marginalized as a Resource

Bibliographic Data

ID3775502
AuthorsAndrew Curtis (0000-0001-6046-6476, Kent State University), Chaz Felix (Health and Human Services Agency), Susanne Mitchell (0000-0003-1052-4345, Kent State University), Jayakrishnan Ajayakumar (0000-0001-9564-7728, Kent State University), Peter R Kerndt (University of California, Los Angeles)
Year2018
Volume108
Issue6
Pages1521-1536
Publication date2018-11-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAnnals of the American Association of Geographers (JOURNAL)
Journal identifiersISSN: 2469-4452 • E-ISSN: 2469-4460
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/24694452.2018.1471386
OpenAlexW2808078743
LanguageEN
Citations received10
References cited58

Opioid drug overdoses in the United States have continued to rise since 2014. Overdoses are one of several interlinked health challenges faced by marginalized populations. Here we side with the argument that these populations can also be a valuable resource to address these challenges, and we use methods that can elevate this critical belief into real-world application. In this article, we use spatially inspired interviews from both marginalized and provider participants in the Los Angeles Skid Row to map out the microspaces of drug activity. The resulting map reveals a complex space in terms of drug types and associated social activities. These geonarratives reveal a nuanced space of locations, activities, and context—how these substances enter Skid Row, the associated violence, and the physical and emotional toll on the marginalized. We find both quantitative and qualitative support that the “street” community is complex, full of variation in terms of where people live, how they live, and the social fabric that has evolved. We suggest that these data can be used to reduce the structural violence often found in many “solutions” to the homeless and their problems. Instead we show that the marginalized could be used to provide a vital resource not only in terms of their knowledge and their communities but also in delivering medical care. We end by suggesting that this approach to data collection could evolve into an ongoing resource that could develop into a near-real-time tool to reduce overdose mortalities. Key Words: geonarrative, GIS, marginalized, overdose, Skid Row

Environmental planning · Geography · Regional science · Sociology · Computer Science · Engineering · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Opioid Use Disorder Treatment

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