Merghati Khoei Effatf, Jamshidimanesh Mansoureh, Emamian Mohammad Hassan, Sheikhan Fatemeh, Dolan Kate, Brady Kathleen T
Iranian National Center for Addiction Studies (INCAS), Institution of Risk Behavior Reduction, Tehran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Reprod Infertil. 2018 Oct-Dec;19(4):237-246.
Substance use disorders and risky sexual behavior coexist for some women. Explanatory models of women's sexuality in the context of substance use are under study. This study aimed to explore how women's sexual behavior can become risky in the context of substance use.
In this ethnographic inquiry, 25 women with substance use disorders (SUDs) were included at two Drop-In-Centers (DICs) in South Tehran. Observation, semi-structured interviews and field notes were used to collect data. Qualitative content analysis was used to attain the explanatory model of women's sexual behaviors in the context of substance use.
Three major themes emerged from the data analysis regarding their lives in the context of substance use; 1) life in the context of drug abuse, 2) negative self-perception, and 3) strive to survive. Subthemes were identified as loss of contact with family, social stigma, self-forgetfulness, worthlessness, low self-efficacy, and unsafe sexual context.
Findings suggest that women with SUDs are highly interwoven with women's sexual health, facilitating a shift towards risky behaviors. Integration of safe sexual skills building programs with substance use treatment is needed.
一些女性同时存在物质使用障碍和危险的性行为。关于物质使用背景下女性性行为的解释模型正在研究中。本研究旨在探讨在物质使用背景下女性的性行为如何变得危险。
在这项人种学调查中，25名患有物质使用障碍（SUDs）的女性被纳入德黑兰南部的两个救助中心（DICs）。通过观察、半结构化访谈和实地记录来收集数据。采用定性内容分析法来获得物质使用背景下女性性行为的解释模型。
数据分析得出了关于她们在物质使用背景下生活的三个主要主题；1）药物滥用背景下的生活，2）消极的自我认知，3）努力生存。子主题被确定为与家人失去联系、社会耻辱感、自我遗忘、无价值感、低自我效能感和不安全的性环境。
研究结果表明，患有物质使用障碍的女性与女性性健康高度交织，促使她们转向危险行为。需要将安全性行为技能培养项目与物质使用治疗相结合。
