Tagged / drugs

New sociology paper led by Dr. Orlanda Harvey

Congratulations to Dr. Orlanda Harvey and Dr. Margarete Parrish in the Department of Social Sciences & Social Work on the publication of our article “Using a Range of Communication Tools to Interview a Hard-to-Reach Population” in Sociological Research Online [1].  The paper highlights that online communication tools are increasingly being used by researchers; hence it is timely to reflect on the differences when using a broad range of data collection methods. Using a case study with a potentially hard-to-reach substance-using population who are often distrustful of researchers, this article explores the use of a variety of different platforms for interviews. It highlights both the advantages and disadvantages of each method. Face-to-face interviews and online videos offer more opportunity to build rapport, but lack anonymity. Live Webchat and audio-only interviews offer a high level of anonymity, but both may incur a loss of non-verbal communication, and in the Webchat a potential loss of personal narrative. This article is intended for sociologists who wish to broaden their methods for conducting research interviews.

This methods article was developed based on the recruitment issues faced during Orlanda’s PhD research from which she has published several previous papers [2-6].

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Harvey, O., van Teijlingen, E., Parrish, M. (2023)  Using a Range of Communication Tools to Interview a Hard-to-Reach Population. Sociological Research Online [online first]
  2. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024
  3. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  4.  Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2022) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29(3):276-288.
  5. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  6. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health 10(3) August, 100230

Congratulations to Dr. Orlanda Harvey on her new publication

This morning the editor of the international journal Sociological Research Online email to inform us that the paper “Using a range of communication tools to interview a hard-to-reach population” has been accepted for publication [1].  This methods paper, on the topic of conducting in-depth interviews, grew out of Orlanda’s postdoctoral research into support for people who are recreational (non-medical) users of Anabolic Androgenic Steroids (AAS).  This is the seventh paper from her PhD research [2-7].

Well done,

Prof. Edwin van Teijlingen

Centre for Midwifery & Perinatal Health (CMMPH)

 

References:

  1. Harvey, O., van Teijlingen, E., Parrish, M. Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online (accepted).
  2. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health10(3) August, 100230
  3. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  4. Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2021) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29(3):276-288,DOI10.1080/09687637.2021.1882940
  5. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27(5): 377-386. DOI 10.1080/09687637.2019.1705763
  6. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024 https://doi.org/10.1186/s12889-019-7288-x https://rdcu.be/bMFon
  7. Harvey, O., (2019) ECR Spotlight: From Social Work to Studying SteroidsHED Matters 2(2):16-19.

Congratulations to Dr. Orlanda Harvey on her latest paper

This week the journal Performance Enhancement & Health published Orlanda’s latest paper.  This time a Response to a Commentary under the title ‘The case for ‘anabolics’ coaches: selflessness versus self-interest?’ [1].   It is good to see Orlanda making her name in this research field, and the invitation by the journal to write this Response is evidence of this. Dr. Harvey is Senior Lecturer in the Department of Social Sciences & Social Work.

The authors highlight that in the UK AAS (Anabolics Androgenic Steroid) are classified as Class C substances and supplying AAS, including via online from outside the UK, sharing or giving them away free, is unlawful and can lead to a jail sentence. However,Despite being banned in many sports, the use of AAS per se is not illegal and, therefore, health promoters should offer advice, information and support to users as a pragmatic, although not perfect, solution. Since an ‘informal’ structure already exists, health promotion agencies should consider using ‘anabolics coaches’ in their endeavours. If ‘anabolics coaches’ could bring together the prevention-focused medical profession, a harm-minimisation approach, and those from the users’ subculture to develop a platform whereby they can take an inter-disciplinary approach then an opportunity exists to do a lot of good.

References:

  1. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health, 10(3) August, 100230

New paper by Dr. Orlanda Harvey

Congratulations to Dr. Orlanda Harvey and Dr. Margarete Parrish both in the Department of Sociology and Social Work on the acceptance of their latest paper ‘Mixed-methods research on androgen abuse – a review’ by the journal Current Opinion in Endocrinology & Diabetes [1]. Orlanda was invited to write this review on the basis of her PhD research project.  Her PhD used a mixed-methods approach with people using un-prescribe /recreational Anabolic Androgenic Steroid (AAS) in several high-income countries including the UK.  Anabolic Androgenic Steroids are synthetic drugs mimicking male sex hormones, especially testosterone, and are often used for their anabolic effects, for example, increasing muscle and strength.  This PhD study resulted in several high-quality academic publications [2-4] as well as a feature article in HED Matters under the title ‘ECR Spotlight: From Social Work to Studying Steroids’ [5].
Congratulations!
Prof. Edwin van Teijlingen
CMMPH
References:
  1. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes (accepted)
  2. Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2021) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29:3,276-288,DOI10.1080/09687637.2021.1882940
  3. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024 https://doi.org/10.1186/s12889-019-7288-x https://rdcu.be/bMFon
  4. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. DOI 10.1080/09687637.2019.1705763
  5. Harvey, O., (2019) ECR Spotlight: From Social Work to Studying SteroidsHED Matters 2(2):16-19.

Graduation: End of an Era

Four PhD students, whom I had the pleasure of supervising, graduated yesterday with a Ph.D.  I never had so many Ph.D. students graduating at the same time.  Not all of these four students started at the same time.  Moreover, two I was invited as a supervisor after the student had started, and for most I was not the lead/first supervisor .  All four students have an internationally focused thesis:

Alice Ladur with her Ph.D. focusing on: Male involvement in facilitating the uptake of maternal health services by women in Uganda.

Peter Wolfensberger with his Ph.D.: Creating meaning- Understanding the experiences of people living with mental illness in Switzerland- A Qualitative Study.

Shaqaieq AShrafi Dost with her thesis: Factors that affect the management capacity, leadership and employee performance in the Ministry of Public Health (MoPH), Afghanistan: A single embedded single-case study.

Orlanda Harvey with her Ph.D. study under the title: Male anabolic androgenic steroid-users: A mixed-methods study -The voice of the AAS-user.

Orlanda is a good ambassador for Bournemouth University’s PhD Integrated Thesis.  The newly introduced Integrated Thesis allows Ph.D. candidates to incorporate papers in their thesis (e.g. instead of a chapter).  Papers can be included that have been published or submitted for publication to an academic peer-reviewed journal. As the first BU student to submit an Integrated Thesis Orlanda paved the way with BU library staff to sort out the finer details around, for example, copyright issues and thesis formatting (https://blogs.bournemouth.ac.uk/research/2020/08/27/supporting-integrated-theses-at-bu/ ).

In this COVID-19 year the graduation was on ZOOM, something I didn’t think would work as well as it did.   I love the British-style graduation with the big audience, the ceremony, the gowns, the band, etc.  In previous years I had always looked forward to ceremony in the BIC, the Bournemouth International Centre.  This year because it was on ZOOM the event was smaller, shorter and more personal.  This offered the opportunity to talk to students and colleagues which is otherwise nearly impossible in the hustle and bustle of thousands of people in the BIC.

Being a graduation it is also the end of an era for the student and the supervisor, and the beginning of a new one.

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

New publication Dr. Orlanda Harvey

Congratulations to Social Work Lecturer Dr. Orlanda Harvey on the acceptance of a paper by the journal Drugs: Education, Prevention & Policy. This latest academic paper ‘Libido as a motivator for starting and restarting non-prescribed anabolic androgenic steroid use among men: a mixed-methods study’ [1] is based on her Ph.D. research.  Previous papers associated with her thesis covered aspects of non-prescribed anabolic androgenic steroid use [2-3] as well as her wider Ph.D. journey [4].

 

References:

    1. Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2021) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy (accepted).
    2. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024 https://doi.org/10.1186/s12889-019-7288-x https://rdcu.be/bMFon
    3. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
    4. Spacey, A., Harvey, O., Casey, C. (2020) Postgraduate researchers’ experiences of accessing participants via gatekeepers: ‘wading through treacle!’  Journal of Further and Higher Education 2: 1-18.

 

PhD student paper out in print today

Congratulations to FHSS Social Worker Dr. Orlanda Harvey, whose Ph.D. paper ‘Support for non-prescribed anabolic androgenic steroids users: a qualitative exploration of their needs’ published this week in the journal Drugs: Education, Prevention and Policy [1].  

Anabolic Androgenic Steroids (AAS) are used by the general population (particularly male gym users) for their anabolic effects (increased muscle mass). Few studies have sought AAS users’ views on what information and support they need. This study focuses on ideal support wanted by people who use AAS. Interviews were conducted with 23 self-declared adult AAS users. Using thematic analysis, six themes were identified aligned to support and information wanted by AAS users: (1) specific types of information wanted: managing risks, (2) mechanisms for communication of advice, (3) specific types of support wanted: medical and emotional, (4) stigmatisation of people who use AAS, (5) paying for support services, (6) legality of AAS use.

This interesting qualitative piece of work was submitted over one year ago (August 2019) it was accepted by the journal late last year (13th Dec ember 2019 and published online the following months.  It has taken from January 2020 till mid-September to appear in the print issue!

The paper is co-authored by Orlanda’s supervisors: Dr. Margarete Parrish, Dr. Steven Trenoweth and Prof. Edwin van Teijlingen.  Moreover, this is Orlanda’s third paper from her thesis research,  her systematic literature review has been published in BMC Public Health [2] and a further findings papers  has been submitted to an academic journal.

 

References:

  1. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  2. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024 https://doi.org/10.1186/s12889-019-7288-x https://rdcu.be/bMFon

FHSS PhD student Orlanda Harvey in this month’s edition of HED Matters

PhD student Orlanda Harvey featured in this month’s edition of HED Matters as Early Career Researcher (ECR) with an article on ‘ECR Spotlight: From Social Work to Studying Steroids’ [1]HED Matters is an online magazine about the use of legal and illegal substances to enhance the human condition published biannually by the HED network. It brings together recent advances in drug research and experiences from both drug users and practitioners. This December 2019 issue focuses on sexual human enhancers.  Orlanda’s PhD research project addresses men’s experiences of recreational Anabolic Androgenic Steroid (AAS) use.

Earlier this year she also published a peer-reviewed paper form her research : “Support for people who use Anabolic Androgenic Steroids: A Systematic Scoping Review into what they want and what they access” in the Open Access journal BMC Public Health [2].  Since there is a paucity of research on support for people using Anabolic Androgenic Steroids (AAS), this latter article synthesised the available evidence.  Orlanda’s  PhD I the Faculty of Health & Social Sciences is being supervised by Dr Margarete Parrish, Dr Steven Trenoweth and Prof Edwin van Teijlingen.

 

References:

  1. Harvey, O., (2019) ECR Spotlight: From Social Work to Studying Steroids, HED Matters 2(2):16-19.
  2. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024      https://rdcu.be/bMFon

Congratulations on academic paper by BU PhD student Orlanda Harvey

Congratulations to Orlanda Harvey, PhD student in the Faculty of Health & Social Sciences on her PhD publication “Support for people who use Anabolic Androgenic Steroids: A Systematic Scoping Review into what they want and what they access” in the Open Access journal BMC Public Health [1].  Since there is a paucity of research on support for people using Anabolic Androgenic Steroids (AAS), this article searched and synthesised the available evidence in this field. Gaining an understanding of the support both accessed and wanted by recreational AAS users will be of use to professionals who provide services to intravenous substance users and also to those working in the fields of public health and social care, with the aim to increase engagement of those using AAS.

This systematic scoping review identified 23 papers and one report for review, which indicated that AAS users access a range of sources of information on: how to inject, substance effectiveness, dosages and side effects, suggesting this is the type of information users want. AAS users sought support from a range of sources including medical professionals, needle and syringe programmes, friends, dealers, and via the internet, suggesting that, different sources were used dependent on the information or support sought.

The authors argue that AAS users tended to prefer peer advice and support over that of professionals , and access information online/specialist fora, reflecting the stigma that is experienced by AAS  users. These tendencies can act as barriers to accessing services provided by professionals.  The paper concludes that support needs to be specific and targeted towards AAS users. Sensitivity to their perceptions of their drug-use and the associated stigma of being classified in the same sub-set as other illicit drug users is relevant to facilitating successful engagement.

 

Reference: 

  1. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMS Public Health 19: 1024      https://rdcu.be/bMFon

 

 

Final publication of 2018

Congratulations to Orlanda Harvey on the publication of her paper ‘Shades of Grey’: The Ethics of Social Work Practice in Relation to Un-prescribed Anabolic Androgenic Steroid Use. Orlanda Harvey is a PhD student in the Faculty of Health and Social Sciences with a research interest in image and performance enhancing drug (IPED) use.  Her paper will be published in Practice: Social Work in Action.  

This paper highlights ethical dilemmas that social workers face when assessing risk in relation to those using substances. It explores how legislation and societal factors can impact not just on people’s choices and decisions but also on their ‘vulnerability’ and access to services. Vulnerability, a contested term, is linked, in this paper, to assessment of risk. There are ethical issues that arise when assessing risk with people who use Anabolic Androgenic Steroids (AAS) from both service user and professional perspectives. These ethical issues concern a person’s right to choose whilst making potentially harmful decisions. The paper argues that using substances such as AAS in and of itself does not suffice to make a person vulnerable but this does not mean that people using AAS are not in need of support. It suggests that there may be some groups of people who are more at risk to starting AAS use and that social workers should be aware of these. It also recommends the need for further qualitative research to understand the reasons for starting use and support to help people stop using AAS.

Well done!

Prof. Edwin van Teijlingen

CMMPH

The secret information hidden in your hair

File 20180613 32313 ub0kww.jpg?ixlib=rb 1.1

Shutterstock

 

By Dr Richard Paul, Bournemouth University.

Your hair can say a lot about you. It doesn’t just give people clues about your personality or your taste in music. It can also record evidence of how much you drink, whether you smoke or take drugs, and perhaps even how stressed you are. My colleagues and I research how hair can be used to provide more accurate testing for these attributes. And a recent court case shows how far the technology has come.

In 2008, a mother who had been struggling with alcohol abuse was asked by a UK court judging a child custody case to abstain from drinking for one year. To assess whether she managed to do this, scientists used a hair analysis that can detect long-term drug or alcohol abuse (or abstinence) over a period of many months, from just one test. At HelpAddiction, we can discuss you the key stages of addiction treatment options and consider your preferences and requirements to find the best treatment plan for you.

This case turned out to be a landmark moment for toxicological hair analysis. The labs analysing the mother’s hair suggested that she may have been drinking during the time she was supposed to be abstinent. The case ended up in the High Court, where the scientific principles underlying hair testing and, crucially, the way the results are reported were thoroughly debated. The judge was critical of the interpretation of the hair analysis data and disagreed with the scientists, ruling that there was no evidence to support drinking during the defined time-period.

Fast forward to 2017 and hair analysis featured in the High Court again. Yet this time the reliability of hair testing was confirmed. A lot changed in the intervening years between these cases. Technology advanced but, importantly, so did our understanding of what hair analysis data actually means.

The traditional samples for drug and alcohol testing are blood and urine. These provide evidence for cases where we require an indication of exposure to drugs and alcohol in a very recent time frame. These samples have what is referred to as a “window of detection”. This is a timeframe over which that sample can demonstrate exposure to drugs or alcohol. The window of detection for blood is often measured in hours, and urine can show evidence over a few days, possibly a few weeks.

By contrast, hair can show a retrospective history of your drug or alcohol consumption (or abstinence) over many months. This level of information makes hair testing invaluable in a wide variety of legal scenarios. If you need to screen potential employees for a safety-critical role, you can use a hair test to check they are not regular drug users. What if you’re concerned your drink was spiked at a party, but too much time has passed for any drug to still be found in your blood or urine? The drugs can remain trapped in your hair, which gives you a longer window of detection and allows scientists to find traces of the drug long after the actual crime event.

Ready for my close up. Shutterstock

My research group is investigating factors that affect the hair concentration of certain chemicals produced when the body ​processes alcohol (metabolites). This sort of work is important to give confidence to the results of hair testing when presented in court. We need the utmost confidence in the data, when a court judgment may have life-changing consequences.

We recently showed that hair sprays and waxes can greatly increase the level of alcohol metabolites found in hair, giving a false positive result in an alcohol test. In one of our experiments, a volunteer who was strictly teetotal tested negative for fatty acid ethyl esters (metabolites of alcohol) in head hair untreated with hair spray, but tested positive after application of hair spray. Not just a little positive either. The volunteer tested significantly over the threshold for chronic excessive alcohol consumption after using hair spray.

This may sound alarming for a test that is used in court, but now that scientists are aware of these limitations, procedures can be put in place to mitigate against them and guidance can be updated. Ethyl glucuronide (a different alcohol metabolite) is not affected by hair sprays and waxes and so is a better target to test when someone uses cosmetic products.

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Other ways of testing

Hair is not the only alternative to blood and urine testing. I’m currently investigating whether fingernails might be a better sample to test in cases where we need to prove abstinence from alcohol. It has been shown that fingernails may incorporate significantly more ethyl glucuronide (an alcohol metabolite) than hair samples. This means fingernails may be more sensitive than hair and could be better at distinguishing low levels of drinking and complete abstinence.

Toxicological hair analysis is not about catching criminals. It’s not about penalty or punishment. It’s about helping people. Results from hair testing can help support people struggling with addiction. In the future I hope we will also be using hair analysis as a diagnostic tool in healthcare.

The research I’m conducting at the moment is evaluating the potential for hair to be used as a diagnostic marker of chronic stress. Stress can lead to very serious healthcare issues. We are examining the stress hormone cortisol to see if we can identify people at risk from future healthcare issues from the concentration of this hormone in hair.

If successful, this work will take hair analysis into a new realm. I’d like to see a future where hair testing is used for a national screening programme for older adults who are most at risk from chronic stress. This could allow scientists to target interventions to lower stress at people who need them the most, which could significantly improve the health and well-being of older people in particular.


Richard Paul, Principal Academic in Biological Chemistry, Bournemouth University

This article was originally published on The Conversation. Read the original article.

FHSS student needs help with online questionnaire for her research

Our PhD student Orlanda Harvey is currently conducting her study on why people use Anabolic Androgenic Steroids (AAS).  Since steroid use is a sensitive topic and its users are a hard-to-reach population we need as much help as we can get to get her survey distributed to as many as possible potential steroid users (aged 18 and over).  We, as her PhD supervisors, would like to ask you to alert friends, family, neighbours, health care professionals working with this target group, etc. to the existence of this survey.   Her questionnaire is available in paper version (from harveyo@bournemouth.ac.uk or telephone Edwin van Teijlingen at: 01202-961564).  However, the easiest and most anonymous way would be for people to complete it online using the following online link.

 

Thank you very much in advance!

Dr. Margarete Parrish

Dr. Steven Trenoweth

Prof. Edwin van Teijlingen