Twice stigmatized: provider's perspectives on drug-using women in the Republic of Georgia.
Twice stigmatized: provider's perspectives on drug-using women in the Republic of Georgia.
复制标题
两次受到污名化：提供者对佐治亚共和国使用毒品妇女的看法。
DOI：
10.1080/02791072.2013.763554
复制
发表时间：
2013-01
影响因子：
2.8
通讯作者：
Jones HE
中科院分区：
文献类型：
--
作者：
Kirtadze I;Otiashvili D;O'Grady KE;Zule W;Krupitsky E;Wechsberg WM;Jones HE
这项研究通过对格鲁吉亚共和国 34 名卫生服务提供者的态度和观点进行了深入访谈，这些服务提供者在过去两个月中至少遇到过一次注射吸毒妇女。大多数参与者对药物依赖治疗的概念是戒毒，因为药物辅助治疗被认为是减少伤害的一部分，尽管与戒毒相比，药物辅助治疗被认为具有相对更好的治疗效果。受访者报告说，女性的药物依赖比男性严重得多。他们还表示对吸毒妇女的容忍度较低，因为大多数提供者认为这些妇女是失败的好母亲、妻子或孩子。格鲁吉亚妇女两次受到侮辱，一次是因为社会认为她们只履行了有限的、有目的的角色，另一次是因为男性吸毒者。此外，绝大多数受访者不知道自己所在城市是否有特定类型的戒毒治疗服务，更多的受访者也没有寻求与其他服务提供者的联系，这表明毒品相关服务与其他服务之间缺乏联系。为所有戒毒治疗患者提供针对女性的服务和全面的服务联系网络至关重要。这些公共卫生问题需要政策制定者立即考虑，并迅速采取行动予以解决。
This study examined attitudes and perspectives of 34 health service providers through in-depth interviews in the Republic of Georgia who encountered an injection drug-using woman at least once in the past two months. Most participants’ concept of drug dependence treatment was detoxification, as medication-assisted therapy was considered part of harm reduction, although it was thought to have relatively better treatment outcomes compared to detoxification. Respondents reported that drug dependence in women is much more severe than in men. They also expressed less tolerance towards drug-using women, as most providers view such women as failures as a good mother, wife, or child. Georgian women are twice stigmatized, once by a society that views them as fulfilling only a limited purposeful role and again by their male drug-using counterparts. Further, the vast majority of respondents were unaware of the availability of specific types of drug-treatment services in their city, and even more did not seek connections with other service providers, indicating a lack of linkages between drug-related and other services. The need for women-specific services and a comprehensive network of service linkages for all patients in drug treatment is critical. These public health issues require immediate consideration by policy makers, and swift action to address them.