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Following Rhodes' risk environment framework [6], [26], we considered influences in the physical, social, economic and policy environments, at the micro- and macro-level.
As mentioned, the "risk environment" framework has been increasingly used as a way to organize risk information in relation to the prevention of HIV and reduction of drug-related harms [ 29– 329.
In the context of harm reduction, the risk environment framework is helpful as it redistributes the focus of interventions and responsibility for drug harms from individuals to "something shared between individuals and social-economic structures" [ 32].
The categories were then grouped into conceptually related domains based loosely on the risk environment framework, which examines the interplay of various types of environments (social, physical, economic and political) and levels of risk (micro, meso, macro) in the prevention of HIV and reduction of drug-related harms [ 29– 329.
Therefore, acknowledging that risk and protective factors are often the inverse of each other, the risk environment framework was selected as a helpful starting point for categorizing the YIP data and contextualizing the reasons that youth provided that enable them to navigate away from IDU.
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The conceptual framework of risk environment developed by Rhodes and colleagues [6], [25], [26] encourages a focus on interactions between risk factors exogenous to the individual, and posits that physical, social, economic, and political environments interact with microenvironmental and macroenvironmental factors to confer risk or protection for HIV infection.
In order to further our understanding of why some women are at a higher risk for developing postpartum depression, a contextual environment framework was developed from the study findings that can be tested in future research.
According to the 'risk environment' framework, as proposed by Rhodes et al., structural and environmental factors are important to consider when assessing risks for drug-related harms as they shape the context in which individual behaviour occurs [ 24].
Our findings are discussed with reference to two theories: the political environment framework and the garbage can framework.
To reach this conclusion, a comprehensive work environment framework was needed.
This approach presents a new problem-solving framework and acknowledges that a plurality of perspectives should be structured into the informed decision making processes during uncertain high risk environments (see WSS Fellows on RIA 2014).
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