دورية أكاديمية
“There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
| العنوان: | “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia |
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| المؤلفون: | Clifford, B, Van Gordon, K, Magee, F, Malone, V, Siefried, KJ, Graham, D, Ezard, N |
| المصدر: | urn:ISSN:1472-6963 ; BMC Health Services Research, 23, 1, 162 |
| بيانات النشر: | Springer Nature |
| سنة النشر: | 2023 |
| المجموعة: | UNSW Sydney (The University of New South Wales): UNSWorks |
| مصطلحات موضوعية: | Drug Abuse (NIDA only), Clinical Research, Brain Disorders, Methamphetamine, Substance Misuse, Health Services, 7.3 Management and decision making, 8.1 Organisation and delivery of services, 7 Management of diseases and conditions, 8 Health and social care services research, 7.1 Individual care needs, Mental health, 3 Good Health and Well Being, Humans, Female, Male, Australia, Substance-Related Disorders, Health Services Accessibility, Qualitative Research, Gender, Methamphetamine use disorder, anzsrc-for: 0807 Library and Information Studies, anzsrc-for: 1110 Nursing, anzsrc-for: 1117 Public Health and Health Services |
| الوصف: | Background: Australia has a high prevalence of regular use of methamphetamine. While half of people who use methamphetamine regularly are women, they make up only one third of people seeking treatment for methamphetamine use disorder. There is a lack of qualitative research into the facilitators and barriers to treatment for women who use methamphetamine regularly. The study seeks a better understanding of the experiences and treatment preferences of women who use methamphetamine, to inform person-centred changes in practice and policy that break down barriers to treatment. Methods: We conducted semi-structured interviews with 11 women who frequently use methamphetamine (at least once a week), and who are not engaged in treatment. Women were recruited from health services surrounding a stimulant treatment centre at an inner-city hospital. Participants were asked about their methapmhetamine use and health service needs and preferences. Thematic analysis was completed using Nvivo® software. Results: Three themes were developed from participants’ responses around experiences of regular methamphetamine use and treatment needs: 1. Resistance of stigmatised identity including dependence; 2. Interpersonal violence; 3. Institutionalised stigma. A fourth set of themes on service delivery preferences were also elicited, including continuity of care, integrated health care, and provision of non-judgmental services. Conclusion: Gender-inclusive health care services for people who use methamphetamine should actively work to address stigma, support a relational approach to assessment and treatment, and seek to provide structurally competent health care that is trauma and violence informed, and integrated with other services. Findings may also have application for substance use disorders other than methamphetamine. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | http://hdl.handle.net/1959.4/unsworks_84549Test; https://unsworks.unsw.edu.au/bitstreams/8c5565d7-a540-4f75-ae03-923c26cc6437/downloadTest; https://doi.org/10.1186/s12913-023-09125-zTest |
| DOI: | 10.1186/s12913-023-09125-z |
| الإتاحة: | https://doi.org/10.1186/s12913-023-09125-zTest http://hdl.handle.net/1959.4/unsworks_84549Test https://unsworks.unsw.edu.au/bitstreams/8c5565d7-a540-4f75-ae03-923c26cc6437/downloadTest |
| حقوق: | open access ; https://purl.org/coar/access_right/c_abf2Test ; CC BY ; https://creativecommons.org/licenses/by/4.0Test/ ; free_to_read |
| رقم الانضمام: | edsbas.62E10CC1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12913-023-09125-z |
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