Intimate partner violence and reproductive health among methamphetamine-using women in los angeles: a qualitative pilot study.

Intimate partner violence and reproductive health among methamphetamine-using women in los angeles: a qualitative pilot study.
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DOI:
10.1080/02791072.2014.934978
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发表时间:
2014-10
影响因子:
2.8
通讯作者:
Shoptaw S
Shoptaw S
中科院分区:
医学4区
文献类型:
--
作者:
Abdul-Khabir W;Hall T;Swanson AN;Shoptaw S

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在女性中,甲基安非他明(冰毒)的使用与亲密伴侣暴力(IPV)有关;然而,很少有研究关注IPV的背景。这项定性的初步研究探索了洛杉矶县使用冰毒的妇女在(1)最近的主要关系中的IPV,(2)避孕和生殖健康服务的使用,以及(3)怀孕期间使用冰毒的经历。参与者(n=30)通过社区广告和3个成瘾治疗中心被招募参加15-20分钟的半结构化访谈,并记录手写成绩单。该团队分析了关键主题的文字记录。参与者报告IPV(n=19,63%)为接受者(50%)、实施者(40%)和/或两者(27%),主要发生在主动使用冰毒或戒毒期间。虽然大多数(n=25)在至少一次怀孕期间继续使用冰毒,但一些(n=5,17%)认为怀孕是戒烟或减少使用的动机,这表明有机会进行干预。尽管大多数妇女知道免费和低成本的生殖健康服务,但很少有人获得这些服务,33%的人认为冰毒使用本身是一种障碍。三分之一(45/133)的报告妊娠是通过堕胎终止的。大多数女性(67%)在18岁之前开始使用,这表明需要在青少年中进行筛查和干预。
Among women, methamphetamine (meth) use has been associated with intimate partner violence (IPV); however, few studies have looked at the context of IPV. This qualitative pilot study explored the experiences of meth-using women in Los Angeles County regarding (1) IPV in their most recent primary relationship, (2) use of contraception and reproductive health services, and (3) meth use during pregnancy. Participants (n=30) were recruited through community advertising and at 3 addiction treatment centers to participate in 15–20 minute, semi-structured interviews recorded with handwritten transcripts. The team analyzed transcripts for key themes. Participants reported IPV (n=19, 63%) as recipients (50%), perpetrators (40%), and/or both (27%), occurring mainly during active meth use or withdrawal. While most (n=25) continued meth use during at least one pregnancy, some (n=5, 17%) identified pregnancy as a motivation to quit or reduce use, suggesting an opportunity for intervention. Though most women knew about free and low-cost reproductive health services, few accessed them, with 33% citing aspects of meth use itself as a barrier. One third (45/133) of reported pregnancies were terminated by abortion. Most women (67%) began using before age 18, suggesting need for screening and intervention among adolescents.
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