Cargando…

“There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Clifford, Brendan, Van Gordon, Kate, Magee, Fiona, Malone, Victoria, Siefried, Krista J., Graham, Duncan, Ezard, Nadine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933255/
https://www.ncbi.nlm.nih.gov/pubmed/36793060
http://dx.doi.org/10.1186/s12913-023-09125-z
_version_ 1784889634285682688
author Clifford, Brendan
Van Gordon, Kate
Magee, Fiona
Malone, Victoria
Siefried, Krista J.
Graham, Duncan
Ezard, Nadine
author_facet Clifford, Brendan
Van Gordon, Kate
Magee, Fiona
Malone, Victoria
Siefried, Krista J.
Graham, Duncan
Ezard, Nadine
author_sort Clifford, Brendan
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9933255
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-99332552023-02-17 “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia Clifford, Brendan Van Gordon, Kate Magee, Fiona Malone, Victoria Siefried, Krista J. Graham, Duncan Ezard, Nadine BMC Health Serv Res Research 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. BioMed Central 2023-02-16 /pmc/articles/PMC9933255/ /pubmed/36793060 http://dx.doi.org/10.1186/s12913-023-09125-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Clifford, Brendan
Van Gordon, Kate
Magee, Fiona
Malone, Victoria
Siefried, Krista J.
Graham, Duncan
Ezard, Nadine
“There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title_full “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title_fullStr “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title_full_unstemmed “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title_short “There’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in Sydney, Australia
title_sort “there’s a big tag on my head”: exploring barriers to treatment seeking with women who use methamphetamine in sydney, australia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933255/
https://www.ncbi.nlm.nih.gov/pubmed/36793060
http://dx.doi.org/10.1186/s12913-023-09125-z
work_keys_str_mv AT cliffordbrendan theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT vangordonkate theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT mageefiona theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT malonevictoria theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT siefriedkristaj theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT grahamduncan theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia
AT ezardnadine theresabigtagonmyheadexploringbarrierstotreatmentseekingwithwomenwhousemethamphetamineinsydneyaustralia