Chemical Youth

This open access book explores how young people engage with chemical substances in their everyday lives. It builds upon and supplements a large body of literature on young people’s use of drugs and alcohol to highlight the subjectivities and socialities that chemical use enables across diverse socio-cultural settings, illustrating how young people seek to avoid harm, while harnessing the beneficial effects of chemical use. The book is based on multi-sited anthropological research in Southeast Asia, Europe and the US, and presents insights from collaborative and contrasting analysis. Hardon brings new perspectives to debates across drug policy studies, pharmaceutical cultures and regulation, science and technology studies, and youth and precarity in post-industrial societies

Chemical Youth

This open access book explores how young people engage with chemical substances in their everyday lives. It builds upon and supplements a large body of literature on young people’s use of drugs and alcohol to highlight the subjectivities and socialities that chemical use enables across diverse socio-cultural settings, illustrating how young people seek to avoid harm, while harnessing the beneficial effects of chemical use. The book is based on multi-sited anthropological research in Southeast Asia, Europe and the US, and presents insights from collaborative and contrasting analysis. Hardon brings new perspectives to debates across drug policy studies, pharmaceutical cultures and regulation, science and technology studies, and youth and precarity in post-industrial societies

Sensing, Knowing, and Making Water Quality along Marikina River in the Philippines

Water quality is a major concern around the world, but assessments of quality often privilege producers, regulators and experts over consumers. With water supplies and sources constantly in flux, how do ordinary people experience and “sense” quality? How do they define “good” or “good enough” water, and what practices do they engage in to “make” good water? In this article, we attend to these questions by presenting findings from an open-ended qualitative study carried out along the Marikina River, Manila, the Philippines – a waterway that courses from rural and mountainous villages to highly urbanized communities. First, we describe the sensorial and cognitive attributes that people associate with the different water sources in their environment, as well as their decision-making regarding what kind of water to use for which purposes. Second, we present the “making” of water quality: how, in a context of polluted environments and water scarcity, do people try to secure water they consider acceptable for themselves and their families. Our findings reveal water quality as a contested, relational domain—one that reinforces social and health disparities and calls for further scholarship. Abstract (Tagalog) Ang kalidad ng tubig ay kinababahala sa buong mundo, ngunit ang pagkilatis ng kalidad na ito ay kadalasang nasa kamay ng mga kompanya ng tubig, mga dalubhasa, at gobyerno, - wala sa mga tao. Sa kabila ng mga pagbabago at pangamba ukol są tubig, paano nga ba nararanasan ất nararamdaman ng mga ordinaryong tao ang kalidad ng tubig? Paano nila nasasabi na maganda, o puwede na, ang isang klase ng tubig, at anong mga pamamaraan o diskarte ang ginagawa nila para maging ‘puwede na’ ito? Sa artikulong ito, tinatalakay namin ang mga katanungang ito base sa isang qualitative research na isinagawa namin sa mga bayan sa kahabaan ng Ilog Marikina, na dumadaloy mula sa bulubunduking kanayunan ng Sierra Madre hanggang sa mga urbanisadong pamayanan ng Kamaynilaan. Una, inilalarawan namin ang mga katangian na inuugnay ng mga tao sa iba’t ibang uri ng tubig sa kanilang kapaligiran, at kung paano sila nagdedesisyon kung alin sa mga ito ang gagamitin sa iba’t ibang paggagamitan. Pangalawa, ipinapakita namin kung paano nila ginagawang ‘puwede na’ ang tubig para sa kanila at kanilang mga pamilya. Sa kabuuan, napag-alaman namin na ang kalidad ng tubig ay isang komplikadong larangan, nakaugat sa iba’t ibang relasyon, nakapagpapalala sa mga hindi pagkakapantay-pantay ng lipunan, at nananawagan ng mas malalamin na pag-aaral

Packaged Plants

Packaged Plants offers an absorbing ethnography and cultural history of how the production and consumption of plants for food and medicine has gone through ‘metabolic rifts’, increasingly processed into commodities with adverse impact on health and aggravating existing economic and social inequities. The book also describes ultra-processed foods that are linked to metabolic syndrome, including cardiovascular disease, diabetes and obesity. Divided into three parts, the first part presents a comprehensive historical analysis of the socio-metabolic shifts leading to the loss of plant sovereignty in the Philippines. It scrutinizes colonial influences, urbanization, nutritional policies, scientific research programs and neoliberal marketing strategies that have paved the way for the proliferation of packaged plant-based products passed as food or medicines. The second part delves into contemporary socio-metabolic dynamics within Puerto Princesa, interweaving urban political ecology frameworks with medical anthropological perspectives. It elucidates the precarious circumstances of daily life in a boomtown, compelling individuals to invest in supplements and engage in resource-intensive multi-level marketing endeavours. The third and final part sheds light on efforts to reclaim plant sovereignty, including a resurgence of backyard farming in response to food insecurity exacerbated by the COVID-19 pandemic. Through meticulous research and insightful analysis, Packaged Plants offers a compelling exploration of the intersectionality between health, economics and environment in the Filipino context

Women's views on consent, counseling and confidentiality in PMTCT: a mixed-methods study in four African countries

Background: Ambitious UN goals to reduce the mother-to-child transmission of HIV have not been met in much of Sub-Saharan Africa. This paper focuses on the quality of information provision and counseling and disclosure patterns in Burkina Faso, Kenya, Malawi and Uganda to identify how services can be improved to enable better PMTCT outcomes. Methods Our mixed-methods study draws on data obtained through: (1) the MATCH (Multi-country African Testing and Counseling for HIV) study's main survey, conducted in 2008-09 among clients (N = 408) and providers at health facilities offering HIV Testing and Counseling (HTC) services; 2) semi-structured interviews with a sub-set of 63 HIV-positive women on their experiences of stigma, disclosure, post-test counseling and access to follow-up psycho-social support; (3) in-depth interviews with key informants and PMTCT healthcare workers; and (4) document study of national PMTCT policies and guidelines. We quantitatively examined differences in the quality of counseling by country and by HIV status using Fisher's exact tests. Results: The majority of pregnant women attending antenatal care (80-90%) report that they were explained the meaning of the tests, explained how HIV can be transmitted, given advice on prevention, encouraged to refer their partners for testing, and given time to ask questions. Our qualitative findings reveal that some women found testing regimes to be coercive, while disclosure remains highly problematic. 79% of HIV-positive pregnant women reported that they generally keep their status secret; only 37% had disclosed to their husband. Conclusion: To achieve better PMTCT outcomes, the strategy of testing women in antenatal care (perceived as an exclusively female domain) when they are already pregnant needs to be rethought. When scaling up HIV testing programs, it is particularly important that issues of partner disclosure are taken seriously

Anthropology with algorithms?

Based on a study of more than twenty thousand reports on drug experiences from the online drug education portal Erowid, this article argues that the integration of ethnographic methods with computational methods and digital data analysis, including so-called big data, is not only possible but highly rewarding. The analysis of ‘natively’ digital data from sites like Facebook, message boards, and web archives can offer glimpses into worlds of practice and meaning, introduce anthropologists to user-based semantics, provide greater context, help to re-evaluate hypotheses, facilitate access to difficult fields, and point to new research questions. This case study generated important insights into the social and political entanglements of drug consumption, drug phenomenology, and harm reduction. We argue here that deep ethnographic knowledge, what we term ‘field groundedness’, is indispensable for thoroughly making sense of the resulting visualizations, and we advocate for seeing ethnography and digital data analysis in a symbiotic relationship

Associations between mode of HIV testing and consent, confidentiality, and referral: a comparative analysis in four African countries.

BACKGROUND: Recommendations about scaling up HIV testing and counseling highlight the need to provide key services and to protect clients' rights, but it is unclear to what extent different modes of testing differ in this respect. This paper examines whether practices regarding consent, confidentiality, and referral vary depending on whether testing is provided through voluntary counseling and testing (VCT) or provider-initiated testing. METHODS AND FINDINGS: The MATCH (Multi-Country African Testing and Counseling for HIV) study was carried out in Burkina Faso, Kenya, Malawi, and Uganda. Surveys were conducted at selected facilities. We defined eight outcome measures related to pre- and post-test counseling, consent, confidentiality, satisfactory interactions with providers, and (for HIV-positive respondents) referral for care. These were compared across three types of facilities: integrated facilities, where testing is provided along with medical care; stand-alone VCT facilities; and prevention of mother-to-child transmission (PMTCT) facilities, where testing is part of PMTCT services. Tests of bivariate associations and modified Poisson regression were used to assess significance and estimate the unadjusted and adjusted associations between modes of testing and outcome measures. In total, 2,116 respondents tested in 2007 or later reported on their testing experience. High percentages of clients across countries and modes of testing reported receiving recommended services and being satisfied. In the unadjusted analyses, integrated testers were less likely to meet with a counselor before testing (83% compared with 95% of VCT testers; p<0.001), but those who had a pre-test meeting were more likely to have completed consent procedures (89% compared with 83% among VCT testers; p<0.001) and pre-test counseling (78% compared with 73% among VCT testers; p = 0.015). Both integrated and PMTCT testers were more likely to receive complete post-test counseling than were VCT testers (59% among both PMTCT and integrated testers compared with 36% among VCT testers; p<0.001). Adjusted analyses by country show few significant differences by mode of testing: only lower satisfaction among integrated testers in Burkina Faso and Uganda, and lower frequency of referral among PMTCT testers in Malawi. Adjusted analyses of pooled data across countries show a higher likelihood of pre-test meeting for those testing at VCT facilities (adjusted prevalence ratio: 1.22, 95% CI: 1.07-1.38) and higher satisfaction for stand-alone VCT facilities (adjusted prevalence ratio: 1.15; 95% CI: 1.06-1.25), compared to integrated testing, but no other associations were statistically significant. CONCLUSIONS: Overall, in this study most respondents reported favorable outcomes for consent, confidentiality, and referral. Provider-initiated ways of delivering testing and counseling do not appear to be associated with less favorable outcomes for clients than traditional, client-initiated VCT, suggesting that testing can be scaled up through multiple modes without detriment to clients' rights. Please see later in the article for the Editors' Summary

UvA-DARE (Digital Academic Repository)

Abstract This study examines how experimentation with designer drugs is mediated by the Internet. We selected a popular drug forum that presents reports on self-experimentation with little or even completely unexplored designer drugs to examine: (1) how participants report their &apos;&apos;trying out&apos;&apos; of new compounds and (2) how participants reduce the pharmacological uncertainty associated with using these substances. Our methods included passive observation online, engaging more actively with the online community using an avatar, and off-line interviews with key interlocutors to validate our online findings. This article reflects on how forum participants experiment with designer drugs, their trust in suppliers and the testimonials of others, the use of ethno-scientific techniques that involve numerical weighing, &apos;&apos;allergy dosing,&apos;&apos; and the use of standardized trip reports. We suggest that these techniques contribute to a sense of control in the face of the possible toxicity of unknown or little-known designer drugs. The online reporting of effects allows users to experience not only the thrill of a new kind of high but also connection with others in the self-experimenting drug community

Cuidar: un concepto fluido para compromisos adaptables

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