Down on main street: Drugs and the small-town vortex

Ethnographic research on social networks-especially that which focuses on rural or small-town drug use-is relatively rare. Drawing on qualitative interviews and focus groups conducted with illicit drug users residing in three counties in west central Ohio, this article examines perceptions of small-town life and the influence of local social networks on drug-using practices. Since chronic drug use is often driven by associations with other users, the combination of small social circles, a limited scope of acquaintances and economic opportunities, inadequate drug treatment, and abundant drug supplies can create a "vortex" effect and magnify drug use in small towns. (C) 2008 Elsevier Ltd. All rights reserved.