Research Scientist, British Columbia Centre on Substance Use.
Affiliate Investigator, Vancouver Coastal Health Research Institute
Lindsey Richardson is an Associate Professor of Sociology at UBC. Prior to commencing her appointment in 2014, she was a Post-doctoral Research Fellow in UBC's Division of AIDS in the Faculty of Medicine.
Lindsey is a medical sociologist specializing in socio-economic determinants of health among people who use illicit drugs and other vulnerable and marginalized populations. Her mixed-methods research links observational, intervention and research participation studies in efforts to critically increase understandings of the determinants and health consequences of socio-economic (in)security. Her research has been published in journals such as AIDS, Social Science and Medicine, the Journal of Epidemiology and Community Health, Sociology of Health and Illness, the International Journal of Drug Policy, Social Science Research, Preventive Medicine , and the Journal of Substance Abuse Treatment.
Lindsey is currently supported by five-year Michael Smith Foundation for Health Research Scholar (2014-2019) and Canadian Institutes of Health Research New Investigator (2015-2020) awards as well as a Canadian Institutes of Health Research Foundation Grant (2017-2022). Previously, she was supported by a Post-doctoral Fellowship from the Canadian Institutes of Health Research and doctoral awards from the Pierre Elliott Trudeau Foundation, the Social Sciences and Humanities Research Council and Nuffield College as well as a University of Oxford Clarendon Scholarship.
Research Methods (SOCI 217)
Experimental and Mixed Methods (SOCI 381)
Drugs and Society (SOCI 387)
Sociology of Health and Illness (SOCI 484)
Sociology of health and illness; substance use; HIV/AIDS; urban health; sociology of work and economic life; health disparities; research participation; research methods, especially longitudinal and mixed-methods research
My current research focuses on three areas in medical sociology, all related to exploring socio-economic and structural relationships around vulnerability, risk behaviour and health outcomes among marginalized populations. My research is predominantly conducted in partnership with the British Columbia Centre on Substance Use, which specializes in research substance use, addiction, HIV/AIDS and urban health.
The first area of research involves observational work emphasizing how socio-economic well being - including income, income generation and material security - influences the prevalence and experience of drug- and HIV-related harm, access to social and health services and burden of disease.
The second area involves translating findings from my observational research into applied studies focusing on social and structural interventions and their impacts on HIV- and drug use-related health risks. I’m currently the principal investigator of a project exploring the impacts of alternative social assistance disbursement on drug-related harm. This project is a mixed-methods study examining how staggering the disbursement of social assistance mitigates or potentiates escalations in drug use and drug-related harm (e.g., overdoses, emergency room admissions, public disorder) that coincide with the timing of synchronized monthly social assistance payments. It also seeks to document the experiences and financial management strategies of individuals’ whose social assistance is desynchronized as a part of this project. Funding for this project is provided by the Canadian Institutes of Health Research, the Peter Wall Institute for Advance Studies, Providence Health Care Research Institute, and the Michael Smith Foundation for Health Research.
The third focus is on the determinants and experiences of medical research participation among marginalized populations. My research in this area investigates the individual, social and structural factors that affect randomized controlled trial recruitment, retention, and protocol adherence as well as experiences of research participation in an emerging program of randomized controlled trials in addiction research in Vancouver. This work is funded with a grant from the Canadian Institutes of Health Research.
*indicates supervised student co-author
Blumenkrans, E., Socías, M. E., Richardson, L., Kerr, T., Shoveller, J., Montaner, J., Milloy, M. (in press) Longitudinal factors associated with used syringe lending among HIV-positive antiretroviral therapy-naïve people who inject drugs in a Canadian setting. AIDS and Behavior. 2020 Feb 5, online ahead of print.
*Mohd Salleh, N.A., Nosova, E., Milloy, M-J., Richardson, L. (2020) Material security and adherence to antiretroviral therapy (ART) among HIV-positive people who use illicit drugs. AIDS. 34(7):1037–1045.
Socías, E., Dong, H., Wood, E., Brar, R., Richardson, L., Hayashi, K,. Kerr, T., Milloy, M-J. (2020) Trajectories of retention in opioid agonist therapy in a Canadian setting. International Journal of Drug Policy. 77: 102696.
Roth, W., Yaylac, S, *Jaffe, K., Richardson, L. (2020) How genetic ancestry testing impacts genetic essentialist views of race: Findings from a randomized controlled trial. Plos One. 15(1): e0227399.
Ickowicz, S., *Mohd Salleh, N.A., Fairbairn, N. Richardson, L., Small W., Wood, E., Milloy, M-J. (2019) Criminal justice system involvement as a risk factor for detectable plasma HIV RNA viral load in people who use illicit drugs: a longitudinal cohort study. AIDS and Behavior. 23(9): 2534-2639.
*Mohd Salleh, N.A., Fairbairn, S., Nolan, S., Barrios, R., Shoveller, J., Richardson, L., Milloy, M-J. (2019) Dispensation of antiretroviral therapy and methadone maintenance therapy at the same facility in a low-barrier setting linked to optimal adherence to HIV treatment. HIV Medicine. 20(9): 609-614.
Richardson, L., Mammel, M., Milloy, M-J, Hayashi, K. (2019) Employment cessation, long term labour market engagement and HIV infection risk among people who inject drugs in an urban Canadian setting. AIDS and Behavior. 23(12): 3267-3276.
*Jaffe, K., Dong, H., Godefroy, A., Boutang, D., Hayashi, K., Milloy, M-J, Kerr, T., Richardson, L.. (2018) Informal recycling, income generation and risk: health and social harms among people who use drugs. International Journal of Drug Policy.60, 40-46.
Boyd, J., Richardson, L., Anderson, S., Kerr, T., Small, W., McNeil, R. (2018). Transitions in illegal income generation among people who use drugs: A qualitative study on recycling and vulnerability to violence. International Journal of Drug Policy. 59, 36-43.
*Mohd Salleh, NA., Richardson, L., Kerr, T., Shoveller, J., Montaner, J., Kamarulzaman, M., Milloy, M-J. (2018) A longitudinal analysis of daily pill burden and likelihood of optimal adherence to antiretroviral therapy among HIV-positive people who use illicit drugs. Journal of Addiction Medicine.12(4):308-314.
Fan, J.K., Amick, BC., Richardson, L., Scott-Marshall, H., McLeod, CB. (2018) Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988-2011. Scandinavian Journal of Work, Environmental and Health. 44(6), 639-646. doi: 10.5271/sjweh.3743
Bardwell, G., Anderson, S., Richardson, L., Bird, L., Lampkin, H., Small, W., McNeil, R. (2018). The perspectives of structurally vulnerable people who use drugs on volunteer stipends and work experiences provided through a drug user organization: opportunities and limitations. International Journal of Drug Policy. 55, 40-46.
Enns, B., Krebs, E., DeBeck, K, Hayashi, K., Milloy, M-J., Richardson, L., Wood, E., Nosyk, B. (2017) The costs of crime associated with stimulant use in a Canadian setting. Drug and Alcohol Dependence. 14(180), 304-310.
Conyers, L., Richardson, L., Datti, P., Koch, L., Misrock, M. (2017)
A critical review of health, social, and prevention outcomes associated with employment for people living with HIV. AIDS Education and Prevention 29(5), 475-490.
Bozinoff, N., Wood, E., Richardson, L., Dong, H., Kerr, T., DeBeck, K. (2017) Syringe sharing among a prospective cohort of street-involved youth in Vancouver, Canada: Implications for needle distribution programs. AIDS and Behavior 21(9), 2717-2725.
*Luongo, N., Hayashi, K., Dong, H., Kerr, T., Milloy, M-J., Richardson, L. (2017) Income Generation And Attitudes Toward Addiction Treatment Among People Who Use Illicit Drugs In A Canadian Setting. Addictive Behavior 64, 159-164.
Krebs, E., Wang, L., Olding, M., DeBeck, K., Hayashi, K., Milloy, M-J., Wood, E., Nosyk, B., Richardson, L. (2016) Increased drug use and the timing of social assistance receipt among people who use illicit drugs. Social Science & Medicine 171, 94-102.
Hoy, C., Barker, B., Regan, J., Dong, H., Richardson, L., Kerr, T., DeBeck, K. (2016) Elevated risk of incarceration among street-involved youth who initiate drug dealing. Harm Reduction Journal 22, 13(1), 32.
Richardson, L., Laing, A., Milloy, M-J., Maynard, R., Nosyk, B., Marshall, B., Grafstein, E., Daly, P., Wood, E., Montaner, J., Kerr, T. (2016) Protocol of The Impact of Alternative Social Assistance Disbursement on Drug-Related Harm (TASA) Study: A randomized controlled trial to evaluate changes to payment timing and frequency among people who use illicit drugs. BMC Public Health 16(668), 1-16.
Otterstatter, M.C., Amlani, A., Guan, H., Richardson, L., Buxton, J.A. (2016) Illicit drug overdose deaths resulting from income assistance payments: Analysis of the ‘check effect’ using daily mortality data. International Journal of Drug Policy 33, 83–87.
Joseph, B., Hayashi, K., Wood, E., Kerr, T., Barrios, R., Parashar, S., Richardson, L., Dobrer, S., Guillemi, S., Montaner, J., Milloy, M-J. (2016) Factors associated with initiation of antiretroviral therapy among HIV-positive people who use injection drugs in a Canadian setting. AIDS 30(7), 925-932.
Richardson, L., Small, W. and Kerr, T. (2016) “Pathways linking drug use and labour market trajectories: the role of catastrophic events.” Sociology of Health and Illness 38(1), 137–152.
Richardson, L. and Epp, S. (2016) Addiction, employment and the return to work. In: Schultz, I. and Gatchel, R. (Eds) Handbook of Return to Work. New York: Springer. pp. 667-692.
Lyons, T., Shannon, K., Richardson, L., Simo, A., Wood, E., Kerr, T. (2016) “Women who use drugs and have sex with women in a Canadian Setting: Barriers to treatment enrolment and exposure to violence and homelessness.” Archives of Sexual Behavior 45(6), 1403-1410.
Richardson, L., Kerr, T., Dobrer, S., Puskas, C., Guillemi, S., Montaner, J., Wood, E., Milloy, M-J. (2015) “Socio-economic marginalization and plasma HIV-1 RNA non-detectability among individuals who use illicit drugs in a Canadian setting.” AIDS 29(18), 2487-95.
*Phillips, M., Richardson, L., Wood, E., Nguyen, P., Kerr, T., DeBeck, K. (2015) “High intensity drug use and health service access among street-involved youth in a Canadian setting.” Substance Use and Misuse 50(14), 1805-13.
Richardson, L., *Long, C., DeBeck, K., Milloy, M-J., Wood, E., Kerr, T. (2015) “Socioeconomic marginalisation in the structural production of vulnerability to violence among people who use illicit drugs.” Journal of Epidemiology and Community Health 69(7): 686-692.
*Uhlmann, S., Milloy, M-J., Ahamad, K., Nguyen, P., Kerr, T., Wood, E., Richardson, L. (2015) “Factors associated with willingness to participate in an addiction treatment clinical trial among illicit drug users.” American Journal on Addictions 24(4): 368-373.
Milloy, M.J., Marshall, B., Kerr, T., Richardson, L., Hogg, R., Guillemi, S., Montaner, J.S.G., Wood, E. (2015) High‐intensity cannabis use associated with lower plasma human immunodeficiency virus‐1 RNA viral load among recently infected people who use injection drugs. Drug and Alcohol Review, 34(2): 135-140.
Nachega, J., Uthman, O., Peltzer, K., Richardson, L., Mills, E., Amekudzi, K., Ouédraogo, A. (2015) “The association of antiretroviral therapy adherence and employment status in men and women from low-, middle- and high-income countries: A systematic review and meta-analysis.” Bulletin of the World Health Organization, 93(1): 29-41.
Richardson, L., DeBeck, K., Feng, C., Kerr, T. and Wood, E. (2014) Employment and risk of injection drug use initiation among street involved youth in Canadian setting. Preventive Medicine, 66: 56-59.
Zlotorzynska, M., Milloy, M.J., Richardson, L., Montaner, J, Wood, E., Kerr, T. (2014) Timing of social assistance payment and overdose patterns at a Canadian supervised injection facility. International Journal of Drug Policy, 25 (4): 736-739.
Ti L., Richardson L., DeBeck K., Nguyen P., Montaner J., Wood E., Kerr T. (2014) The Impact of Engagement in Street-based Income Generation Activities on Stimulant Drug Use Cessation among People who Inject Drugs. Drug and Alcohol Dependence, 141 (1): 58-64.
Richardson, L., Milloy, M-J., Kerr, T., Parashar, S., Montaner, J.S.G. & Wood, E. (2014) Employment independently predicts decreased mortality among HIV-seropositive illicit drug users in a setting of universal HIV care. Journal of Epidemiology and Community Health, 68: 93-96.
Richardson, L., Wood, E. and Kerr, T. (2013) The impact of social, structural and physical environmental factors on transitions into employment among people who inject drugs. Social Science & Medicine, 76: 126-133.
Richardson, L., Wood, E., Montaner, J. and Kerr, T. (2012) Addiction treatment-related employment barriers: The impact of methadone maintenance. Journal of Substance Abuse Treatment, 43(3): 276-284.
Richardson, L. and Grund, T. (2012) Modeling the impact of supra-structural network nodes: The case of anonymous syringe sharing and HIV among people who inject drugs. Social Science Research, 41(3): 624-636.
Richardson, L., Sherman, S., and Kerr, T. (2012) Employment among people who use drugs: A new arena for research and intervention?International Journal of Drug Policy, 23: 3-5.
Richardson, L., Wood, E., Li, K., Kerr, T. (2010) Factors associated with employment among a cohort of injection drug users. Drug and Alcohol Review, 29(3): 293–300.
Richardson, L., Wood, E., Zhang, R., Montaner, J., Tyndall, M., Kerr, T. (2008) Employment among users of a medically supervised safer injection facility. American Journal of Drug and Alcohol Abuse, 34(5):519-25.
MacPherson, D., Mulla, Z. and Richardson, L. (2006) The evolution of drug policy in Vancouver, Canada: Strategies for preventing harm from psychoactive substance use. International Journal of Drug Policy, 17(2): 127-132.