The Impact of Family Systems and Social Networks on Substance Use Initiation and Recovery Among Women With Substance Use Disorders

被引:6
作者
Jones, Abenaa A. [1 ,2 ]
Strong-Jones, Sienna
Bishop, Rachael E. [3 ]
Brant, Kristina [2 ,4 ]
Owczarzak, Jill [5 ]
Ngigi, Kelly W.
Latkin, Carl [5 ]
机构
[1] Penn State Univ, Dept Human Dev, Family Studies, 218 Hlth & Human Dev Bldg, University Pk, PA 16802 USA
[2] Penn State Univ, Consortium Subst Use & Addict, University Pk, PA USA
[3] Penn State Univ, Dept Commun Arts & Sci, University Pk, PA USA
[4] Penn State Univ, Dept Agr Econ Soc & Educ, University Pk, PA USA
[5] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
基金
美国国家卫生研究院;
关键词
women; criminal justice; substance use; criminal legal system; PREVENTION; PREDICTORS; CHILDHOOD; ALCOHOL; RISK; HIV; INCARCERATION; ADOLESCENCE; ADULTHOOD; CIGARETTE;
D O I
10.1037/adb0001007
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objective: While social networks influence individuals with substance use disorders (SUDs), the mechanisms for such influence are under-explored among women who use drugs. This study triangulates the perspectives of criminal justice professionals, SUD treatment professionals, and women with past and current experiences with substance use to explore these dynamics. Method: We conducted semistructured interviews (N = 42) in 2022 with women with current or past opioid use disorder (n = 20), SUD treatment professionals (n = 12), and criminal justice professionals (n = 10) who work with women with opioid use disorder. Interviews centered around participants' backgrounds, perceived barriers and facilitators to medications for opioid use disorder (MOUD) treatment, and gender-specific issues in MOUD treatment. All interviews were audio-recorded, transcribed, and deidentified. We used a four-step qualitative data analysis process to code transcripts. Results: Across these participants' accounts, we identified mechanisms by which women's social networks influenced their opioid use trajectories: intergenerational substance use, family support and strain, intimate partner influence, and peer support and pressure. Overall, the emergent themes in the present study reflect the embedded nature of support within social systems. Women who had access to and engaged with various forms of social support tended to be those who use/used MOUD and self-identified as in recovery. Conclusions: Combining MOUD treatment with psychosocial interventions allows women to heal from trauma, learn effective coping skills, and receive valuable resources to support recovery. Interventions focusing on family resilience and peer recovery support can disrupt the cycle of addiction and promote MOUD treatment success.
引用
收藏
页码:850 / 859
页数:10
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