Shahram Sana Z, Bottorff Joan L, Kurtz Donna L M, Oelke Nelly D, Thomas Victoria, Spittal Patricia M
The University of British Columbia, Kelowna, British Columbia, Canada
Centre for Addictions Research of BC, University of Victoria, British Columbia, Canada.
Qual Health Res. 2017 Jan;27(2):249-259. doi: 10.1177/1049732316657812. Epub 2016 Jul 10.
Despite attention paid to substance use during pregnancy, understandings of young Aboriginal women's experiences based on their perspectives have been virtually absent in the published literature. This study's objective was to understand the life experiences of pregnant-involved young Aboriginal women with alcohol and drugs. Semi-structured interviews to gather life histories were conducted with 23 young Aboriginal women who had experiences with pregnancy, and alcohol and drug use. Transcribed interviews were analyzed for themes to describe the social and historical contexts of women's experiences and their self-representations. The findings detail women's strategies for survival, inner strength, and capacities for love, healing, and resilience. Themes included the following: intersectional identities, life histories of trauma (abuse, violence, and neglect; intergenerational trauma; separations and connections), the ever-presence of alcohol and drugs, and the highs and lows of pregnancy and mothering. The findings have implications for guiding policy and interventions for supporting women and their families.
尽管孕期物质使用问题受到了关注，但已发表的文献中几乎没有基于年轻原住民女性自身视角对其经历的理解。本研究的目的是了解涉及怀孕的年轻原住民女性在酒精和药物方面的生活经历。对23名有怀孕、饮酒和吸毒经历的年轻原住民女性进行了半结构化访谈以收集生活史。对转录的访谈进行主题分析，以描述女性经历的社会和历史背景及其自我呈现。研究结果详细阐述了女性的生存策略、内在力量以及爱、治愈和恢复力的能力。主题包括：交叉身份、创伤生活史（虐待、暴力和忽视；代际创伤；分离与联系）、酒精和药物的始终存在，以及怀孕和育儿的起起落落。研究结果对指导支持女性及其家庭的政策和干预措施具有启示意义。
