Shahram Sana
a Department of Interdisciplinary Graduate Studies , University of British Columbia , Kelowna , British Columbia , Canada.
Women Health. 2016;56(2):157-76. doi: 10.1080/03630242.2015.1086466. Epub 2015 Sep 1.
Although women who use substances are often also facing severe economic and social problems, little is known about the relationship between social determinants of health and substance use among women. Furthermore, despite their increased visibility in substance use programs and policies in Canada, little is known about the social contexts of substance use among Aboriginal women. I systematically reviewed empirical research published from 1997 through March 2013 that examined the relationship between social determinants of health and substance use among Aboriginal women. Studies that were peer-reviewed, published in English, and had an abstract were included. Of an initial 261 studies, only sixteen studies met the inclusion criteria (fourteen quantitative, one qualitative, one mixed methods). The social determinants of health that were explored in these studies were socio-demographics factors, trauma, gender, social environments, colonialism, culture, and employment. The studies identified significant relationships between the social determinants of health and substance use among Aboriginal women. The almost exclusive use of quantitative methods and the prioritization of certain social determinants of health over others prevented a comprehensive and contextual understanding of substance use among Aboriginal women. Further research is needed to understand these significant relationships, particularly in relation to Aboriginal-specific determinants of health.
尽管使用毒品的女性往往还面临着严重的经济和社会问题，但对于健康的社会决定因素与女性毒品使用之间的关系，我们却知之甚少。此外，尽管加拿大的毒品使用项目和政策中对原住民女性的关注有所增加，但对于原住民女性毒品使用的社会背景，我们仍然了解甚少。我系统地回顾了1997年至2013年3月间发表的实证研究，这些研究探讨了健康的社会决定因素与原住民女性毒品使用之间的关系。纳入的研究需经过同行评审、以英文发表且有摘要。在最初的261项研究中，只有16项研究符合纳入标准（14项定量研究、1项定性研究、1项混合方法研究）。这些研究中探讨的健康社会决定因素包括社会人口统计学因素、创伤、性别、社会环境、殖民主义、文化和就业。研究确定了健康的社会决定因素与原住民女性毒品使用之间存在显著关系。几乎完全使用定量方法以及对某些健康社会决定因素的优先考虑超过其他因素，妨碍了对原住民女性毒品使用的全面和背景化理解。需要进一步开展研究以了解这些显著关系，特别是与原住民特有的健康决定因素相关的关系。
