Is peer injecting a form of intimate partner abuse? A qualitative study of the experiences of women drug users
Is peer injecting a form of intimate partner abuse? A qualitative study of the experiences of women drug users
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DOI：
10.1111/j.1365-2524.2007.00700.x
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发表时间：
2007-09-01
影响因子：
2.4
通讯作者：
Sheard, Laura
中科院分区：
文献类型：
--
作者：
Wright, Nat M. J.;Tompkins, Charlotte N. E.;Sheard, Laura
接受非法药物注射的妇女人数过多，而且往往是由其亲密伴侣注射的。本研究采用质性研究方法，探讨女性吸毒者在注射非法药物时遭受亲密伴侣虐待的经历。在利兹市和英国北诺丁汉郡地区对45名女性吸毒者进行了深入访谈。同龄人注射非法药物的做法使女性吸毒者有可能受到其男性亲密注射者伴侣的身体、经济和精神虐待。然而，这并不是一个普遍的特征。在信任、支持性的亲密伴侣关系中，同伴注射是通过互惠安排进行的。对女性来说，从技术上和情感上摆脱同伴注射是困难的，而且很少是直截了当的。工作的影响进行了讨论，临床医生和更广泛的药物服务工作人员应了解滥用的可能性，并询问同行注射时，与女性注射吸毒者咨询。然而，临床医生应该避免在一个简单的临床框架内工作，认为所有的同伴注射本质上是虐待。需要进行更多的研究，为最佳做法提供证据。在此之前，可以适用管理亲密伴侣虐待行为的最佳做法的一般原则，包括增强妇女改变虐待情况的动力。
Women are over-represented as the recipients of injections of illicit drugs and are often injected by their intimate partners. This study used qualitative research to explore women drug users' experiences of abuse from intimate partners when being injected with illicit drugs. In-depth interviews were conducted with 45 women drug users in the city of Leeds and the area of North Nottinghamshire, UK. The practice of peer injecting illicit drugs places women recipients at risk of physical, economic and emotional abuse from their male intimate partner injectors. However, this was not a universal feature. In trusting, supportive intimate partner relationships peer injecting took place through reciprocal arrangements. Moving away from peer injecting was technically and emotionally difficult for women and rarely straightforward. The implications of the work are discussed as clinicians and wider drug service staff should be aware of the possibility of abuse and enquire about peer injecting when consulting with women injecting drug users. However, clinicians should avoid working within a simplistic clinical framework that views all peer injecting as intrinsically abusive. More research is needed to provide evidence for best practice. Until then, generic principles of best practice management of intimate partner abuse could apply, including enhancing women's motivation to effect change in an abusive situation.