Shahram Sana Z, Bottorff Joan L, Oelke Nelly D, Kurtz Donna L M, Thomas Victoria, Spittal Patricia M
a Faculty of Health and Social Development , University of British Columbia , Kelowna , Canada.
b Institute for Healthy Living and Chronic Disease Prevention, and School of Nursing, Faculty of Health and Social Development , University of British Columbia , Kelowna , Canada.
Int J Qual Stud Health Well-being. 2017 Dec;12(1):1275155. doi: 10.1080/17482631.2016.1275155.
There is a dearth of knowledge about the social determinants of substance use among young pregnant-involved Indigenous women in Canada from their perspectives. As part of life history interviews, 17 young pregnant-involved Indigenous women with experiences with substances completed a participant-generated mapping activity CIRCLES (Charting Intersectional Relationships in the Context of Life Experiences with Substances). As women created their maps, they discussed how different social determinants impacted their experiences with pregnancy and substance use. The social determinants identified and used by women to explain determinants of their substance use were grouped into 10 themes: traumatic life histories; socioeconomic status; culture, identity and spirituality; shame and guilt; mental wellness; family connections; romantic and platonic relationships; strength and hope; mothering; and the intersections of determinants. We conclude that understanding the context and social determinants of substance use from a woman-informed perspective is paramount to informing effective and appropriate programs to support young Indigenous women who use substances.
从加拿大年轻的涉孕原住民女性的角度来看，关于物质使用的社会决定因素的知识匮乏。作为生活史访谈的一部分，17名有物质使用经历的年轻涉孕原住民女性完成了一项由参与者生成的绘图活动——CIRCLES（绘制物质使用生活经历背景下的交叉关系）。当女性绘制她们的地图时，她们讨论了不同的社会决定因素如何影响她们怀孕和物质使用的经历。女性用来解释其物质使用决定因素的社会决定因素被归纳为10个主题：创伤性生活史；社会经济地位；文化、身份和精神性；羞耻和内疚；心理健康；家庭关系；浪漫和柏拉图式关系；力量和希望；为人母；以及决定因素的交叉点。我们得出结论，从女性视角理解物质使用的背景和社会决定因素对于制定有效且合适的项目以支持使用物质的年轻原住民女性至关重要。
