在使用毒品的孕妇和育儿妇女中寻求帮助:通过关系减轻耻辱感
Emily Nichol1, Bernie Pauly2, Karen Milligan3
1Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, Canada.
The International journal on drug policy
|April 29, 2025
概括
耻辱会对使用毒品的孕妇和育儿妇女产生负面影响,阻止她们寻求服务. 支持性关系和富有同情心的护理对于改善他们的健康结果和康复至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 使用毒品的孕妇和育儿妇女在医疗保健系统中面临着严重的耻辱.
- 惩罚性毒品政策和社会对育儿能力的假设加剧了这种耻辱.
- 有限的研究存在于污名化如何影响自我效能和服务寻求在这个人群.
研究的目的:
- 探索使用毒品的孕妇和育儿妇女的内化,预期和体现的耻辱经历.
- 了解污名化如何影响寻求帮助的行为和获得健康和社会服务.
- 识别促进或阻碍这一人口群体参与服务的因素.
主要方法:
- 在安大略省,与24名女性进行了半结构化的电话采访.
- 参与者是孕妇和有幼儿的母亲综合治疗计划的客户.
- 采访的重点是COVID-19前的服务经验.
主要成果:
- 耻辱导致避免寻求帮助的行为.
- 医疗保健中的结构性障碍和隐性偏见造成了医疗保健的重大障碍.
- 支持性关系可以减轻耻辱的负面影响,并促进恢复.
结论:
- 判断的态度会损害自尊心,并培养内化耻辱感.
- 披露物质使用情况可能会危及关系,但支持性的联系可以缓冲伤害.
- 解决服务隐形性,隐含偏见和促进同情心对于改善护理和结果至关重要.
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