A qualitative study of barriers and facilitators in treating drug use among Israeli mothers: An intersectional perspective
A qualitative study of barriers and facilitators in treating drug use among Israeli mothers: An intersectional perspective
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DOI：
10.1016/j.socscimed.2017.06.031
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发表时间：
2017-08-01
影响因子：
5.4
通讯作者：
Gueta, Keren
中科院分区：
文献类型：
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作者：
Gueta, Keren
理由：尽管药物治疗在西方国家有好处和可用性，但研究表明使用率很低，尤其是母亲。研究表明，妇女利用药物治疗存在内部障碍（例如，羞耻）和外部结构性障碍（例如，贫穷），但对造成这种障碍的相互关联的边缘化轴线知之甚少，更不用说对治疗的促进因素了。研究这条道路的一个有希望的途径可能是交叉性的理论视角，它经常被用来说明女性的经历是如何由性别与其他因素（包括阶级、年龄和种族）共同塑造的。目的：本研究旨在深入了解药物滥用母亲药物滥用治疗的障碍和促进因素，包括现实意义。方法：对25名儿童保护和福利机构了解的以色列出生和移民母亲进行深度访谈。通过交叉性的批判性女权主义理论视角，研究了她们参与药物治疗的障碍和促进因素。结果：专题分析揭示了不同因素与治疗利用之间相互关系的三个主题。首先，失去儿童监护权的威胁与缺乏社会和家庭支持、移民身份、产后和经济困难有关，从而形成治疗障碍。第二，源于她们边缘地位的一套应对资源与治疗机会是相互关联的。最后，参与者建议改变，鼓励治疗利用，重点是非判断转诊程序。结论：研究结果表明，障碍和促进因素是相互关联和共同构建的，反映了跨阶级、性别和种族轴的权力和压迫的连锁关系。研究结果关注妇女药物治疗政策和研究中的社会不平等和性别问题，可能为制定克服治疗障碍的战略提供信息。(C) 2017 Elsevier Ltd.版权所有。
Rationale: Despite the benefits and availability of drug treatment in Western countries, research has shown low utilisation rates, especially by mothers. Studies have indicated internal barriers (e.g., shame) and external structural barriers (e.g., poverty) to women's utilisation of drug treatment, but little is known about the interrelated axes of marginalization that create such barriers and, even less, facilitators of treatment. A promising avenue for examining this path may be the theoretical perspective of intersectionality, which has often been used to illustrate how women's experiences are shaped by gender in conjunction with other factors, including class, age, and race.Objective: The purpose of the study was to obtain a deeper understanding of the barriers and facilitators of drug-abuse treatment among substance-abusing mothers, including practical implications.Methods: In-depth interviews were conducted with 25 Israeli-born and immigrant mothers known to child protection and welfare agencies. A critical feminist theoretical perspective informed by intersectionality was adopted to examine the barriers to and facilitators of their enrolment in drug treatment.Results: Thematic analysis revealed three themes in the interrelationships of different factors and treatment utilisation. First, the threat of losing child custody was interrelated with lack of social and family support, immigration status, being post-partum, and economic hardship to shape barriers to treatment. Second, a set of coping resources originating in their marginality was interrelated with opportunity for treatment. Last, the participants suggested changes that would encourage treatment utilisation, with focus on non-judgmental referral procedures.Conclusions: The findings indicated that barriers and facilitators are interrelated and co-constructed, reflecting the interlocking of power and oppression across the axes of class, gender, and ethnicity. Focusing on social inequality and gender in policies and research on women's drug treatment, the findings may inform the development of strategies to overcome treatment barriers. (C) 2017 Elsevier Ltd. All rights reserved.