Journals / Journal of Balkan and Black Sea Studies / 2026 / Issue: 16, June 2026

The Impact of Opioid Trafficking and Use on Social Transformation in the 1990s. The Case of Ukraine and Yugoslavia

Pages
—
Publication Date
2026-06-27
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings suggest that opioid trafficking and HIV/AIDS significantly influenced governance, health systems, and informal economic networks.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:During the 1990s, Afghan opioid trafficking and consumption increased significantly across Europe.
📊
Key Findings & Data:At the same time, both experienced sharp increases in HIV/AIDS infections, particularly among injecting drug users.
💡
Conclusion & Impact:The findings suggest that opioid trafficking and HIV/AIDS significantly influenced governance, health systems, and informal economic networks.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:HIV · Governance · Transformation

Abstract

During the 1990s, Afghan opioid trafficking and consumption increased significantly across Europe. This study examines the impact of opioid trafficking and use on post-socialist transformation processes in Ukraine and the Federal Republic of Yugoslavia through a comparative and transnational approach. Both countries were located along major trafficking corridors-the Balkan and Black Sea routes-and developed local black markets that became hubs for organized crime. At the same time, both experienced sharp increases in HIV/AIDS infections, particularly among injecting drug users. While Yugoslavia introduced methadone replacement therapy relatively early, Ukraine implemented substitution treatment only in the 2000s, partly due to the persistence of Soviet-era perceptions of addiction and the stigmatization of replacement therapies. Corruption and slow reform processes further hindered effective responses. Drawing primarily on United Nations reports, the study analyzes the roles of state collapse, market reforms, organized crime, and international actors. The findings suggest that opioid trafficking and HIV/AIDS significantly influenced governance, health systems, and informal economic networks.

🔖

Cite This Article

Markovic, N. (2026). The Impact of Opioid Trafficking and Use on Social Transformation in the 1990s. The Case of Ukraine and Yugoslavia. Journal of Balkan and Black Sea Studies, Issue: 16, June 2026. https://doi.org/10.56679/balkar.1881700

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (62)

  1. Primary Sources
  2. Bayefsky, Anne F., ed. Ukraine: Core Document Forming Part of the Reports of States Parties. UN Doc. HRI/CORE/1/Add.63/Rev.1. United Nations, 1998.
  3. Enquêtecommissie Opsporingsmethoden. Inzake opsporing: Eindrapport van de Parlementaire Enquêtecommissie Opsporingsmethoden, Kamerstukken II, vergaderjaar 1995–1996, 24 072, nrs. 10–11, Bijlage VIII: Deelonderzoek 1, Autochtone, allochtone en buitenlandse criminele groepen. The Hague: Sdu Uitgevers/Nederlandse Staten-Generaal, 1996.
  4. Godinho, Joana, et al. HIV/AIDS in the Western Balkans: Priorities for Early Prevention in a High-Risk Environment. World Bank Working Paper no. 68. Washington, DC: World Bank Publications, 2005.
  5. International Narcotics Control Board. Report of the International Narcotics Control Board for 1997, UN-Dokument E/INCB/1997/1. New York: United Nations, 1998.
  6. Joint United Nations Programme on HIV/AIDS (UNAIDS). Report on the Global HIV/AIDS Epidemic. Geneva, 1998.
  7. Joint United Nations Programme on HIV/AIDS (UNAIDS). Worksheet: Provisional Working Estimates of Adults Living with HIV/AIDS by Subcontinent in 1995. Geneva, 1996.
  8. Kalman, Alexander G. Organized Economic Crime and Corruption in Ukraine. NCJRS Document No. 204374, 2004.
  9. La Depeche Internationale des Drogues. No. 48, 1995.
  10. Levchuk, Nataliia. Alcohol and Mortality in Ukraine. WP-2009-017. Max Planck Institute for Demographic Research, 2009. https://doi.org/10.4054/MPIDR-WP-2009-017.
  11. Standing, Guy, and Laszlo Zsoldos. Labour Market Crisis in Ukrainian Industry: The 1995 ULFS. 1st publ. With Internationales Arbeitsamt. Labour Market Papers 12. Employment Dep., Internat. Labour Off, 1995.
  12. United Nations Office on Drugs and Crime. Drug Treatment Systems in the Western Balkans. Vienna, 2019. United Nations Office on Drugs and Crime. Opiates and Methamphetamine Trafficking on the Balkan Route: Drug Flows, Illicit Incomes and Illicit Financial Flows. Vienna, 2025.
  13. United Nations Office on Drugs and Crime. The Illicit Drug Trade through South-Eastern Europe. Vienna, 2014. “UdSSR: Suchtbilanz.” Die taz, no. 2566 (July 25, 1988).
  14. Secondary Literature
  15. Alexander, Jeffrey. Cultural Trauma and Collective Identity. University of California Press, 2004. https://doi.org/10.1525/california/9780520235946.001.0001.
  16. Andreas, Peter. “The Clandestine Political Economy of War and Peace in Bosnia.” International Studies Quarterly 48, no. 1 (2004): 29–52. https://doi.org/10.1111/j.0020-8833.2004.00290.x.
  17. Åslund, Anders. How Capitalism Was Build. 2nd ed. Cambridge Univ. Press, 2013.
  18. Boekhout Van Solinge, Tim. “Drug Use and Drug Trafficking in Europe.” Tijdschrift Voor Economische En Sociale Geografie 89, no. 1 (1998): 100–105. https://doi.org/10.1111/1467-9663.00010.
  19. Bruno, Michael, Guido Di Tella, Rudiger Dornbusch, and Stanley Fischer, eds. Inflation Stabilization: The Experience of Israel, Argentina, Brazil, Bolivia, and Mexico. MIT Press, 1990.
  20. Carroll, Jennifer J. Narkomania: Drugs, HIV, and Citizenship in Ukraine. Cornell University press, 2019.
  21. Chassagne, Philippe. “Opiacés et routes des Balkans: facteurs géographiques, historiques et politiques du phénomène.” Hérodote, no. 112 (2004).
  22. Chilingaryan, L. I. “Teoria I. P. Pavlova o vyschey nervnoy deyatel’nosti: vekhi i tendentsii razbitya.” Zhurnal vyschey nervnoy deyatel’nosti 49, no. 6 (1999): 898–908.
  23. Cockerham, William C., Brian P. Hinote, and Pamela Abbott. “Psychological Distress, Gender, and Health Lifestyles in Belarus, Kazakhstan, Russia, and Ukraine.” Social Science & Medicine 63, no. 9 (2006): 2381–94. https://doi.org/10.1016/j.socscimed.2006.06.001.
  24. Dehne, Karl L., Jean-Paul C. Grund, Lev Khodakevich, and Yuri Kobyshcha. “The HIV/AIDS Epidemic among Drug Injectors in Eastern Europe: Patterns, Trends and Determinants.” Journal of Drug Issues 29, no. 4 (1999): 729–76. https://doi.org/10.1177/002204269902900402.
  25. Dušan Stanković. Little Black Book of Organized Crime Groups in Western Balkans. Belgrade Centre for Security Policy, 2022.
  26. Gilmore, Anna B.C, Martin McKee, and Richard Rose. “Determinants of and Inequalities in Self-Perceived Health in Ukraine.” Social Science & Medicine 55, no. 12 (2002): 2177–88. https://doi.org/10.1016/S0277-9536(01)00361-6.
  27. Graney, Katherine. Russia, the Former Soviet Republics, and Europe Since 1989: Transformation and Tragedy. 1st ed. Oxford University Press, 2019. https://doi.org/10.1093/oso/9780190055080.001.0001.
  28. Greskovits, Béla. “The Postsocialist Transformation in Central and Eastern Europe.” Brazilian Journal of Political Economy 22, no. 4 (2002): 579–93. https://doi.org/10.1590/0101-31572002-1270.
  29. Hamers, F F. “HIV Infection in Ukraine (1987-96).” Revue d’epidemiologie et de Sante Publique 48, no. 1 (2000): 1S3–15.
  30. Hanson, Philip. The Rise and Fall of the The Soviet Economy. 0 ed. Routledge, 2014. https://doi.org/10.4324/9781315841274.
  31. Houston, F. Black Sea Security: International Cooperation and Counter-Trafficking in the Black Sea Region. With W. D. Wood and D. M. Robinson. NATO Science for Peace and Security - E: Human and Societal Dynamics, v. v. 74. IOS Press, 2010.
  32. Ignjatova, Liljana. “Treatment Systems Overview In South Eastern Europe,” (Council of Europe, 2011).
  33. Jovanović, Vladan. Opium in the Balkans Cultivation, Processing, and Trade during the Interwar Period. Central European University Press, 2025.
  34. Johnston, Rosamund, ed. The Routledge Handbook of 1989 and the Great Transformation. Routledge, 2026.
  35. Kappeler, Andreas. Kleine Geschichte Der Ukraine. 6th ed. C.H.Beck, 2022. https://doi.org/10.17104/9783406735592.
  36. Kilibarda, M. “HIV Infection among Drug Abusers in the Belgrade Area.” Bulletin on Narcotics 45, no. 1 (1993): 135–46.
  37. Klymanska, Larysa D., Maryna B. Klimanska, Halyna Z. Herasym, Viktor Ye. Savka, Stanislav K. Andreichuk, and Romana R. Myshok. “Historical and Contemporary Contexts of Alcohol Consumption in Modern Ukraine.” Wiadomości Lekarskie 75, no. 8 (2022): 1908–13. https://doi.org/10.36740/WLek202208116.
  38. Krsmanović, Elena. “Crimen et Circenses: Serbian Turbo Folk Music and Organised Crime.” In Crime and Music, edited by Dina Siegel and Frank Bovenkerk. Springer International Publishing, 2021. https://doi.org/10.1007/978-3-030-49878-8_9.
  39. Kuzio, Taras, Andrew Wilson, and Norman Stone. Ukraine: Perestroika to Independence. 2nd ed. Macmillan, 1996.
  40. Lamour, Catherine, and Lamberti, Michel R. Les grandes manœuvres de l’opium. (Seuil, 1972).
  41. Layne, Mary, Mykola S. Khruppa, and Anatoly A. Muzyka. “The Growing Importance of Ukraine as a Transit Country for Heroin Trafficking: U.S.-Ukraine Research Partnership.” Trends in Organized Crime 6, nos. 3–4 (2001): 77–93. https://doi.org/10.1007/s12117-001-1007-5.
  42. Ljutica, I., and Z. Barac Otasevic. “Five Years Follow up of Buprenorphine Treatment in Clinical Center of Montenegro.” European Psychiatry 66, no. S1 (2023): S662–S662. https://doi.org/10.1192/j.eurpsy.2023.1376.
  43. Makarenko, Tamara. “Ukrainian Mafia Moves into the International Crime Arena,” Jane’s Intelligence Review 14, no. 2 (February 2002): 26–29.
  44. Mazhnaya, A.M., and Zahedul Islam. “Opioid Substitution Treatment in Ukraine: Review of the Peer-Reviewed Literature.” Tobacco Control and Public Health in Eastern Europe 5, no. 1 (2015): 1–12. https://doi.org/10.6084/M9.FIGSHARE.1528119.
  45. Minakov, Mikhail. “Republic of Clans: The Evolution of the Ukrainian Political System.” In Stubborn Structures, edited by Bálint Magyar. Central European University Press, 2019. https://doi.org/10.1515/9789633862155-009.
  46. Page, J. Bryan, and Merrill Singer. Comprehending Drug Use: Ethnographic Research at the Social Margins. New Brunswick, NJ: Rutgers University Press, 2010.
  47. Polese, Abel, and Peter Rodgers. “Surviving Post‐socialism: The Role of Informal Economic Practices.” International Journal of Sociology and Social Policy 31, no. 11/12 (2011): 612–18. https://doi.org/10.1108/01443331111177896.
  48. Prezelj, Iztok, and Nina Otorepec Vogrinčič. “Criminal and Networked State Capture in the Western Balkans: The Case of the Zemun Clan.” Southeast European and Black Sea Studies 20, no. 4 (2020): 547–70. https://doi.org/10.1080/14683857.2020.1845010.
  49. Ramet, Sabrina P., and Vjeran Pavlaković, eds. Serbia since 1989: Politics and Society under Milos̆ević and After. 1st pbk. ed. Jackson School Publications in International Studies. University of Washington Press, 2010.
  50. Ridley, Nick. Terrorist Financing: The Failure of Counter Measures. Edward Elgar Publishing Limited, 2012.
  51. Shelley, Louise. “The Unholy Trinity: Transnational Crime, Corruption, and Terrorism.” Brown Journal of World Affairs 11, no. 2 (2005).
  52. Strazzari, Francesco. “The Decade Horribilis: Organized Violence and Organized Crime along the Balkan Peripheries, 1991–2001.” Mediterranean Politics 12, no. 2 (2007): 185–209. https://doi.org/10.1080/13629390701388661.
  53. Peter H. Solomon Jr. and Todd S. Foglesong, “The Two Faces of Crime in Post-Soviet Ukraine,” East European Constitutional Review 9 (2000).
  54. Takács, István Gábor. “The Role of Heroin in Serbian History.” Drugreporter, March 28, 2014. https://drogriporter.hu/en/the-role-of-heroin-in-serbian-history/.
  55. “Treatment Systems Overview In South Eastern Europe.” n.d. Accessed January 9, 2026. https://rm.coe.int/1680746004.
  56. Uvalic, Milica. “Privatisation and Corporate Governance in Serbia (FR Yugoslavia).” Long-Term Devolopment in Southeast Europe, 2001.
  57. Verdery, Katherine. What Was Socialism, and What Comes Next? Princeton Studies in Culture/Power/History. Princeton University Press, 1996.
  58. Vucetic-Arsic, S., M. Stankovic, S. Alcaz, and M. Nikic. “The Transion of Consumption Patterns of Heroin Users in Belgrade.” European Psychiatry 26, no. S2 (2011): 123–123. https://doi.org/10.1016/S0924-9338(11)71834-X.
  59. Williams, Phil, and John Picarelli. “Organized Crime in Ukraine: Challenge and Response.” Trends in Organized Crime 6, nos. 3–4 (2001): 100–142. https://doi.org/10.1007/s12117-001-1009-3.
  60. Williamson, John. “What Washington Means by Policy Reform.” In Latin American Adjustment: How Much Has Happened?, 1st ed., edited by John Williamson. Routledge, 1990. https://doi.org/10.4324/9780429498893-4.
  61. Houston, F. Black Sea Security: International Cooperation and Counter-Trafficking in the Black Sea Region. With W. D. Wood and D. M. Robinson. NATO Science for Peace and Security - E: Human and Societal Dynamics, v. v. 74. IOS Press, 2010.
  62. Strazzari, Francesco. “The Decade Horribilis: Organized Violence and Organized Crime along the Balkan Peripheries, 1991–2001.” Mediterranean Politics 12, no. 2 (2007): 185–209. https://doi.org/10.1080/13629390701388661.