“We can't change that while they're in the hospital”: Unveiling the manifestations of infrastructural violence and wound care for people who inject drugs

Original research
by
Block, Suzanne J. et al

Release Date

2025

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

Infrastructural violence ensues when infrastructure is designed for some members or groups within a society while perpetuating violence among others. This study draws on the concept to understand how healthcare infrastructure creates and perpetuates inequities within the healthcare system for people who inject drugs for their wound care-related needs. 

Findings/Key points

Healthcare infrastructure mediated the relationship between structural factors, such as policies on prescribing privileges of medications for opioid use disorder and subsequent individual health experiences. Medical providers also described how their access to training, protocols, and other resources was insufficient to meet the needs of people who inject drugs presenting to healthcare settings for wound care.

Design/methods

Between January and September 2023, semi-structured interviews were conducted with 12 medical providers in Maryland. An abductive thematic analysis approach was followed. 

Keywords

About people who use drugs
Barriers and enablers
Equity
Hesitancy of prescribers
Hospitals
Injecting drugs
Stigma
Substitution/OAT