Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis.
Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis.
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DOI：
10.3390/ijerph192215065
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发表时间：
2022-11-16
影响因子：
--
通讯作者：
Kerver, Jean
中科院分区：
文献类型：
--
作者：
Bright, Victoria;Riddle, Julia;Kerver, Jean
需要查明和认识患有药物使用障碍的农村孕妇的经历，以便为公共政策和医疗培训提供信息。本文回顾和定性综合文献探索这一人口的经验。使用Embase、PubMed和Web of Science通过检索词（如妊娠、药物使用或滥用、耻辱和农村）识别截至2022年8月的文献。被引用和引用的研究也被考虑在内。排除标准包括未考虑农村孕妇对所经历的耻辱的看法的文章，包括潜在的混淆，发生在美国或加拿大以外，并在2000年1月之前发表。9篇文章符合纳入标准。所列作者对数据进行了综合，并对共同主题进行了评估。对这些文章的回顾揭示了三个共同的主题：污名发生在社区环境中，污名发生在医疗环境中，全面的护理对于确保对这一人群的适当支持很重要。当妇女得到强有力的社会支持并能够利用全面的护理网络时，耻辱感作为一种障碍似乎有所改善。通过同伴社会指导和综合保健中心等方案消除这种耻辱感，可以为患有SUD的怀孕农村妇女提供适当的支持，以进一步满足她们的健康需求。
Identification and recognition of experiences of rural pregnant women with substance use disorder is needed to inform public policy and medical training. This paper reviews and qualitatively synthesizes literature exploring the experiences of this population. Embase, PubMed, and Web of Science were used to identify literature through August 2022 using the search terms, such as pregnancy, substance use or abuse, stigma, and rural. Cited and citing research were also considered. Exclusion criteria included articles that failed to consider rural pregnant women’s perspectives on stigma experienced, included potential confounds, occurred outside of the United States or Canada, and were published before January 2000. Nine articles met the inclusion criteria. Data were synthesized by the listed authors and assessed for common themes. A review of the articles revealed three common themes: stigma occurs in community settings, stigma occurs in healthcare settings, and comprehensive care is important to ensure appropriate support to this population. Stigma as a barrier seems to improve when women have strong social support and access to comprehensive care networks. Addressing this stigma through programs, such as peer social guidance and comprehensive health centers, may provide appropriate support to pregnant, rural women with SUD to further navigate their health needs.
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影响因子：
4.9
作者：
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通讯作者：
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DOI：
10.1016/j.drugpo.2013.04.004
发表时间：
2013-11-01
期刊：
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作者：
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