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Published on: December 8, 2012
Violence Against Women Who Inject Drugs
Samantha Colledge-Frisby1,2, Shelly Walker1,2, Anna Lee Wilkinson2,3,4
1National Drug Research Institute, Curtin University, Melbourne, Australia.
JAMA Network Open
|March 17, 2026
Summary
Violence against women who inject drugs in Australia is widespread, with over 80% experiencing assault. Healthcare seeking remains low due to stigma and distrust, highlighting the need for tailored support.
Area of Science:
- Public Health
- Sociology
- Health Services Research
Background:
- Women who inject drugs (WIID) experience disproportionately high rates of violence.
- Interventions and policies often overlook the unique needs and experiences of WIID.
- Understanding the prevalence and context of violence is crucial for effective support.
Purpose of the Study:
- To quantify and contextualize the experiences of violence among Australian women who inject drugs.
- To explore barriers faced by WIID when seeking healthcare after experiencing violence.
Main Methods:
- A mixed-methods longitudinal cohort study (SuperMIX) in Australia.
- Linked self-reported survey data (2008-2019) with administrative health records.
- Conducted qualitative interviews with 10 WIID to explore violence and service access.
Main Results:
- 82% of 431 WIID experienced assault; 38% experienced sexual assault.
- Significant rates of assault-related hospital admissions (19%), ED presentations (23%), and ambulance attendances (17%).
- Only 31% of reported assaults led to seeking healthcare, with stigma, fear, and distrust identified as key barriers.
Conclusions:
- Violence is pervasive and severe among Australian WIID.
- Structural and social barriers significantly impede healthcare seeking for violence.
- Recognizing the burden of violence is essential for developing targeted interventions for this marginalized group.
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