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Licensed Unlicensed Requires Authentication Published by De Gruyter July 24, 2013

Harm Reduction and Illicit Drugs in U.S. Newspapers

  • Michael H. Eversman EMAIL logo


Illicit drug abuse remains a serious problem in the United States. While contemporary U.S. drug policies emphasize a prohibitionist “War on Drugs,” other countries have embraced public health based harm reduction. Whereas the current U.S. policy aims to eliminate drug use, harm reduction seeks to reduce its inevitable consequences, revealing an important ideological tension. Newsprint media depictions of drugs influence public opinion, discourse, and policy, particularly surrounding harm reduction programs and services. Combining textual discourse and qualitative content analyses, this study explores and describes discursive use of the term “harm reduction” with illicit drugs in a sample of 296 U.S. newspaper pieces published between 1990 and 2012. Typically describing harm reduction and “Drug War” strategies as incompatible, harm reduction supporters advocated a range of policy changes, whereas opponents described harm reduction as something to be avoided given the danger of drugs. A discourse theory framework situates the debate over harm reduction as tension in the U.S. drug policy hegemony, and considers domestic and international politic dynamics, and beliefs regarding the nature of substance use, addiction, and recovery.


Agar, M.H., and H.S. Reisinger 2000. “Read All About It: Media Construction of a Heroin Epidemic.” Substance Use and Misuse 35 (11):1551–71.10.3109/10826080009148230Search in Google Scholar

Appel, P.W., A.A. Ellison, H.K. Jansky, and R. Oldak. 2004. “Barriers to Enrollment in Drug Abuse Treatment and Suggestions for Reducing Them: Opinions of Drug Injecting Street Outreach Clients and Other System Stakeholders.” American Journal of Drug and Alcohol Abuse 30 (1):129–53.10.1081/ADA-120029870Search in Google Scholar

Audit Bureau of Circulations. 2012. U.S. Newspaper Search Results [Data file]. Accessed in Google Scholar

Ball, A.L. 2007. “HIV, Injecting Drug Use, and Harm Reduction: A Public Health Response.” Addiction 102 (5):684–90.10.1111/j.1360-0443.2007.01761.xSearch in Google Scholar

Beckett, K. 1995. “Media Depictions of Drug Abuse: The Impact of Official Sources.” Research in Political Sociology 7:161–82.Search in Google Scholar

Bewley-Taylor, D.R. 2003. “Challenging the UN Drug Control Conventions: Problems and Possibilities.” International Journal of Drug Policy 14 (2):171–79.10.1016/S0955-3959(03)00005-7Search in Google Scholar

Blood, R.W., J. Williams, and K. McCallum. 2003. “Representations of Public Risk: Illegal Drugs in the Australian Press.” Media International Australia 108:82–100.10.1177/1329878X0310800110Search in Google Scholar

Broadhead, R.S., Y.V. Hulst, and D.D. Heckathron. 1999. “Termination of an Established Needle-Exchange: A Study of Claims and Their Impact.” Social Problems 46 (1):48–66.10.2307/3097161Search in Google Scholar

Christie, S. 1998–1999. “Trial by Media: Politics, Policy, and Public Opinion, the Case of the ACT Heroin Trial.” Current Issues in Criminal Justice 10 (1):37–51.10.1080/10345329.1998.12036112Search in Google Scholar

Cobbina, J.E. 2008. “Race and Class Differences in Print Media Portrayals of Crack Cocaine and Methamphetamine.” Journal of Criminal Justice and Popular Culture 15 (2):145–67.Search in Google Scholar

Denham, B.E. 2008. “Folk Devils, News Icons, and the Construction of Moral Panics.” Journalism Studies 9 (6):945–61.10.1080/14616700802227811Search in Google Scholar

Egelko, B. 2011, December 25. “GOP Restores Ban on Needle-Exchange Funding.” San Francisco Chronicle. Accessed bin/article.cgi?f=/c/a/2011/12/24/BA291MG3RO.DTLSearch in Google Scholar

Ekendahl, M. 2012. “Danish heroin Prescription in Swedish Print Media: Exploring the Silent Agreements Of Harm Reduction and Zero Tolerance.” Addiction research and Theory 20 (5):423–34.10.3109/16066359.2012.661898Search in Google Scholar

Entman, R.M. 1993. “Framing: Toward Clarification of a Fractured Paradigm.” Journal of Communication 43 (4):51–8.10.1111/j.1460-2466.1993.tb01304.xSearch in Google Scholar

Fan, D.P. 1996. “News Media Framing Sets Public Opinion that Drugs is the Country’s Most Important Problem.” Substance Use and Misuse 31 (10):1413–21.10.3109/10826089609063984Search in Google Scholar PubMed

Fan, D.P., and W.B. Holway. 1994. “Media Coverage of Cocaine and its Impact on Usage Patterns.” International Journal of Public Opinion Research 6 (2):139–62.10.1093/ijpor/6.2.139Search in Google Scholar

Fraser, S. 2006. “Speaking Addictions: Substitution, Metaphor, and Authenticity in Newspaper Representations of Methadone Treatment.” Contemporary Drug Problems 33 (4):669–98.10.1177/009145090603300406Search in Google Scholar

Gleghorn, A., M. Rosenbaum, and B. Garcia. 2001. “Bridging the Gap in San Francisco: The Process of Integrating Harm Reduction and Traditional Substance Abuse Services.” Journal of Psychoactive Drugs 33 (1):1–7.10.1080/02791072.2001.10400461Search in Google Scholar

Golan, G.J. 2010. “Editorials, Op-ed Columns Frame Medical Marijuana Debate.” Newspaper Research Journal 31 (3):50–61.10.1177/073953291003100305Search in Google Scholar

Hartman, D.M., and A. Golub. 1999. “The Social Construction of the Crack Epidemic in the Print Media.” Journal of Psychoactive Drugs 31 (4) 423–33.10.1080/02791072.1999.10471772Search in Google Scholar

Hathaway, A. 2002. “From Harm Reduction to Human Rights: Bringing Liberalism Back Into Drug Reform Debates.” Drug and Alcohol Review 21 (4):397–404.10.1080/0959523021000023270Search in Google Scholar

Heller, D., and D. Paone. 2011. “Access to Sterile Syringes for Injecting Drug Users in New York City: Politics and Perception (1984–2010).” Substance Use and Misuse 46 (2–3):140–49.10.3109/10826084.2011.523319Search in Google Scholar

Hsieh, H.F., and S.E. Shannon. 2005. “Three Approaches to Qualitative Content Analysis.” Qualitative Health Research 15 (9):1277–88.10.1177/1049732305276687Search in Google Scholar

Jensen, E.L., J. Gerber, and C. Mosher. 2004. “Social Consequences of the War on Drugs: The legacy of Failed Policy.” Criminal Justice Policy Review 15 (1):100–21.10.1177/0887403403255315Search in Google Scholar

Jorgensen, M., and L. Phillips. 2002. Discourse Analysis as Theory and Method. Thousand Oaks, CA: Sage.Search in Google Scholar

Keen, J., and P. Oliver. 2004. Commissioning pharmacological treatments for drug users: A brief review of the evidence base. Drugs: Education, Prevention, and Policy 11 (2):149–156.10.1080/0968763031000075906Search in Google Scholar

Korner, H., and C. Treloar 2003. “Needle and Syringe Programmes in the Local Media: ‘Needle Anger’ Versus ‘Effective Education in the Community’.” International Journal of Drug Policy 15 (1):46–55.10.1016/S0955-3959(03)00089-6Search in Google Scholar

Lancaster, K., C.E. Hughes, B.V. Spicer, F. Matthew-Simmons, and P. Dillon 2011. “Illicit Drugs and the Media: Models of Media Effects for Use in Drug Policy Research.” Drug and Alcohol Review 30 (4):397–402.10.1111/j.1465-3362.2010.00239.xSearch in Google Scholar

Lawrence, G., G. Bammer, and S. Chapman. 2000. “Sending the Wrong Signal: Analysis of Print Media Reportage of the ACT Heroin Prescription Trial Proposal, August 1997.” Australian and New Zealand Journal of Public Health 24 (3):254–64.10.1111/j.1467-842X.2000.tb01565.xSearch in Google Scholar

Leiber, M.J., K.M. Jamieson, and M.D. Krohn. 1993. “Newspaper Reporting and the Production of Deviance: Drug Use Among Professional Athletes.” Deviant Behavior 14 (4):317–39.10.1080/01639625.1993.9967949Search in Google Scholar

Leech, N.L., and A.J. Onwuegbuzie. 2011. “Beyond Constant Comparison Qualitative Data Analysis: Using NVivo.” School Psychology Quarterly 26 (1):70–84.10.1037/a0022711Search in Google Scholar

Lupton, D. 1992. “Discourse Analysis: A New Methodology for Understanding the Ideologies of Health and Illness.” Australian Journal of Public Health 16 (2):145–50.10.1111/j.1753-6405.1992.tb00043.xSearch in Google Scholar

Marlatt, G. 1998. “Basic Principles and Strategies of Harm Reduction.” In Harm Reduction: Pragmatic Strategies for Managing High-Risk Behaviors, edited by A. Marlatt, 49–66. New York: Guilford Press.Search in Google Scholar

Marlatt, G., and S. Tapert. 1993. “Harm Reduction: Reducing the Risks of Addictive Behaviors.” In Addictive Behaviors across the Lifespan: Prevention, Treatment, and Policy Issues, edited by J. Baer, G. Marlatt, and R. McMahon, 243–73. Newbury Park, CA: Sage.Search in Google Scholar

Marlatt, G., A. Blume, and G. Parks. 2001. “Integrating Harm Reduction Therapy and Traditional Substance Abuse Treatment.” Journal of Psychoactive Drugs 33 (1):13–21.10.1080/02791072.2001.10400463Search in Google Scholar

Marsch, L.A. 1998. “The Efficacy of Methadone Maintenance Interventions in Reducing Illicit Opiate Use, HIV risk Behavior, and Criminality: A Meta-Analysis.” Addiction 93 (4):515–32.10.1046/j.1360-0443.1998.9345157.xSearch in Google Scholar

McArthur, M. 1999. “Pushing the Drug Debate: The Media’s Role in Policy Reform.” Australian Journal of Social Issues 34 (2):149–65.10.1002/j.1839-4655.1999.tb01075.xSearch in Google Scholar

McLellan, A. 2003. “What’s the Harm in Discussing Harm Reduction: An Introduction to a Three-Paper Series.” Journal of Substance Abuse Treatment 25 (4):239–40.10.1016/S0740-5472(03)00084-9Search in Google Scholar

Miller, P. 2010. “Reporting of the ACT Heroin Trials.” Journal of Media and Communication Studies 2 (1):1–8.Search in Google Scholar

National Institute on Drug Abuse. 2012. Drug Abuse and Addiction: One of America’s Most Challenging Public Health Problems. Accessed May 24, 2012 from in Google Scholar

Noto, A.R., I. Pinsky, and F.C. Mastroianni. 2006. “Drugs in the Brazilian Print Media: An Exploratory Survey of Newspaper and Magazine Stories in the Year 2000.” Substance Use and Misuse 41 (9):1263–76.10.1080/10826080600754868Search in Google Scholar PubMed

Pew Research Center. 2009, February 26. Newspapers Face a Challenging Calculus. Accessed from in Google Scholar

Plambeck, J. 2010, April 26. “Newspaper Circulation Falls Nearly 9%.” New York Times. Retrieved from in Google Scholar

Riffe, D., S. Lacy, and F. Fico. 1998. Analyzing Media Messages: Using Quantitative Content Analysis in Research. Mahwah, NJ: Lawrence Erlbaum Associates.Search in Google Scholar

Riley, D., and P. O’Hare. 2000. “Harm Reduction: History, Definition, and Practice.” In Harm reduction: National and International Perspectives, edited by J. Inciardi and L. Harrison, 1–26. Thousand Oaks, CA: Sage.10.4135/9781452220680.n1Search in Google Scholar

Room, R. 1999. “The Rhetoric of International Drug Control.” Substance Use and Misuse 34 (12):1689–707.10.3109/10826089909039422Search in Google Scholar

Tammi, T. 2004. “The Harm Reduction School of Thought: Three Fractions.” Contemporary Drug Problems 31 (3):381–99.10.1177/009145090403100301Search in Google Scholar

Torronen, J. 2004. “Finnish Newspapers’ Positions on Drug Policy between 1993 and 2000.” Contemporary Drug Problems 31 (1):59–88.10.1177/009145090403100104Search in Google Scholar

van Dijk, T.A. 1983. “Discourse Analysis: Its Development and Application to the Structure of News.” Journal of Communication 33 (2):20–43.10.1111/j.1460-2466.1983.tb02386.xSearch in Google Scholar

Viera, A.J., and J.M. Garrett. 2005. “Understanding Interobserver Agreement: The Kappa Statistic.” Family Medicine 37 (5):360–63.Search in Google Scholar

Walsh-Childers, K. 1994. “Newspaper Influence on Health Policy Development.” Newspaper Research Journal 15 (3):89–104.10.1177/073953299401500308Search in Google Scholar

Weber, R.P. 1990. Basic Content Analysis (2nd ed.). Newbury Park, CA: Sage.10.4135/9781412983488Search in Google Scholar

Webster, P 1999. “Rethinking Drug Prohibition: Don’t Look for U.S. Government Leadership.” International Journal of Drug Policy 9 (5):297–303.10.1016/S0955-3959(98)00039-5Search in Google Scholar

Weidner, R.R. 2009. “Methamphetamine in Three Small Midwestern Cities: Evidence of a Moral Panic.” Journal of Psychoactive Drugs 41 (3):227–39.10.1080/02791072.2009.10400533Search in Google Scholar PubMed

Zhang, Y., and B.M. Wildemuth. 2009. “Qualitative Analysis of Content.” In Applications of Social Research Methods to Questions in Information and Library Science, edited by B.M. Wildemuth, 308–19. Westport, CT: Libraries Unlimited.Search in Google Scholar

Published Online: 2013-07-24

©2013 by Walter de Gruyter Berlin / Boston

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