Sexual and reproductive health behaviors of women with criminal legal involvement and substance use disorders: A life course perspective.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-03-01 Epub Date: 2023-11-02 DOI:10.1037/adb0000968
Jennifer K Bello, Lynn Y Chen, Alysia Johnson, Sarah Skiöld-Hanlin
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Abstract

Objective: Early exposure to drug use and sexual abuse may contribute to later substance use, causing downstream effects on sexual and pregnancy-related behaviors. We applied the life course perspective to qualitative interview findings conducted with women with criminal legal involvement to explore connections between participants' early exposure to drugs and childhood sexual abuse with subsequent engagement with substance use and sexual and reproductive behaviors.

Method: We analyzed semistructured interviews with 33 racially diverse women with criminal legal involvement, Ages 18-65, who were recruited from a community organization in the Midwestern United States to explore their experiences and perspectives on factors that influenced their substance use and reproductive health behaviors. We used a modified grounded theory approach and retroactively applied the life course perspective model to inform and organize our data.

Results: Fifteen participants described exposure to substances and/or sexual abuse at a young age which played a role in influencing later life behaviors involving substance use and sexual and reproductive health. For some participants, the accumulation of experiences further contributed to shared pregnancy behaviors and outcomes including unexpected and rapid repeat pregnancies and difficulty abstaining from drug use while pregnant.

Conclusions: Early life experiences may influence later life sexual and reproductive health behaviors. These experiences must be considered when engaging with women in patient-centered and trauma-informed ways in settings where they seek care including carceral facilities, obstetrics and gynecology and primary care clinics, and substance use disorder treatment programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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具有刑事法律参与和物质使用障碍的妇女的性健康和生殖健康行为:生命历程视角。
目的:早期接触药物使用和性虐待可能会导致后期药物使用,对性行为和妊娠相关行为产生下游影响。我们将生命历程视角应用于对参与刑事法律活动的女性进行的定性访谈结果,以探索参与者早期接触毒品和童年性虐待与随后使用药物以及性行为和生殖行为之间的联系。方法:我们分析了33名年龄在18-65岁之间的具有刑事法律参与的种族多样性女性的半结构访谈,这些女性是从美国中西部的一个社区组织招募来的,以探讨她们对影响她们药物使用和生殖健康行为的因素的经验和看法。我们使用了一种修正的扎根理论方法,并追溯性地应用了生命历程视角模型来告知和组织我们的数据。结果:15名参与者描述了年轻时接触药物和/或性虐待的情况,这些情况在影响以后的生活行为(包括药物使用、性健康和生殖健康)方面发挥了作用。对于一些参与者来说,经验的积累进一步促进了共同的妊娠行为和结果,包括意外和快速的重复妊娠以及怀孕期间难以戒除药物。结论:早期的生活经历可能影响后期的性健康和生殖健康行为。在女性寻求护理的环境中,包括尸体设施、妇产科和初级保健诊所,以及药物使用障碍治疗项目,以患者为中心,以创伤知情的方式与女性接触时,必须考虑这些经验。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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